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Provider 1548360464

NPI: 1548360464Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.8M

$8,812,046

Total Claims

221K

Beneficiaries

166K

1.3 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+5%
2019
$1.2M
+2%
2020
$1.3M
+5%
2021
$1.3M
-5%
2022
$1.3M
+7%
2023
$1.4M
-15%
2024
$1.2M

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 27% of total spending.

E0465Normal range

Home ventilator, any type, used with invasive interface

$2.4M

6,109 claims · 26.7%

Your Cost: $385.31/claim|Median: $583.21
0.7× median
E1390Normal range

Oxygen concentrator, single delivery port

$901K

19K claims · 10.2%

Your Cost: $48.49/claim|Median: $45.11
1.1× median
E0466Normal range

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

$743K

1,907 claims · 8.4%

Your Cost: $389.53/claim|Median: $317.50
1.2× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$525K

3,116 claims · 6.0%

Your Cost: $168.57/claim|Median: $117.24
1.4× median
A4629Normal range

$451K

8,996 claims · 5.1%

Your Cost: $50.17/claim|Median: $54.42
0.9× median
A4624Normal range

$367K

6,121 claims · 4.2%

Your Cost: $59.92/claim|Median: $107.53
0.6× median
E0482Normal range

$327K

2,022 claims · 3.7%

Your Cost: $161.49/claim|Median: $246.17
0.7× median
A7507Normal range

$324K

6,460 claims · 3.7%

Your Cost: $50.18/claim|Median: $59.66
0.8× median
E0445Normal range

$309K

5,058 claims · 3.5%

Your Cost: $61.16/claim|Median: $118.11
0.5× median
A7526Normal range

$263K

9,097 claims · 3.0%

Your Cost: $28.89/claim|Median: $33.61
0.9× median
B4160Normal range

Enteral formula, per 100 calories

$254K

1,804 claims · 2.9%

Your Cost: $140.75/claim|Median: $157.30
0.9× median
A4606Normal range

$224K

19K claims · 2.5%

Your Cost: $11.88/claim|Median: $50.63
0.2× median
A4217Top 25%

Sterile water or saline for nebulizer, per unit

$191K

4,765 claims · 2.2%

Your Cost: $40.02/claim|Median: $13.14
3.0× median
E0431Normal range

Portable gaseous oxygen system, rental

$189K

16K claims · 2.1%

Your Cost: $11.76/claim|Median: $10.37
1.1× median
A4628Top 25%

$146K

11K claims · 1.7%

Your Cost: $12.75/claim|Median: $7.48
1.7× median
A4605Normal range

$138K

3,290 claims · 1.6%

Your Cost: $41.91/claim|Median: $121.51
0.3× median
A7000Normal range

$125K

13K claims · 1.4%

Your Cost: $9.56/claim|Median: $11.83
0.8× median
E0600Normal range

$112K

5,916 claims · 1.3%

Your Cost: $19.01/claim|Median: $25.31
0.8× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$107K

216 claims · 1.2%

Your Cost: $496.88/claim|Median: $465.86
1.1× median
A4623Normal range

$105K

2,787 claims · 1.2%

Your Cost: $37.55/claim|Median: $60.83
0.6× median
A7002Normal range

$101K

14K claims · 1.1%

Your Cost: $7.46/claim|Median: $4.97
1.5× median
B9002Normal range

$82K

1,591 claims · 0.9%

Your Cost: $51.77/claim|Median: $54.41
1.0× median
A4216Normal range

$74K

6,854 claims · 0.8%

Your Cost: $10.76/claim|Median: $8.45
1.3× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$46K

1,832 claims · 0.5%

Your Cost: $25.04/claim|Median: $35.30
0.7× median
A7520Normal range

$37K

1,639 claims · 0.4%

Your Cost: $22.29/claim|Median: $49.59
0.4× median
A7030Normal range

Full face mask for CPAP device

$33K

668 claims · 0.4%

Your Cost: $50.07/claim|Median: $56.36
0.9× median
A4322Normal range

$29K

3,683 claims · 0.3%

Your Cost: $7.79/claim|Median: $14.10
0.6× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$25K

3,039 claims · 0.3%

Your Cost: $8.25/claim|Median: $18.68
0.4× median
E0565Normal range

$24K

968 claims · 0.3%

Your Cost: $25.26/claim|Median: $28.42
0.9× median
E0570Normal range

Nebulizer, with compressor

$23K

4,111 claims · 0.3%

Your Cost: $5.55/claim|Median: $16.16
0.3× median