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PROVIDENCE HEALTH & SERVICES - WASHINGTON

Durable Medical Equipment & Medical Supplies·SPOKANE VALLEY, WA·NPI: 1710225271Share

Compared to Durable Medical Equipment & Medical Supplies Peers

Total spending distribution among 35 providers in this specialty

P25MedianP75P90

This provider's total spending of $41.8M is at the below 25th percentile among 35 Durable Medical Equipment & Medical Supplies providers.

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

Total Paid

$41.8M

$41,799,476

Total Claims

198K

Beneficiaries

147K

1.3 claims/patient

Avg Cost/Claim

$212

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+137%
2019
$4.8M
+23%
2020
$6.0M
+22%
2021
$7.3M
-1%
2022
$7.2M
+14%
2023
$8.2M
-23%
2024
$6.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 37 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 28% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$11.9M

21K claims · 28.4%

Your Cost: $554.77/claim|Median: $465.86
1.2× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$7.4M

36K claims · 17.8%

Your Cost: $209.03/claim|Median: $117.24
1.8× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$3.0M

9,849 claims · 7.1%

Your Cost: $300.16/claim|Median: $300.16
1.0× median
A4222Top 10%

$2.9M

13K claims · 6.9%

Your Cost: $219.93/claim|Median: $62.70
3.5× median
B4087Top 10%

$2.9M

22K claims · 6.8%

Your Cost: $128.43/claim|Median: $25.27
5.1× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$2.8M

1,402 claims · 6.7%

Your Cost: $2,010.84/claim|Median: $1,587.53
1.3× median
B4160Normal range

Enteral formula, per 100 calories

$1.6M

14K claims · 3.9%

Your Cost: $121.20/claim|Median: $157.30
0.8× median
B4153Normal range

$1.6M

3,209 claims · 3.9%

Your Cost: $504.80/claim|Median: $410.73
1.2× median
A4223Top 25%

$868K

3,658 claims · 2.1%

Your Cost: $237.38/claim|Median: $60.92
3.9× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$812K

5,951 claims · 1.9%

Your Cost: $136.37/claim|Median: $89.79
1.5× median
B4034Top 25%

$774K

7,911 claims · 1.9%

Your Cost: $97.88/claim|Median: $46.28
2.1× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$696K

4,105 claims · 1.7%

Your Cost: $169.61/claim|Median: $92.20
1.8× median
B4088Normal range

$546K

7,514 claims · 1.3%

Your Cost: $72.68/claim|Median: $73.20
1.0× median
B4154Top 25%

$514K

1,692 claims · 1.2%

Your Cost: $303.82/claim|Median: $132.96
2.3× median
B9002Top 25%

$511K

5,136 claims · 1.2%

Your Cost: $99.57/claim|Median: $54.41
1.8× median
B4185Top 10%

$343K

1,406 claims · 0.8%

Your Cost: $243.90/claim|Median: $134.70
1.8× median
99601Top 25%

$340K

3,265 claims · 0.8%

Your Cost: $104.23/claim|Median: $82.41
1.3× median
E0781Top 5%

$338K

1,318 claims · 0.8%

Your Cost: $256.66/claim|Median: $54.38
4.7× median
A4221Top 25%

Supplies for maintenance of drug infusion catheter

$319K

13K claims · 0.8%

Your Cost: $24.95/claim|Median: $16.19
1.5× median
B4224Top 10%

$313K

2,008 claims · 0.7%

Your Cost: $155.67/claim|Median: $78.83
2.0× median
B4036Top 25%

$285K

2,085 claims · 0.7%

Your Cost: $136.52/claim|Median: $74.87
1.8× median
B4100Normal range

$210K

3,597 claims · 0.5%

Your Cost: $58.42/claim|Median: $67.58
0.9× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$144K

3,709 claims · 0.3%

Your Cost: $38.95/claim|Median: $24.33
1.6× median
B4155Normal range

$135K

2,648 claims · 0.3%

Your Cost: $51.01/claim|Median: $46.72
1.1× median
B4158Normal range

$122K

1,072 claims · 0.3%

Your Cost: $113.39/claim|Median: $145.71
0.8× median
B4220Top 25%

$100K

2,003 claims · 0.2%

Your Cost: $49.85/claim|Median: $27.49
1.8× median
B4103Top 10%

$84K

561 claims · 0.2%

Your Cost: $150.55/claim|Median: $82.54
1.8× median
B4082Normal range

$75K

2,418 claims · 0.2%

Your Cost: $30.86/claim|Median: $28.33
1.1× median
99602Normal range

$70K

1,357 claims · 0.2%

Your Cost: $51.75/claim|Median: $84.91
0.6× median
B4189Top 25%

$56K

52 claims · 0.1%

Your Cost: $1,069.08/claim|Median: $743.70
1.4× median
J3475Top 5%

$11K

624 claims · 0.0%

Your Cost: $17.88/claim|Median: $1.03
17.4× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$6K

159 claims · 0.0%

Your Cost: $40.77/claim|Median: $12.70
3.2× median
J2997Top 25%

$3K

12 claims · 0.0%

Your Cost: $246.29/claim|Median: $86.25
2.9× median
J3370Top 10%

$3K

55 claims · 0.0%

Your Cost: $45.98/claim|Median: $2.40
19.2× median
E0776Top 1%

$2K

13 claims · 0.0%

Your Cost: $136.62/claim|Median: $8.13
16.8× median
J0696Top 5%

$931

28 claims · 0.0%

Your Cost: $33.24/claim|Median: $1.34
24.8× median
J1200Top 10%

$108

17 claims · 0.0%

Your Cost: $6.34/claim|Median: $0.60
10.6× median

Other Top Providers in Washington

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Stillaguamish Tribe of Indians

Clinic/Center Rehabilitation Substance Use Disor

$349.3M

We Care Daily Clinics LLC

Clinic/Center Methadone Clinic

$260.6M

Ideal Option, PLLC

Preventive Medicine, Addiction Medicine

$259.1M

Seattle Children's Hospital

Prosthetic/Orthotic Supplier

$219.5M

Swinomish Health Services

Clinic/Center Rehabilitation Substance Use Disor

$195.9M

Similar Providers

Other top providers in Durable Medical Equipment & Medical Supplies

Aeroflow INC

Arden, NC

$571.7M

Shield California Health Care Center INC

Valencia, CA

$522.6M

Zoll Services LLC

Pittsburgh, PA

$504.0M

J&b Medical Supply CO INC

Wixom, MI

$339.0M

Home Care Delivered, Inc.

Richmond, VA

$309.5M

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