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PHARMACY COUNTER, LLC

Durable Medical Equipment & Medical Supplies·TOLEDO, OH·NPI: 1588994438Share

Compared to Durable Medical Equipment & Medical Supplies Peers

Total spending distribution among 35 providers in this specialty

P25MedianP75P90

This provider's total spending of $19.7M is at the below 25th percentile among 35 Durable Medical Equipment & Medical Supplies providers.

Active Billing Period:2018-012022-10(58 months)
Billing appears to have stoppedLast active: 2022-10

Total Paid

$19.7M

$19,705,732

Total Claims

308K

Beneficiaries

289K

1.1 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+6%
2019
$3.8M
+14%
2020
$4.4M
+10%
2021
$4.8M
-37%
2022
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (E1390 (Oxygen concentrator, single delivery port)) accounts for 11% of total spending.

E1390Top 25%

Oxygen concentrator, single delivery port

$2.2M

28K claims · 10.9%

Your Cost: $75.89/claim|Median: $45.11
1.7× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.5M

2,909 claims · 7.8%

Your Cost: $529.40/claim|Median: $465.86
1.1× median
A9276Normal range

Breath test analyzer, FDA approved, disposable

$1.5M

5,100 claims · 7.7%

Your Cost: $296.34/claim|Median: $294.58
1.0× median
K0553Top 25%

Supply allowance for therapeutic CGM, per month

$1.0M

7,259 claims · 5.2%

Your Cost: $141.34/claim|Median: $53.20
2.7× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$851K

14K claims · 4.3%

Your Cost: $60.82/claim|Median: $35.30
1.7× median
A9277Normal range

Breath alcohol test, per administration

$739K

1,741 claims · 3.7%

Your Cost: $424.28/claim|Median: $407.76
1.0× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$692K

4,661 claims · 3.5%

Your Cost: $148.37/claim|Median: $117.24
1.3× median
E0570Top 25%

Nebulizer, with compressor

$606K

13K claims · 3.1%

Your Cost: $46.75/claim|Median: $16.16
2.9× median
B4160Normal range

Enteral formula, per 100 calories

$566K

3,831 claims · 2.9%

Your Cost: $147.80/claim|Median: $157.30
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$505K

5,431 claims · 2.6%

Your Cost: $93.02/claim|Median: $89.79
1.0× median
A7030Normal range

Full face mask for CPAP device

$459K

6,473 claims · 2.3%

Your Cost: $70.89/claim|Median: $56.36
1.3× median
E0470Top 25%

$433K

3,191 claims · 2.2%

Your Cost: $135.62/claim|Median: $81.45
1.7× median
K0738Top 10%

$406K

11K claims · 2.1%

Your Cost: $38.11/claim|Median: $17.69
2.2× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$391K

4,296 claims · 2.0%

Your Cost: $91.12/claim|Median: $105.14
0.9× median
T4527Normal range

Adult-sized disposable incontinence product, large

$382K

4,568 claims · 1.9%

Your Cost: $83.58/claim|Median: $99.53
0.8× median
E0562Top 10%

Humidifier, heated, used with positive airway pressure device

$342K

2,640 claims · 1.7%

Your Cost: $129.51/claim|Median: $18.68
6.9× median
E0431Top 5%

Portable gaseous oxygen system, rental

$336K

12K claims · 1.7%

Your Cost: $27.84/claim|Median: $10.37
2.7× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$328K

3,827 claims · 1.7%

Your Cost: $85.79/claim|Median: $55.51
1.5× median
K0001Top 10%

Standard wheelchair

$327K

10K claims · 1.7%

Your Cost: $31.98/claim|Median: $12.27
2.6× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$321K

2,325 claims · 1.6%

Your Cost: $138.02/claim|Median: $92.20
1.5× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$284K

3,039 claims · 1.4%

Your Cost: $93.37/claim|Median: $141.34
0.7× median
E0260Top 10%

Hospital bed, semi-electric

$258K

5,014 claims · 1.3%

Your Cost: $51.50/claim|Median: $23.07
2.2× median
A4604Top 25%

$258K

7,927 claims · 1.3%

Your Cost: $32.49/claim|Median: $22.01
1.5× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$251K

5,770 claims · 1.3%

Your Cost: $43.44/claim|Median: $42.03
1.0× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$248K

3,213 claims · 1.3%

Your Cost: $77.20/claim|Median: $88.94
0.9× median
B4154Normal range

$224K

1,236 claims · 1.1%

Your Cost: $181.46/claim|Median: $132.96
1.4× median
A7035Top 25%

$180K

8,154 claims · 0.9%

Your Cost: $22.06/claim|Median: $13.01
1.7× median
A7034Normal range

$176K

4,117 claims · 0.9%

Your Cost: $42.72/claim|Median: $35.90
1.2× median
B4088Normal range

$168K

1,711 claims · 0.9%

Your Cost: $98.41/claim|Median: $73.20
1.3× median
E0603Top 25%

Breast pump, electric, any type

$152K

857 claims · 0.8%

Your Cost: $177.32/claim|Median: $131.70
1.3× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$152K

3,724 claims · 0.8%

Your Cost: $40.79/claim|Median: $31.59
1.3× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$151K

4,161 claims · 0.8%

Your Cost: $36.19/claim|Median: $41.28
0.9× median
T4523Normal range

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

$143K

1,542 claims · 0.7%

Your Cost: $92.71/claim|Median: $96.13
1.0× median
A7005Top 25%

$131K

7,451 claims · 0.7%

Your Cost: $17.57/claim|Median: $12.44
1.4× median
A4670Normal range

$129K

2,928 claims · 0.7%

Your Cost: $44.20/claim|Median: $50.23
0.9× median
E0445Top 25%

$128K

628 claims · 0.7%

Your Cost: $204.49/claim|Median: $118.11
1.7× median
T4522Normal range

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

$127K

1,389 claims · 0.6%

Your Cost: $91.39/claim|Median: $84.50
1.1× median
B9002Normal range

$114K

1,868 claims · 0.6%

Your Cost: $61.24/claim|Median: $54.41
1.1× median
A9278Normal range

$108K

252 claims · 0.5%

Your Cost: $426.96/claim|Median: $366.50
1.2× median
L3908Normal range

$107K

2,799 claims · 0.5%

Your Cost: $38.13/claim|Median: $35.79
1.1× median
A7031Normal range

$105K

4,701 claims · 0.5%

Your Cost: $22.24/claim|Median: $25.17
0.9× median
B4034Normal range

$102K

1,775 claims · 0.5%

Your Cost: $57.66/claim|Median: $46.28
1.2× median
T4542Normal range

$99K

2,970 claims · 0.5%

Your Cost: $33.31/claim|Median: $33.31
1.0× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$98K

1,129 claims · 0.5%

Your Cost: $86.41/claim|Median: $110.54
0.8× median
B4158Top 25%

$94K

443 claims · 0.5%

Your Cost: $211.79/claim|Median: $145.71
1.5× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$85K

1,321 claims · 0.4%

Your Cost: $64.01/claim|Median: $116.15
0.6× median
A4927Normal range

Gloves, non-sterile, per 100

$82K

6,959 claims · 0.4%

Your Cost: $11.84/claim|Median: $12.90
0.9× median
T4524Normal range

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

$77K

754 claims · 0.4%

Your Cost: $101.78/claim|Median: $108.31
0.9× median
T4525Normal range

$76K

943 claims · 0.4%

Your Cost: $80.86/claim|Median: $79.46
1.0× median
E0245Normal range

$71K

1,893 claims · 0.4%

Your Cost: $37.43/claim|Median: $42.10
0.9× median