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ADVANCED MEDICAL EQUIPMENT, LLC

Durable Medical Equipment & Medical Supplies, Customized Equipment·MIAMISBURG, OH·NPI: 1538128293Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$58.4M

$58,362,302

Total Claims

733K

Beneficiaries

492K

1.5 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+29%
2019
$4.3M
+19%
2020
$5.1M
+16%
2021
$5.9M
+71%
2022
$10.1M
+41%
2023
$14.2M
+9%
2024
$15.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (E0465 (Home ventilator, any type, used with invasive interface)) accounts for 14% of total spending.

E0465Normal range

Home ventilator, any type, used with invasive interface

$8.4M

15K claims · 14.4%

Your Cost: $570.70/claim|Median: $583.21
1.0× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$6.3M

12K claims · 10.7%

Your Cost: $537.35/claim|Median: $465.86
1.2× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$3.7M

33K claims · 6.4%

Your Cost: $113.00/claim|Median: $117.24
1.0× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$2.7M

57K claims · 4.6%

Your Cost: $47.25/claim|Median: $55.51
0.9× median
E1390Top 25%

Oxygen concentrator, single delivery port

$2.6M

34K claims · 4.5%

Your Cost: $78.11/claim|Median: $45.11
1.7× median
A4483Top 25%

$2.6M

11K claims · 4.5%

Your Cost: $248.04/claim|Median: $91.41
2.7× median
E0466Top 10%

Home ventilator, any type, used with non-invasive interface

$2.6M

3,871 claims · 4.5%

Your Cost: $672.79/claim|Median: $317.50
2.1× median
E0445Top 10%

$2.0M

6,780 claims · 3.4%

Your Cost: $296.24/claim|Median: $118.11
2.5× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$1.8M

7,577 claims · 3.1%

Your Cost: $237.47/claim|Median: $300.16
0.8× median
A7521Top 10%

$1.8M

10K claims · 3.1%

Your Cost: $172.21/claim|Median: $39.24
4.4× median
B4160Normal range

Enteral formula, per 100 calories

$1.8M

11K claims · 3.0%

Your Cost: $156.90/claim|Median: $157.30
1.0× median
Y2032Normal range

$1.7M

5,541 claims · 2.9%

Your Cost: $305.10/claim|Median: $298.80
1.0× median
A4606Normal range

$1.7M

50K claims · 2.9%

Your Cost: $33.69/claim|Median: $50.63
0.7× median
A7520Top 10%

$1.6M

12K claims · 2.8%

Your Cost: $134.07/claim|Median: $49.59
2.7× median
B4153Normal range

$954K

2,682 claims · 1.6%

Your Cost: $355.88/claim|Median: $410.73
0.9× median
E0431Top 5%

Portable gaseous oxygen system, rental

$871K

28K claims · 1.5%

Your Cost: $30.66/claim|Median: $10.37
3.0× median
B4088Normal range

$786K

9,180 claims · 1.3%

Your Cost: $85.65/claim|Median: $73.20
1.2× median
A4217Top 25%

Sterile water or saline for nebulizer, per unit

$783K

15K claims · 1.3%

Your Cost: $53.45/claim|Median: $13.14
4.1× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$712K

2,985 claims · 1.2%

Your Cost: $238.52/claim|Median: $210.29
1.1× median
A4624Normal range

$692K

8,494 claims · 1.2%

Your Cost: $81.42/claim|Median: $107.53
0.8× median
A7526Normal range

$680K

16K claims · 1.2%

Your Cost: $42.73/claim|Median: $33.61
1.3× median
A4605Normal range

$590K

5,638 claims · 1.0%

Your Cost: $104.61/claim|Median: $121.51
0.9× median
E1399Normal range

Durable medical equipment, miscellaneous

$558K

2,319 claims · 1.0%

Your Cost: $240.63/claim|Median: $104.06
2.3× median
T4522Normal range

Adult-sized disposable incontinence product, brief/diaper, above XL

$536K

5,767 claims · 0.9%

Your Cost: $92.87/claim|Median: $84.50
1.1× median
K0108Normal range

Wheelchair component or accessory, NOS

$528K

6,434 claims · 0.9%

Your Cost: $82.01/claim|Median: $153.75
0.5× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$450K

14K claims · 0.8%

Your Cost: $33.18/claim|Median: $41.28
0.8× median
E0482Top 5%

$425K

830 claims · 0.7%

Your Cost: $511.85/claim|Median: $246.17
2.1× median
T4530Normal range

$419K

5,636 claims · 0.7%

Your Cost: $74.36/claim|Median: $83.90
0.9× median
T2029Top 25%

Specialized transportation, waiver, per mile, extra

$395K

951 claims · 0.7%

Your Cost: $414.83/claim|Median: $141.34
2.9× median
B9002Top 10%

$362K

2,105 claims · 0.6%

Your Cost: $172.19/claim|Median: $54.41
3.2× median
A6402Top 25%

$300K

22K claims · 0.5%

Your Cost: $13.52/claim|Median: $7.69
1.8× median
A4927Normal range

Gloves, non-sterile, per 100

$296K

24K claims · 0.5%

Your Cost: $12.44/claim|Median: $12.90
1.0× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$290K

3,155 claims · 0.5%

Your Cost: $92.04/claim|Median: $96.13
1.0× median
A6209Normal range

$288K

5,443 claims · 0.5%

Your Cost: $52.87/claim|Median: $55.36
1.0× median
E1028Top 25%

$284K

2,938 claims · 0.5%

Your Cost: $96.78/claim|Median: $54.00
1.8× median
A4930Top 25%

$283K

7,781 claims · 0.5%

Your Cost: $36.31/claim|Median: $3.61
10.1× median
A7000Normal range

$282K

20K claims · 0.5%

Your Cost: $14.40/claim|Median: $11.83
1.2× median
A4629Normal range

$266K

4,843 claims · 0.5%

Your Cost: $54.88/claim|Median: $54.42
1.0× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$264K

2,315 claims · 0.5%

Your Cost: $114.15/claim|Median: $89.79
1.3× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$225K

2,888 claims · 0.4%

Your Cost: $77.80/claim|Median: $110.54
0.7× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$219K

3,576 claims · 0.4%

Your Cost: $61.30/claim|Median: $35.30
1.7× median
T4521Normal range

$211K

2,718 claims · 0.4%

Your Cost: $77.62/claim|Median: $81.60
1.0× median
A6210Normal range

$196K

1,722 claims · 0.3%

Your Cost: $113.76/claim|Median: $163.78
0.7× median
E0260Top 10%

Hospital bed, semi-electric

$189K

3,124 claims · 0.3%

Your Cost: $60.52/claim|Median: $23.07
2.6× median
A7002Top 25%

$189K

20K claims · 0.3%

Your Cost: $9.28/claim|Median: $4.97
1.9× median
E0600Top 5%

$182K

967 claims · 0.3%

Your Cost: $188.25/claim|Median: $25.31
7.4× median
K0001Top 5%

Standard wheelchair

$179K

4,774 claims · 0.3%

Your Cost: $37.58/claim|Median: $12.27
3.1× median
B4155Normal range

$178K

5,512 claims · 0.3%

Your Cost: $32.35/claim|Median: $46.72
0.7× median
B4154Normal range

$168K

947 claims · 0.3%

Your Cost: $177.56/claim|Median: $132.96
1.3× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$154K

1,430 claims · 0.3%

Your Cost: $107.61/claim|Median: $116.15
0.9× median