Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1538438437

NPI: 1538438437Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$12,011,269

Total Claims

131K

Beneficiaries

103K

1.3 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$913K
+20%
2019
$1.1M
-4%
2020
$1.1M
+10%
2021
$1.2M
+201%
2022
$3.5M
-31%
2023
$2.4M
-24%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 13% of total spending.

B4035Top 10%

Enteral feeding supply kit, pump fed, per day

$1.5M

6,162 claims · 12.5%

Your Cost: $243.71/claim|Median: $117.24
2.1× median
E0465Top 25%

Home ventilator, any type, used with invasive interface

$1.3M

1,666 claims · 11.0%

Your Cost: $792.73/claim|Median: $583.21
1.4× median
E1390Top 25%

Oxygen concentrator, single delivery port

$1.2M

14K claims · 10.0%

Your Cost: $83.86/claim|Median: $45.11
1.9× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.1M

2,361 claims · 8.9%

Your Cost: $451.73/claim|Median: $465.86
1.0× median
E0466Top 10%

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

$906K

1,347 claims · 7.5%

Your Cost: $672.33/claim|Median: $317.50
2.1× median
B9002Top 25%

$808K

9,342 claims · 6.7%

Your Cost: $86.49/claim|Median: $54.41
1.6× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$798K

2,157 claims · 6.6%

Your Cost: $370.03/claim|Median: $300.16
1.2× median
E0445Normal range

$557K

3,102 claims · 4.6%

Your Cost: $179.71/claim|Median: $118.11
1.5× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$510K

5,623 claims · 4.2%

Your Cost: $90.65/claim|Median: $55.51
1.6× median
E0482Top 25%

$216K

688 claims · 1.8%

Your Cost: $313.42/claim|Median: $246.17
1.3× median
A4605Top 10%

$204K

571 claims · 1.7%

Your Cost: $356.40/claim|Median: $121.51
2.9× median
K0001Top 25%

Standard wheelchair

$203K

7,546 claims · 1.7%

Your Cost: $26.90/claim|Median: $12.27
2.2× median
E0260Top 10%

Hospital bed, semi-electric

$191K

3,451 claims · 1.6%

Your Cost: $55.31/claim|Median: $23.07
2.4× median
B4160Normal range

Enteral formula, per 100 calories

$184K

1,514 claims · 1.5%

Your Cost: $121.79/claim|Median: $157.30
0.8× median
B4153Normal range

$173K

292 claims · 1.4%

Your Cost: $591.84/claim|Median: $410.73
1.4× median
S8189Top 25%

$162K

893 claims · 1.3%

Your Cost: $181.27/claim|Median: $81.07
2.2× median
E0431Top 25%

Portable gaseous oxygen system, rental

$141K

7,282 claims · 1.2%

Your Cost: $19.41/claim|Median: $10.37
1.9× median
E0619Normal range

$139K

717 claims · 1.2%

Your Cost: $194.50/claim|Median: $163.70
1.2× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$99K

2,191 claims · 0.8%

Your Cost: $45.09/claim|Median: $35.30
1.3× median
E0600Top 25%

$96K

1,910 claims · 0.8%

Your Cost: $50.36/claim|Median: $25.31
2.0× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$95K

731 claims · 0.8%

Your Cost: $129.89/claim|Median: $92.20
1.4× median
B4087Normal range

$92K

5,220 claims · 0.8%

Your Cost: $17.70/claim|Median: $25.27
0.7× median
A7000Top 5%

$92K

1,510 claims · 0.8%

Your Cost: $60.62/claim|Median: $11.83
5.1× median
A4628Top 5%

$85K

1,388 claims · 0.7%

Your Cost: $61.17/claim|Median: $7.48
8.2× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$82K

3,442 claims · 0.7%

Your Cost: $23.76/claim|Median: $31.59
0.8× median
A4629Normal range

$66K

898 claims · 0.5%

Your Cost: $73.52/claim|Median: $54.42
1.4× median
K0738Top 25%

$66K

2,348 claims · 0.5%

Your Cost: $28.03/claim|Median: $17.69
1.6× median
E0630Top 25%

$64K

1,496 claims · 0.5%

Your Cost: $42.72/claim|Median: $23.70
1.8× median
E0776Normal range

$58K

5,770 claims · 0.5%

Your Cost: $10.14/claim|Median: $8.13
1.2× median
B4034Normal range

$58K

847 claims · 0.5%

Your Cost: $68.92/claim|Median: $46.28
1.5× median
← All providersHow we detect fraud →