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PRISM MEDICAL PRODUCTS, L.L.C.

Durable Medical Equipment & Medical Supplies·ELKIN, NC·NPI: 1548367063Share

Compared to Durable Medical Equipment & Medical Supplies Peers

Total spending distribution among 35 providers in this specialty

P25MedianP75P90

This provider's total spending of $37.1M is at the below 25th percentile among 35 Durable Medical Equipment & Medical Supplies providers.

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

Total Paid

$37.1M

$37,075,416

Total Claims

1.0M

Beneficiaries

901K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$4.4M
+7%
2019
$4.8M
+6%
2020
$5.1M
+16%
2021
$5.9M
+3%
2022
$6.1M
+2%
2023
$6.2M
-24%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (A6021) accounts for 14% of total spending.

A6021Normal range

$5.3M

40K claims · 14.4%

Your Cost: $134.58/claim|Median: $111.06
1.2× median
A6196Normal range

$5.0M

74K claims · 13.5%

Your Cost: $67.47/claim|Median: $71.68
0.9× median
A6197Normal range

$4.2M

24K claims · 11.3%

Your Cost: $172.06/claim|Median: $156.22
1.1× median
A6212Normal range

$3.1M

52K claims · 8.5%

Your Cost: $60.22/claim|Median: $76.51
0.8× median
A6252Normal range

$2.5M

69K claims · 6.8%

Your Cost: $36.83/claim|Median: $46.15
0.8× median
A6446Normal range

$1.8M

115K claims · 4.8%

Your Cost: $15.41/claim|Median: $14.64
1.1× median
A6209Normal range

$1.6M

34K claims · 4.2%

Your Cost: $45.98/claim|Median: $55.36
0.8× median
A6210Normal range

$1.2M

10K claims · 3.3%

Your Cost: $119.54/claim|Median: $163.78
0.7× median
A6253Normal range

$1.1M

12K claims · 2.9%

Your Cost: $93.56/claim|Median: $93.50
1.0× median
A6222Normal range

$856K

33K claims · 2.3%

Your Cost: $25.96/claim|Median: $23.17
1.1× median
A6402Normal range

$795K

145K claims · 2.1%

Your Cost: $5.50/claim|Median: $7.69
0.7× median
A4452Normal range

$791K

77K claims · 2.1%

Your Cost: $10.23/claim|Median: $9.98
1.0× median
A6266Normal range

$688K

13K claims · 1.9%

Your Cost: $51.50/claim|Median: $47.46
1.1× median
A6449Top 25%

$509K

16K claims · 1.4%

Your Cost: $32.09/claim|Median: $5.88
5.5× median
A6199Normal range

$458K

6,439 claims · 1.2%

Your Cost: $71.20/claim|Median: $56.87
1.3× median
A4385Normal range

$452K

9,075 claims · 1.2%

Your Cost: $49.85/claim|Median: $49.51
1.0× median
A4409Normal range

$448K

7,304 claims · 1.2%

Your Cost: $61.39/claim|Median: $61.38
1.0× median
A6211Normal range

$378K

1,529 claims · 1.0%

Your Cost: $247.37/claim|Median: $355.51
0.7× median
A6223Normal range

$376K

9,437 claims · 1.0%

Your Cost: $39.79/claim|Median: $35.60
1.1× median
A6545Normal range

$315K

9,826 claims · 0.8%

Your Cost: $32.05/claim|Median: $70.25
0.5× median
A6010Normal range

$314K

1,963 claims · 0.8%

Your Cost: $159.80/claim|Median: $131.56
1.2× median
A4407Normal range

$297K

3,934 claims · 0.8%

Your Cost: $75.49/claim|Median: $73.73
1.0× median
A6022Normal range

$276K

1,563 claims · 0.7%

Your Cost: $176.40/claim|Median: $142.20
1.2× median
A6454Normal range

$226K

14K claims · 0.6%

Your Cost: $15.98/claim|Median: $15.74
1.0× median
A4450Normal range

$222K

69K claims · 0.6%

Your Cost: $3.23/claim|Median: $3.14
1.0× median
