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Provider 1578531356

NPI: 1578531356Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,172,583

Total Claims

70K

Beneficiaries

53K

1.3 claims/patient

Avg Cost/Claim

$116

Monthly Spending Trend

Yearly Spending

2018
$562K
-0%
2019
$560K
+157%
2020
$1.4M
-27%
2021
$1.0M
+39%
2022
$1.4M
+36%
2023
$2.0M
-41%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 14% of total spending.

E1399Normal range

Durable medical equipment, miscellaneous

$1.1M

2,474 claims · 13.8%

Your Cost: $457.23/claim|Median: $104.06
4.4× median
K0108Normal range

Wheelchair component or accessory, NOS

$1.0M

9,213 claims · 12.3%

Your Cost: $109.10/claim|Median: $153.75
0.7× median
E1028Normal range

$736K

9,483 claims · 9.0%

Your Cost: $77.64/claim|Median: $54.00
1.4× median
K0739Normal range

$610K

11K claims · 7.5%

Your Cost: $53.69/claim|Median: $34.09
1.6× median
E1161Normal range

$590K

2,615 claims · 7.2%

Your Cost: $225.60/claim|Median: $200.27
1.1× median
K0005Normal range

$481K

432 claims · 5.9%

Your Cost: $1,114.25/claim|Median: $1,060.57
1.1× median
K0823Top 25%

Power wheelchair, Group 2

$350K

1,990 claims · 4.3%

Your Cost: $175.92/claim|Median: $95.35
1.8× median
E0986Normal range

$337K

482 claims · 4.1%

Your Cost: $698.55/claim|Median: $945.66
0.7× median
A9900Top 25%

$310K

1,610 claims · 3.8%

Your Cost: $192.37/claim|Median: $58.14
3.3× median
E0955Normal range

$241K

4,284 claims · 2.9%

Your Cost: $56.20/claim|Median: $43.51
1.3× median
E0973Normal range

$222K

3,028 claims · 2.7%

Your Cost: $73.31/claim|Median: $42.75
1.7× median
E2607Top 25%

$204K

988 claims · 2.5%

Your Cost: $206.68/claim|Median: $150.23
1.4× median
E1012Normal range

$188K

600 claims · 2.3%

Your Cost: $313.81/claim|Median: $491.22
0.6× median
K0861Normal range

$156K

57 claims · 1.9%

Your Cost: $2,741.56/claim|Median: $2,607.07
1.1× median
E1007Normal range

$154K

58 claims · 1.9%

Your Cost: $2,661.18/claim|Median: $3,203.03
0.8× median
E0956Normal range

$123K

1,253 claims · 1.5%

Your Cost: $98.40/claim|Median: $106.01
0.9× median
E2361Normal range

$120K

1,125 claims · 1.5%

Your Cost: $106.25/claim|Median: $99.84
1.1× median
K0040Normal range

$115K

2,024 claims · 1.4%

Your Cost: $56.87/claim|Median: $62.90
0.9× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$109K

2,561 claims · 1.3%

Your Cost: $42.62/claim|Median: $41.28
1.0× median
E2311Normal range

$101K

116 claims · 1.2%

Your Cost: $867.06/claim|Median: $879.38
1.0× median
K0821Top 25%

$78K

363 claims · 1.0%

Your Cost: $215.54/claim|Median: $86.79
2.5× median
E0971Top 25%

$76K

1,791 claims · 0.9%

Your Cost: $42.41/claim|Median: $13.46
3.2× median
E0960Normal range

$72K

1,328 claims · 0.9%

Your Cost: $54.10/claim|Median: $58.78
0.9× median
E0978Top 25%

$59K

2,606 claims · 0.7%

Your Cost: $22.77/claim|Median: $14.50
1.6× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$54K

485 claims · 0.7%

Your Cost: $112.15/claim|Median: $88.94
1.3× median
E2613Normal range

$50K

187 claims · 0.6%

Your Cost: $268.82/claim|Median: $250.22
1.1× median
E2620Normal range

$48K

185 claims · 0.6%

Your Cost: $260.82/claim|Median: $232.23
1.1× median
E2392Normal range

$46K

798 claims · 0.6%

Your Cost: $57.48/claim|Median: $53.88
1.1× median
E2622Top 5%

$34K

146 claims · 0.4%

Your Cost: $234.78/claim|Median: $161.92
1.4× median
E2213Normal range

$32K

1,002 claims · 0.4%

Your Cost: $32.14/claim|Median: $32.15
1.0× median
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