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Provider 1548336423

NPI: 1548336423Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,377,459

Total Claims

220K

Beneficiaries

220K

1.0 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$951K
+16%
2019
$1.1M
+63%
2020
$1.8M
+15%
2021
$2.1M
+0%
2022
$2.1M
+69%
2023
$3.5M
+10%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E0601 (Continuous positive airway pressure (CPAP) device)) accounts for 13% of total spending.

E0601Top 5%

Continuous positive airway pressure (CPAP) device

$2.0M

19K claims · 12.7%

Your Cost: $101.84/claim|Median: $35.30
2.9× median
T4541Top 25%

Pediatric-sized disposable incontinence product, large

$1.7M

26K claims · 10.8%

Your Cost: $64.47/claim|Median: $41.28
1.6× median
E1390Top 1%

Oxygen concentrator, single delivery port

$1.3M

7,819 claims · 8.2%

Your Cost: $160.29/claim|Median: $45.11
3.6× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.1M

20K claims · 7.3%

Your Cost: $55.36/claim|Median: $88.94
0.6× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$946K

16K claims · 6.2%

Your Cost: $60.08/claim|Median: $42.03
1.4× median
A7032Top 5%

$924K

11K claims · 6.0%

Your Cost: $82.82/claim|Median: $25.48
3.3× median
A7034Top 1%

$840K

8,546 claims · 5.5%

Your Cost: $98.30/claim|Median: $35.90
2.7× median
K0001Top 5%

Standard wheelchair

$658K

10K claims · 4.3%

Your Cost: $62.92/claim|Median: $12.27
5.1× median
A7028Top 1%

$600K

3,028 claims · 3.9%

Your Cost: $198.05/claim|Median: $42.57
4.7× median
E0562Top 1%

Humidifier, heated, used with positive airway pressure device

$580K

2,390 claims · 3.8%

Your Cost: $242.81/claim|Median: $18.68
13.0× median
A4604Top 5%

$440K

7,910 claims · 2.9%

Your Cost: $55.68/claim|Median: $22.01
2.5× median
E0443Top 5%

$439K

5,330 claims · 2.9%

Your Cost: $82.33/claim|Median: $12.89
6.4× median
T4527Normal range

Adult-sized disposable incontinence product, large

$426K

5,623 claims · 2.8%

Your Cost: $75.74/claim|Median: $99.53
0.8× median
A7033Top 1%

$411K

4,094 claims · 2.7%

Your Cost: $100.37/claim|Median: $20.57
4.9× median
A7038Top 5%

$386K

22K claims · 2.5%

Your Cost: $17.74/claim|Median: $3.53
5.0× median
A7035Top 1%

$330K

9,863 claims · 2.1%

Your Cost: $33.44/claim|Median: $13.01
2.6× median
T4522Normal range

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

$276K

3,742 claims · 1.8%

Your Cost: $73.72/claim|Median: $84.50
0.9× median
E0431Top 5%

Portable gaseous oxygen system, rental

$214K

7,473 claims · 1.4%

Your Cost: $28.68/claim|Median: $10.37
2.8× median
A7027Top 25%

Combination oral and nasal mask with headgear

$213K

2,053 claims · 1.4%

Your Cost: $103.94/claim|Median: $85.18
1.2× median
A7030Top 1%

Full face mask for CPAP device

$202K

1,344 claims · 1.3%

Your Cost: $150.52/claim|Median: $56.36
2.7× median
E0470Top 5%

$199K

975 claims · 1.3%

Your Cost: $204.11/claim|Median: $81.45
2.5× median
E0143Top 5%

Walker, folding, wheeled, adjustable or fixed height

$186K

2,529 claims · 1.2%

Your Cost: $73.69/claim|Median: $31.59
2.3× median
A7031Top 1%

$143K

803 claims · 0.9%

Your Cost: $178.63/claim|Median: $25.17
7.1× median
E0295Top 25%

$130K

1,055 claims · 0.8%

Your Cost: $123.27/claim|Median: $41.43
3.0× median
A7037Top 1%

$125K

3,796 claims · 0.8%

Your Cost: $32.85/claim|Median: $10.56
3.1× median
E0245Top 25%

$113K

1,927 claims · 0.7%

Your Cost: $58.84/claim|Median: $42.10
1.4× median
T4523Normal range

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

$96K

1,250 claims · 0.6%

Your Cost: $76.42/claim|Median: $96.13
0.8× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$90K

871 claims · 0.6%

Your Cost: $103.48/claim|Median: $105.14
1.0× median
E0163Top 1%

$69K

801 claims · 0.4%

Your Cost: $86.15/claim|Median: $27.98
3.1× median
K0195Top 1%

$67K

373 claims · 0.4%

Your Cost: $180.28/claim|Median: $4.65
38.8× median
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