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Provider 1578999553

NPI: 1578999553Share
Active Billing Period:2018-01→2021-12(48 months)
Billing appears to have stoppedLast active: 2021-12

Total Paid

$12.6M

$12,573,594

Total Claims

130K

Beneficiaries

98K

1.3 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+13%
2019
$3.4M
+6%
2020
$3.6M
-26%
2021
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E0465 (Home ventilator, any type, used with invasive interface)) accounts for 25% of total spending.

E0465Top 25%

Home ventilator, any type, used with invasive interface

$3.2M

4,337 claims · 25.4%

Your Cost: $737.51/claim|Median: $583.21
1.3× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.5M

3,118 claims · 11.6%

Your Cost: $465.86/claim|Median: $465.86
1.0× median
Y2032Normal range

$872K

2,844 claims · 6.9%

Your Cost: $306.73/claim|Median: $298.80
1.0× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$715K

4,618 claims · 5.7%

Your Cost: $154.86/claim|Median: $117.24
1.3× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$638K

8,055 claims · 5.1%

Your Cost: $79.14/claim|Median: $55.51
1.4× median
A7521Top 25%

$586K

4,144 claims · 4.7%

Your Cost: $141.43/claim|Median: $39.24
3.6× median
A4483Top 5%

$571K

1,854 claims · 4.5%

Your Cost: $308.21/claim|Median: $91.41
3.4× median
E1390Top 25%

Oxygen concentrator, single delivery port

$547K

6,730 claims · 4.4%

Your Cost: $81.30/claim|Median: $45.11
1.8× median
A7520Top 10%

$484K

2,844 claims · 3.8%

Your Cost: $170.01/claim|Median: $49.59
3.4× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$413K

1,621 claims · 3.3%

Your Cost: $254.83/claim|Median: $300.16
0.8× median
B4160Normal range

Enteral formula, per 100 calories

$341K

2,103 claims · 2.7%

Your Cost: $161.93/claim|Median: $157.30
1.0× median
A4606Normal range

$298K

19K claims · 2.4%

Your Cost: $15.58/claim|Median: $50.63
0.3× median
E0466Top 10%

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

$246K

370 claims · 2.0%

Your Cost: $664.38/claim|Median: $317.50
2.1× median
E0445Top 25%

$225K

1,032 claims · 1.8%

Your Cost: $217.56/claim|Median: $118.11
1.8× median
A4624Normal range

$188K

1,817 claims · 1.5%

Your Cost: $103.19/claim|Median: $107.53
1.0× median
A4217Top 25%

Sterile water or saline for nebulizer, per unit

$170K

2,708 claims · 1.3%

Your Cost: $62.63/claim|Median: $13.14
4.8× median
E0431Top 5%

Portable gaseous oxygen system, rental

$166K

5,015 claims · 1.3%

Your Cost: $33.17/claim|Median: $10.37
3.2× median
A7526Normal range

$162K

3,605 claims · 1.3%

Your Cost: $44.88/claim|Median: $33.61
1.3× median
T4522Normal range

Adult-sized disposable incontinence product, brief/diaper, above XL

$134K

1,322 claims · 1.1%

Your Cost: $101.18/claim|Median: $84.50
1.2× median
B4088Normal range

$134K

1,455 claims · 1.1%

Your Cost: $91.92/claim|Median: $73.20
1.3× median
B4153Normal range

$97K

217 claims · 0.8%

Your Cost: $445.42/claim|Median: $410.73
1.1× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$90K

2,503 claims · 0.7%

Your Cost: $36.04/claim|Median: $41.28
0.9× median
A4605Normal range

$78K

762 claims · 0.6%

Your Cost: $102.04/claim|Median: $121.51
0.8× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$74K

705 claims · 0.6%

Your Cost: $104.91/claim|Median: $96.13
1.1× median
A4930Top 25%

$69K

1,618 claims · 0.5%

Your Cost: $42.36/claim|Median: $3.61
11.7× median
A6402Top 25%

$64K

3,818 claims · 0.5%

Your Cost: $16.82/claim|Median: $7.69
2.2× median
T4521Normal range

$63K

716 claims · 0.5%

Your Cost: $87.64/claim|Median: $81.60
1.1× median
A4927Normal range

Gloves, non-sterile, per 100

$61K

4,338 claims · 0.5%

Your Cost: $14.00/claim|Median: $12.90
1.1× median
A7000Normal range

$58K

3,478 claims · 0.5%

Your Cost: $16.72/claim|Median: $11.83
1.4× median
T4530Normal range

$47K

565 claims · 0.4%

Your Cost: $83.58/claim|Median: $83.90
1.0× median
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