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Provider 1538143375

NPI: 1538143375Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.2M

$14,203,977

Total Claims

96K

Beneficiaries

78K

1.2 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+34%
2019
$1.9M
+26%
2020
$2.4M
+7%
2021
$2.5M
-10%
2022
$2.3M
-8%
2023
$2.1M
-22%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E0466 (Home ventilator, any type, used with non-invasive interface)) accounts for 58% of total spending.

E0466Normal range

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

$8.2M

20K claims · 57.7%

Your Cost: $415.11/claim|Median: $317.50
1.3× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$2.2M

4,456 claims · 15.5%

Your Cost: $495.08/claim|Median: $583.21
0.8× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$530K

6,972 claims · 3.7%

Your Cost: $75.96/claim|Median: $89.79
0.8× median
B4154Normal range

$466K

3,769 claims · 3.3%

Your Cost: $123.58/claim|Median: $132.96
0.9× median
A4554Normal range

Disposable underpads, all sizes

$457K

12K claims · 3.2%

Your Cost: $38.18/claim|Median: $37.02
1.0× median
T4527Normal range

Adult-sized disposable incontinence product, large

$353K

4,750 claims · 2.5%

Your Cost: $74.36/claim|Median: $99.53
0.7× median
E0482Normal range

$283K

2,029 claims · 2.0%

Your Cost: $139.59/claim|Median: $246.17
0.6× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$198K

3,059 claims · 1.4%

Your Cost: $64.75/claim|Median: $88.94
0.7× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$194K

6,062 claims · 1.4%

Your Cost: $32.02/claim|Median: $42.03
0.8× median
A4623Normal range

$184K

2,604 claims · 1.3%

Your Cost: $70.68/claim|Median: $60.83
1.2× median
E0445Normal range

$181K

1,533 claims · 1.3%

Your Cost: $118.02/claim|Median: $118.11
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$150K

2,274 claims · 1.1%

Your Cost: $65.92/claim|Median: $105.14
0.6× median
A4927Top 25%

Gloves, non-sterile, per 100

$115K

6,007 claims · 0.8%

Your Cost: $19.14/claim|Median: $12.90
1.5× median
A4624Normal range

$106K

2,126 claims · 0.7%

Your Cost: $49.67/claim|Median: $107.53
0.5× median
E1390Top 25%

Oxygen concentrator, single delivery port

$93K

1,068 claims · 0.7%

Your Cost: $87.44/claim|Median: $45.11
1.9× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$75K

588 claims · 0.5%

Your Cost: $127.71/claim|Median: $171.64
0.7× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$58K

2,099 claims · 0.4%

Your Cost: $27.65/claim|Median: $13.14
2.1× median
A4629Normal range

$57K

1,280 claims · 0.4%

Your Cost: $44.40/claim|Median: $54.42
0.8× median
E0483Top 25%

High-frequency chest wall oscillation air-pulse generator system

$45K

73 claims · 0.3%

Your Cost: $622.08/claim|Median: $321.50
1.9× median
E0550Normal range

$45K

1,579 claims · 0.3%

Your Cost: $28.50/claim|Median: $30.80
0.9× median
A4483Normal range

$44K

581 claims · 0.3%

Your Cost: $76.54/claim|Median: $91.41
0.8× median
E0600Normal range

$43K

2,720 claims · 0.3%

Your Cost: $15.90/claim|Median: $25.31
0.6× median
A7526Normal range

$31K

2,093 claims · 0.2%

Your Cost: $14.99/claim|Median: $33.61
0.4× median
T4523Normal range

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

$29K

352 claims · 0.2%

Your Cost: $82.23/claim|Median: $96.13
0.9× median
A7000Normal range

$17K

2,029 claims · 0.1%

Your Cost: $8.53/claim|Median: $11.83
0.7× median
T4522Normal range

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

$13K

135 claims · 0.1%

Your Cost: $98.99/claim|Median: $84.50
1.2× median
A7521Normal range

$10K

506 claims · 0.1%

Your Cost: $19.46/claim|Median: $39.24
0.5× median
A4628Normal range

$7K

1,046 claims · 0.0%

Your Cost: $6.59/claim|Median: $7.48
0.9× median
A7002Normal range

$4K

1,615 claims · 0.0%

Your Cost: $2.52/claim|Median: $4.97
0.5× median
E0565Normal range

$4K

175 claims · 0.0%

Your Cost: $20.28/claim|Median: $28.42
0.7× median
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