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Provider 1538668843

NPI: 1538668843Share
Active Billing Period:2020-09→2024-12(52 months)

Total Paid

$13.1M

$13,146,504

Total Claims

190K

Beneficiaries

125K

1.5 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2020
$242K
+1068%
2021
$2.8M
+23%
2022
$3.5M
+3%
2023
$3.5M
-13%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E0465 (Home ventilator, any type, used with invasive interface)) accounts for 36% of total spending.

E0465Top 25%

Home ventilator, any type, used with invasive interface

$4.8M

6,371 claims · 36.3%

Your Cost: $748.99/claim|Median: $583.21
1.3× median
E1390Top 25%

Oxygen concentrator, single delivery port

$1.0M

15K claims · 7.9%

Your Cost: $71.38/claim|Median: $45.11
1.6× median
E0445Normal range

$1.0M

7,947 claims · 7.9%

Your Cost: $130.38/claim|Median: $118.11
1.1× median
A4483Normal range

$917K

6,601 claims · 7.0%

Your Cost: $138.98/claim|Median: $91.41
1.5× median
A4604Top 1%

$638K

6,376 claims · 4.9%

Your Cost: $100.11/claim|Median: $22.01
4.5× median
E0466Top 25%

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

$496K

1,009 claims · 3.8%

Your Cost: $491.97/claim|Median: $317.50
1.5× median
S8189Normal range

$439K

5,321 claims · 3.3%

Your Cost: $82.51/claim|Median: $81.07
1.0× median
A4624Normal range

$371K

4,386 claims · 2.8%

Your Cost: $84.60/claim|Median: $107.53
0.8× median
K0738Top 25%

$334K

12K claims · 2.5%

Your Cost: $28.45/claim|Median: $17.69
1.6× median
E0619Normal range

$331K

2,306 claims · 2.5%

Your Cost: $143.59/claim|Median: $163.70
0.9× median
E0467Normal range

$328K

841 claims · 2.5%

Your Cost: $390.35/claim|Median: $456.42
0.9× median
A7526Top 25%

$297K

4,901 claims · 2.3%

Your Cost: $60.54/claim|Median: $33.61
1.8× median
A4606Normal range

$282K

14K claims · 2.1%

Your Cost: $20.63/claim|Median: $50.63
0.4× median
A4556Top 5%

$248K

2,197 claims · 1.9%

Your Cost: $112.71/claim|Median: $1.69
66.7× median
A4605Normal range

$230K

2,956 claims · 1.8%

Your Cost: $77.85/claim|Median: $121.51
0.6× median
A7046Top 1%

Water collection device for humidifier, each

$203K

6,695 claims · 1.5%

Your Cost: $30.25/claim|Median: $6.86
4.4× median
E0600Top 25%

$126K

3,334 claims · 1.0%

Your Cost: $37.66/claim|Median: $25.31
1.5× median
A4629Normal range

$124K

2,274 claims · 0.9%

Your Cost: $54.55/claim|Median: $54.42
1.0× median
A6209Normal range

$93K

1,161 claims · 0.7%

Your Cost: $79.87/claim|Median: $55.36
1.4× median
E0482Top 25%

$85K

271 claims · 0.6%

Your Cost: $314.55/claim|Median: $246.17
1.3× median
A6402Top 25%

$84K

5,296 claims · 0.6%

Your Cost: $15.82/claim|Median: $7.69
2.1× median
A7000Normal range

$78K

7,027 claims · 0.6%

Your Cost: $11.09/claim|Median: $11.83
0.9× median
E0565Top 25%

$60K

1,484 claims · 0.5%

Your Cost: $40.75/claim|Median: $28.42
1.4× median
E0570Normal range

Nebulizer, with compressor

$54K

1,421 claims · 0.4%

Your Cost: $38.00/claim|Median: $16.16
2.4× median
A7002Top 25%

$50K

6,103 claims · 0.4%

Your Cost: $8.17/claim|Median: $4.97
1.6× median
A4628Normal range

$49K

4,591 claims · 0.4%

Your Cost: $10.74/claim|Median: $7.48
1.4× median
A7038Top 10%

$46K

5,242 claims · 0.3%

Your Cost: $8.70/claim|Median: $3.53
2.5× median
A7045Top 25%

$39K

2,681 claims · 0.3%

Your Cost: $14.59/claim|Median: $7.87
1.9× median
A4927Normal range

Gloves, non-sterile, per 100

$37K

3,378 claims · 0.3%

Your Cost: $10.93/claim|Median: $12.90
0.8× median
A6257Normal range

$35K

3,706 claims · 0.3%

Your Cost: $9.53/claim|Median: $10.48
0.9× median
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