A6207Normal range

$200K

6,803 claims · 0.5%

Your Cost: $29.37/claim|Median: $38.69
0.8× median
A6219Normal range

$200K

16K claims · 0.5%

Your Cost: $12.82/claim|Median: $9.59
1.3× median
A6452Normal range

$193K

2,564 claims · 0.5%

Your Cost: $75.40/claim|Median: $83.58
0.9× median
A4425Normal range

$190K

5,400 claims · 0.5%

Your Cost: $35.15/claim|Median: $38.79
0.9× median
A6242Top 25%

$189K

2,154 claims · 0.5%

Your Cost: $87.67/claim|Median: $18.83
4.7× median
A5063Normal range

$183K

5,742 claims · 0.5%

Your Cost: $31.84/claim|Median: $27.93
1.1× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$171K

2,259 claims · 0.5%

Your Cost: $75.58/claim|Median: $116.15
0.7× median
A4362Normal range

$169K

4,931 claims · 0.5%

Your Cost: $34.32/claim|Median: $36.03
1.0× median
A4414Normal range

$148K

2,876 claims · 0.4%

Your Cost: $51.60/claim|Median: $48.85
1.1× median
A6213Normal range

$141K

1,729 claims · 0.4%

Your Cost: $81.34/claim|Median: $95.60
0.9× median
A6243Top 25%

$131K

623 claims · 0.4%

Your Cost: $210.33/claim|Median: $125.82
1.7× median
A6216Normal range

Gauze, non-impregnated, sterile

$122K

23K claims · 0.3%

Your Cost: $5.33/claim|Median: $4.91
1.1× median
A6234Normal range

$106K

3,042 claims · 0.3%

Your Cost: $34.87/claim|Median: $42.35
0.8× median
A6248Normal range

$97K

5,062 claims · 0.3%

Your Cost: $19.18/claim|Median: $23.50
0.8× median
A6251Normal range

$66K

2,258 claims · 0.2%

Your Cost: $29.06/claim|Median: $23.86
1.2× median
A4394Normal range

$64K

4,475 claims · 0.2%

Your Cost: $14.30/claim|Median: $12.65
1.1× median
A5061Normal range

$64K

1,351 claims · 0.2%

Your Cost: $47.26/claim|Median: $43.04
1.1× median
A6457Normal range

$63K

16K claims · 0.2%

Your Cost: $3.83/claim|Median: $8.95
0.4× median
A4419Normal range

$63K

1,775 claims · 0.2%

Your Cost: $35.33/claim|Median: $42.19
0.8× median
E0603Normal range

Breast pump, electric, any type

$62K

462 claims · 0.2%

Your Cost: $135.28/claim|Median: $131.70
1.0× median
A6531Normal range

$62K

3,013 claims · 0.2%

Your Cost: $20.42/claim|Median: $43.96
0.5× median
A6261Normal range

$61K

4,014 claims · 0.2%

Your Cost: $15.16/claim|Median: $12.41
1.2× median
A6583Normal range

$59K

1,392 claims · 0.2%

Your Cost: $42.38/claim|Median: $42.38
1.0× median
A4388Normal range

$59K

1,065 claims · 0.2%

Your Cost: $55.21/claim|Median: $43.75
1.3× median
A4406Normal range

$58K

5,338 claims · 0.2%

Your Cost: $10.86/claim|Median: $10.23
1.1× median

Other Top Providers in North Carolina

View all →

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$1.44B

Aeroflow INC

Durable Medical Equipment & Medical Supplies

$571.7M

Abound Health, LLC

In Home Supportive Care

$324.3M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$281.4M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$264.3M

Similar Providers

Other top providers in Durable Medical Equipment & Medical Supplies

Aeroflow INC

Arden, NC

$571.7M

Shield California Health Care Center INC

Valencia, CA

$522.6M

Zoll Services LLC

Pittsburgh, PA

$504.0M

J&b Medical Supply CO INC

Wixom, MI

$339.0M

Home Care Delivered, Inc.

Richmond, VA

$309.5M

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