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Provider 1568537009

NPI: 1568537009Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,341,900

Total Claims

202K

Beneficiaries

184K

1.1 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+60%
2019
$2.1M
-20%
2020
$1.7M
+6%
2021
$1.8M
-14%
2022
$1.6M
-31%
2023
$1.1M
-35%
2024
$703K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 21% of total spending.

B4035Normal range

Enteral feeding supply kit, pump fed, per day

$2.1M

13K claims · 20.8%

Your Cost: $159.89/claim|Median: $117.24
1.4× median
E1390Normal range

Oxygen concentrator, single delivery port

$1.4M

41K claims · 13.2%

Your Cost: $33.31/claim|Median: $45.11
0.7× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.2M

2,362 claims · 11.5%

Your Cost: $502.68/claim|Median: $465.86
1.1× median
B4160Normal range

Enteral formula, per 100 calories

$880K

5,265 claims · 8.5%

Your Cost: $167.22/claim|Median: $157.30
1.1× median
B9002Top 25%

$617K

6,115 claims · 6.0%

Your Cost: $100.83/claim|Median: $54.41
1.9× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$510K

1,631 claims · 4.9%

Your Cost: $312.52/claim|Median: $300.16
1.0× median
E0431Top 5%

Portable gaseous oxygen system, rental

$397K

14K claims · 3.8%

Your Cost: $27.97/claim|Median: $10.37
2.7× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$393K

4,404 claims · 3.8%

Your Cost: $89.18/claim|Median: $92.20
1.0× median
K0738Top 10%

$340K

9,909 claims · 3.3%

Your Cost: $34.32/claim|Median: $17.69
1.9× median
E0466Normal range

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

$337K

1,938 claims · 3.3%

Your Cost: $174.07/claim|Median: $317.50
0.5× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$309K

3,173 claims · 3.0%

Your Cost: $97.44/claim|Median: $89.79
1.1× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$218K

11K claims · 2.1%

Your Cost: $20.33/claim|Median: $35.30
0.6× median
B4034Normal range

$170K

3,682 claims · 1.6%

Your Cost: $46.14/claim|Median: $46.28
1.0× median
A7030Normal range

Full face mask for CPAP device

$156K

3,501 claims · 1.5%

Your Cost: $44.65/claim|Median: $56.36
0.8× median
B4088Normal range

$156K

2,510 claims · 1.5%

Your Cost: $62.26/claim|Median: $73.20
0.9× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$120K

6,683 claims · 1.2%

Your Cost: $17.93/claim|Median: $18.68
1.0× median
A7031Normal range

$96K

4,056 claims · 0.9%

Your Cost: $23.62/claim|Median: $25.17
0.9× median
E0470Normal range

$79K

1,710 claims · 0.8%

Your Cost: $46.09/claim|Median: $81.45
0.6× median
A7034Normal range

$64K

2,513 claims · 0.6%

Your Cost: $25.61/claim|Median: $35.90
0.7× median
B4153Normal range

$63K

207 claims · 0.6%

Your Cost: $305.76/claim|Median: $410.73
0.7× median
B4158Top 1%

$61K

126 claims · 0.6%

Your Cost: $487.58/claim|Median: $145.71
3.3× median
E0260Normal range

Hospital bed, semi-electric

$50K

2,440 claims · 0.5%

Your Cost: $20.57/claim|Median: $23.07
0.9× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$48K

496 claims · 0.5%

Your Cost: $96.52/claim|Median: $210.29
0.5× median
A7035Normal range

$44K

4,379 claims · 0.4%

Your Cost: $10.06/claim|Median: $13.01
0.8× median
A7038Normal range

$43K

11K claims · 0.4%

Your Cost: $3.96/claim|Median: $3.53
1.1× median
E0776Normal range

$38K

3,384 claims · 0.4%

Your Cost: $11.14/claim|Median: $8.13
1.4× median
E0570Normal range

Nebulizer, with compressor

$36K

8,842 claims · 0.3%

Your Cost: $4.03/claim|Median: $16.16
0.2× median
A7032Normal range

$32K

1,478 claims · 0.3%

Your Cost: $21.70/claim|Median: $25.48
0.9× median
A7037Normal range

$32K

2,603 claims · 0.3%

Your Cost: $12.29/claim|Median: $10.56
1.2× median
A4604Normal range

$31K

3,527 claims · 0.3%

Your Cost: $8.92/claim|Median: $22.01
0.4× median
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