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Provider 1568465938

NPI: 1568465938Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$13,028,057

Total Claims

673K

Beneficiaries

503K

1.3 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+4%
2019
$1.8M
-14%
2020
$1.5M
+15%
2021
$1.7M
+12%
2022
$1.9M
+17%
2023
$2.3M
-7%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A7030 (Full face mask for CPAP device)) accounts for 17% of total spending.

A7030Normal range

Full face mask for CPAP device

$2.2M

46K claims · 16.5%

Your Cost: $46.76/claim|Median: $56.36
0.8× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$1.7M

70K claims · 12.8%

Your Cost: $23.87/claim|Median: $35.30
0.7× median
A4604Normal range

$1.5M

73K claims · 11.5%

Your Cost: $20.60/claim|Median: $22.01
0.9× median
E1390Normal range

Oxygen concentrator, single delivery port

$1.1M

47K claims · 8.5%

Your Cost: $23.46/claim|Median: $45.11
0.5× median
A7031Normal range

$952K

46K claims · 7.3%

Your Cost: $20.64/claim|Median: $25.17
0.8× median
A7034Normal range

$920K

33K claims · 7.1%

Your Cost: $28.11/claim|Median: $35.90
0.8× median
E0466Normal range

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

$846K

3,824 claims · 6.5%

Your Cost: $221.27/claim|Median: $317.50
0.7× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$652K

45K claims · 5.0%

Your Cost: $14.40/claim|Median: $18.68
0.8× median
A7035Normal range

$466K

47K claims · 3.6%

Your Cost: $9.98/claim|Median: $13.01
0.8× median
A7032Normal range

$382K

18K claims · 2.9%

Your Cost: $21.55/claim|Median: $25.48
0.8× median
E0470Normal range

$368K

6,217 claims · 2.8%

Your Cost: $59.26/claim|Median: $81.45
0.7× median
K0738Normal range

$298K

25K claims · 2.3%

Your Cost: $11.73/claim|Median: $17.69
0.7× median
A7033Normal range

$270K

15K claims · 2.1%

Your Cost: $17.87/claim|Median: $20.57
0.9× median
E0570Normal range

Nebulizer, with compressor

$249K

19K claims · 1.9%

Your Cost: $13.02/claim|Median: $16.16
0.8× median
A7038Normal range

$233K

93K claims · 1.8%

Your Cost: $2.52/claim|Median: $3.53
0.7× median
A7046Normal range

Water collection device for humidifier, each

$203K

32K claims · 1.6%

Your Cost: $6.37/claim|Median: $6.86
0.9× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$160K

1,222 claims · 1.2%

Your Cost: $130.87/claim|Median: $210.29
0.6× median
J7606Normal range

$83K

1,310 claims · 0.6%

Your Cost: $63.45/claim|Median: $76.73
0.8× median
E1392Normal range

$72K

6,975 claims · 0.6%

Your Cost: $10.34/claim|Median: $10.81
1.0× median
J7626Normal range

$58K

4,898 claims · 0.4%

Your Cost: $11.80/claim|Median: $9.81
1.2× median
J7605Normal range

$57K

1,035 claims · 0.4%

Your Cost: $54.62/claim|Median: $47.35
1.2× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$56K

1,144 claims · 0.4%

Your Cost: $49.07/claim|Median: $41.28
1.2× median
Q0513Normal range

$32K

5,448 claims · 0.2%

Your Cost: $5.90/claim|Median: $5.61
1.1× median
T4527Normal range

Adult-sized disposable incontinence product, large

$31K

243 claims · 0.2%

Your Cost: $125.72/claim|Median: $99.53
1.3× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$30K

547 claims · 0.2%

Your Cost: $55.53/claim|Median: $42.03
1.3× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$30K

243 claims · 0.2%

Your Cost: $124.40/claim|Median: $88.94
1.4× median
A7037Normal range

$28K

4,368 claims · 0.2%

Your Cost: $6.42/claim|Median: $10.56
0.6× median
A7039Normal range

$22K

6,856 claims · 0.2%

Your Cost: $3.26/claim|Median: $4.54
0.7× median
E0114Normal range

$20K

603 claims · 0.2%

Your Cost: $33.92/claim|Median: $29.11
1.2× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$15K

872 claims · 0.1%

Your Cost: $17.57/claim|Median: $31.59
0.6× median
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