Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1720033715

NPI: 1720033715Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.9M

$15,855,858

Total Claims

61K

Beneficiaries

55K

1.1 claims/patient

Avg Cost/Claim

$258

Monthly Spending Trend

Yearly Spending

2018
$741K
+83%
2019
$1.4M
+56%
2020
$2.1M
+15%
2021
$2.4M
+39%
2022
$3.4M
-6%
2023
$3.2M
-20%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 56% of total spending.

S9342Top 5%

Home infusion therapy, continuous or intermittent, per diem

$8.9M

11K claims · 56.4%

Your Cost: $787.51/claim|Median: $176.25
4.5× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.5M

4,481 claims · 16.0%

Your Cost: $565.77/claim|Median: $465.86
1.2× median
S9343Top 1%

$1.6M

2,097 claims · 10.2%

Your Cost: $769.30/claim|Median: $99.47
7.7× median
E1390Top 25%

Oxygen concentrator, single delivery port

$844K

9,762 claims · 5.3%

Your Cost: $86.48/claim|Median: $45.11
1.9× median
B4160Normal range

Enteral formula, per 100 calories

$433K

2,379 claims · 2.7%

Your Cost: $181.85/claim|Median: $157.30
1.2× median
E0601Top 5%

Continuous positive airway pressure (CPAP) device

$372K

2,537 claims · 2.3%

Your Cost: $146.59/claim|Median: $35.30
4.2× median
A7030Top 25%

Full face mask for CPAP device

$166K

1,999 claims · 1.0%

Your Cost: $82.97/claim|Median: $56.36
1.5× median
S9500Top 10%

$163K

361 claims · 1.0%

Your Cost: $450.87/claim|Median: $144.40
3.1× median
99601Top 25%

$131K

1,102 claims · 0.8%

Your Cost: $118.97/claim|Median: $82.41
1.4× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$97K

485 claims · 0.6%

Your Cost: $200.79/claim|Median: $300.16
0.7× median
E0570Top 25%

Nebulizer, with compressor

$66K

1,420 claims · 0.4%

Your Cost: $46.73/claim|Median: $16.16
2.9× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$62K

374 claims · 0.4%

Your Cost: $166.15/claim|Median: $92.20
1.8× median
E0562Top 25%

Humidifier, heated, used with positive airway pressure device

$58K

864 claims · 0.4%

Your Cost: $67.43/claim|Median: $18.68
3.6× median
B4088Normal range

$51K

1,455 claims · 0.3%

Your Cost: $34.96/claim|Median: $73.20
0.5× median
A7031Normal range

$49K

1,703 claims · 0.3%

Your Cost: $28.78/claim|Median: $25.17
1.1× median
A7035Normal range

$39K

3,257 claims · 0.2%

Your Cost: $12.00/claim|Median: $13.01
0.9× median
B4155Normal range

$37K

1,238 claims · 0.2%

Your Cost: $29.63/claim|Median: $46.72
0.6× median
E0431Normal range

Portable gaseous oxygen system, rental

$32K

2,534 claims · 0.2%

Your Cost: $12.70/claim|Median: $10.37
1.2× median
S9338Top 25%

$30K

301 claims · 0.2%

Your Cost: $99.29/claim|Median: $60.83
1.6× median
G0238Top 10%

$23K

286 claims · 0.1%

Your Cost: $79.30/claim|Median: $48.01
1.7× median
A7037Normal range

$23K

2,602 claims · 0.1%

Your Cost: $8.65/claim|Median: $10.56
0.8× median
B4158Top 5%

$19K

64 claims · 0.1%

Your Cost: $301.40/claim|Median: $145.71
2.1× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$18K

117 claims · 0.1%

Your Cost: $153.98/claim|Median: $89.79
1.7× median
A7034Normal range

$16K

584 claims · 0.1%

Your Cost: $27.96/claim|Median: $35.90
0.8× median
99602Top 25%

$16K

127 claims · 0.1%

Your Cost: $124.06/claim|Median: $84.91
1.5× median
A7038Normal range

$11K

5,071 claims · 0.1%

Your Cost: $2.11/claim|Median: $3.53
0.6× median
A7032Normal range

$9K

419 claims · 0.1%

Your Cost: $21.94/claim|Median: $25.48
0.9× median
A7046Normal range

Water collection device for humidifier, each

$3K

1,119 claims · 0.0%

Your Cost: $2.34/claim|Median: $6.86
0.3× median
S5502Normal range

$1K

38 claims · 0.0%

Your Cost: $34.11/claim|Median: $25.28
1.3× median
A4604Normal range

$1K

568 claims · 0.0%

Your Cost: $2.00/claim|Median: $22.01
0.1× median
← All providersHow we detect fraud →