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Provider 1568491496

NPI: 1568491496Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.0M

$11,043,564

Total Claims

32K

Beneficiaries

24K

1.3 claims/patient

Avg Cost/Claim

$347

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-9%
2019
$1.0M
+126%
2020
$2.3M
-31%
2021
$1.6M
+48%
2022
$2.4M
-37%
2023
$1.5M
-32%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (E1007) accounts for 45% of total spending.

E1007Normal range

$4.9M

1,676 claims · 44.6%

Your Cost: $2,939.21/claim|Median: $3,203.03
0.9× median
K0861Normal range

$1.5M

653 claims · 13.9%

Your Cost: $2,348.40/claim|Median: $2,607.07
0.9× median
E2311Normal range

$1.5M

2,007 claims · 13.4%

Your Cost: $738.11/claim|Median: $879.38
0.8× median
K0823Top 25%

Power wheelchair, Group 2

$780K

4,232 claims · 7.1%

Your Cost: $184.28/claim|Median: $95.35
1.9× median
E1012Normal range

$563K

2,063 claims · 5.1%

Your Cost: $272.66/claim|Median: $491.22
0.6× median
E2377Normal range

$283K

1,579 claims · 2.6%

Your Cost: $179.37/claim|Median: $192.61
0.9× median
E1028Normal range

$266K

3,934 claims · 2.4%

Your Cost: $67.62/claim|Median: $54.00
1.3× median
K0825Top 25%

$246K

1,001 claims · 2.2%

Your Cost: $246.17/claim|Median: $150.86
1.6× median
E2361Normal range

$189K

2,613 claims · 1.7%

Your Cost: $72.14/claim|Median: $99.84
0.7× median
K0821Normal range

$181K

3,051 claims · 1.6%

Your Cost: $59.28/claim|Median: $86.79
0.7× median
E2313Normal range

$174K

1,473 claims · 1.6%

Your Cost: $118.34/claim|Median: $143.00
0.8× median
E2620Normal range

$121K

537 claims · 1.1%

Your Cost: $225.99/claim|Median: $232.23
1.0× median
E0955Normal range

$104K

2,194 claims · 0.9%

Your Cost: $47.51/claim|Median: $43.51
1.1× median
K0108Normal range

Wheelchair component or accessory, NOS

$59K

1,018 claims · 0.5%

Your Cost: $57.96/claim|Median: $153.75
0.4× median
E2365Normal range

$44K

987 claims · 0.4%

Your Cost: $44.77/claim|Median: $49.65
0.9× median
E2607Normal range

$30K

218 claims · 0.3%

Your Cost: $136.00/claim|Median: $150.23
0.9× median
E1002Normal range

$26K

12 claims · 0.2%

Your Cost: $2,150.46/claim|Median: $1,660.61
1.3× median
K0739Normal range

$17K

1,793 claims · 0.2%

Your Cost: $9.28/claim|Median: $34.09
0.3× median
K0005Normal range

$10K

13 claims · 0.1%

Your Cost: $746.69/claim|Median: $1,060.57
0.7× median
E0973Normal range

$4K

172 claims · 0.0%

Your Cost: $20.79/claim|Median: $42.75
0.5× median
E2603Normal range

$2K

35 claims · 0.0%

Your Cost: $51.78/claim|Median: $73.24
0.7× median
E2366Normal range

$2K

33 claims · 0.0%

Your Cost: $53.68/claim|Median: $86.49
0.6× median
K0040Normal range

$2K

62 claims · 0.0%

Your Cost: $24.21/claim|Median: $62.90
0.4× median
K0195Normal range

$621

361 claims · 0.0%

Your Cost: $1.72/claim|Median: $4.65
0.4× median
E0978Normal range

$301

33 claims · 0.0%

Your Cost: $9.13/claim|Median: $14.50
0.6× median
E2211Normal range

$221

23 claims · 0.0%

Your Cost: $9.62/claim|Median: $35.48
0.3× median
E0971Normal range

$199

21 claims · 0.0%

Your Cost: $9.45/claim|Median: $13.46
0.7× median
E2213Normal range

$186

21 claims · 0.0%

Your Cost: $8.87/claim|Median: $32.15
0.3× median
E0951Normal range

$71

23 claims · 0.0%

Your Cost: $3.07/claim|Median: $9.88
0.3× median
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