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Provider 1720026388

NPI: 1720026388Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$12,975,470

Total Claims

203K

Beneficiaries

184K

1.1 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+13%
2019
$1.7M
+14%
2020
$1.9M
-1%
2021
$1.9M
-5%
2022
$1.8M
+16%
2023
$2.1M
+2%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 20% of total spending.

B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$2.6M

3,529 claims · 19.9%

Your Cost: $733.40/claim|Median: $465.86
1.6× median
E1390Normal range

Oxygen concentrator, single delivery port

$1.8M

44K claims · 13.5%

Your Cost: $39.97/claim|Median: $45.11
0.9× median
B4160Normal range

Enteral formula, per 100 calories

$1.3M

7,215 claims · 10.2%

Your Cost: $183.76/claim|Median: $157.30
1.2× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.2M

9,883 claims · 9.0%

Your Cost: $117.72/claim|Median: $117.24
1.0× median
E0466Normal range

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

$1.1M

2,645 claims · 8.1%

Your Cost: $397.62/claim|Median: $317.50
1.3× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$780K

7,851 claims · 6.0%

Your Cost: $99.40/claim|Median: $92.20
1.1× median
B4154Normal range

$565K

5,991 claims · 4.4%

Your Cost: $94.23/claim|Median: $132.96
0.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$465K

6,168 claims · 3.6%

Your Cost: $75.45/claim|Median: $89.79
0.8× median
B4153Normal range

$417K

967 claims · 3.2%

Your Cost: $430.90/claim|Median: $410.73
1.0× median
E0445Normal range

$379K

2,965 claims · 2.9%

Your Cost: $127.72/claim|Median: $118.11
1.1× median
E0431Top 25%

Portable gaseous oxygen system, rental

$308K

20K claims · 2.4%

Your Cost: $15.57/claim|Median: $10.37
1.5× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$225K

3,911 claims · 1.7%

Your Cost: $57.64/claim|Median: $55.51
1.0× median
B9002Normal range

$168K

3,089 claims · 1.3%

Your Cost: $54.41/claim|Median: $54.41
1.0× median
B4034Normal range

$154K

2,515 claims · 1.2%

Your Cost: $61.12/claim|Median: $46.28
1.3× median
E0619Normal range

$149K

863 claims · 1.2%

Your Cost: $173.08/claim|Median: $163.70
1.1× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$146K

4,809 claims · 1.1%

Your Cost: $30.41/claim|Median: $35.30
0.9× median
A7030Normal range

Full face mask for CPAP device

$128K

3,721 claims · 1.0%

Your Cost: $34.29/claim|Median: $56.36
0.6× median
B4088Normal range

$113K

1,620 claims · 0.9%

Your Cost: $69.89/claim|Median: $73.20
1.0× median
B4158Normal range

$113K

948 claims · 0.9%

Your Cost: $119.32/claim|Median: $145.71
0.8× median
A7031Normal range

$87K

4,737 claims · 0.7%

Your Cost: $18.43/claim|Median: $25.17
0.7× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$84K

390 claims · 0.6%

Your Cost: $214.93/claim|Median: $300.16
0.7× median
E0470Normal range

$82K

1,283 claims · 0.6%

Your Cost: $64.20/claim|Median: $81.45
0.8× median
B4155Normal range

$59K

1,703 claims · 0.5%

Your Cost: $34.72/claim|Median: $46.72
0.7× median
A7034Normal range

$58K

2,998 claims · 0.4%

Your Cost: $19.34/claim|Median: $35.90
0.5× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$54K

3,590 claims · 0.4%

Your Cost: $15.03/claim|Median: $18.68
0.8× median
A7035Normal range

$45K

4,364 claims · 0.4%

Your Cost: $10.42/claim|Median: $13.01
0.8× median
A7033Normal range

$41K

2,195 claims · 0.3%

Your Cost: $18.74/claim|Median: $20.57
0.9× median
A7037Normal range

$40K

5,619 claims · 0.3%

Your Cost: $7.14/claim|Median: $10.56
0.7× median
E1392Normal range

$40K

3,839 claims · 0.3%

Your Cost: $10.38/claim|Median: $10.81
1.0× median
E0570Normal range

Nebulizer, with compressor

$38K

3,336 claims · 0.3%

Your Cost: $11.40/claim|Median: $16.16
0.7× median
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