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ORTHO PROS EXPRESS, INC

Prosthetic/Orthotic Supplier·CHARLOTTE, NC·NPI: 1790747244Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$27.0M

$27,032,505

Total Claims

287K

Beneficiaries

239K

1.2 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+4%
2019
$3.3M
-13%
2020
$2.9M
+40%
2021
$4.1M
+19%
2022
$4.8M
-6%
2023
$4.6M
-9%
2024
$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 46 distinct procedure codes. The top code (L4360) accounts for 16% of total spending.

L4360Top 25%

$4.3M

23K claims · 16.0%

Your Cost: $188.15/claim|Median: $149.34
1.3× median
L4361Normal range

$3.7M

26K claims · 13.7%

Your Cost: $142.32/claim|Median: $161.24
0.9× median
L1833Top 10%

$2.4M

5,221 claims · 8.9%

Your Cost: $460.67/claim|Median: $278.90
1.7× median
L3908Normal range

$1.6M

47K claims · 6.0%

Your Cost: $34.48/claim|Median: $35.79
1.0× median
L1846Normal range

$1.6M

2,273 claims · 5.8%

Your Cost: $685.74/claim|Median: $592.18
1.2× median
L1832Top 10%

$1.4M

2,850 claims · 5.0%

Your Cost: $474.89/claim|Median: $303.44
1.6× median
L3809Normal range

$1.2M

9,942 claims · 4.5%

Your Cost: $121.71/claim|Median: $115.28
1.1× median
L1820Normal range

$1.2M

16K claims · 4.4%

Your Cost: $72.45/claim|Median: $73.16
1.0× median
L3807Top 25%

$1.1M

7,233 claims · 4.2%

Your Cost: $157.24/claim|Median: $120.29
1.3× median
L1902Normal range

$1.1M

22K claims · 4.1%

Your Cost: $49.82/claim|Median: $46.30
1.1× median
E0114Normal range

$1.0M

32K claims · 3.8%

Your Cost: $31.87/claim|Median: $29.11
1.1× median
L3984Top 25%

$962K

3,980 claims · 3.6%

Your Cost: $241.71/claim|Median: $198.13
1.2× median
L3660Normal range

$868K

15K claims · 3.2%

Your Cost: $57.64/claim|Median: $50.90
1.1× median
L4386Normal range

$606K

5,419 claims · 2.2%

Your Cost: $111.78/claim|Median: $96.14
1.2× median
L1830Top 25%

$541K

8,461 claims · 2.0%

Your Cost: $63.91/claim|Median: $46.06
1.4× median
L1810Top 25%

$514K

6,215 claims · 1.9%

Your Cost: $82.65/claim|Median: $62.31
1.3× median
L1812Top 25%

$475K

6,724 claims · 1.8%

Your Cost: $70.59/claim|Median: $57.48
1.2× median
L4350Top 25%

$429K

6,699 claims · 1.6%

Your Cost: $64.03/claim|Median: $52.71
1.2× median
L3260Normal range

$350K

12K claims · 1.3%

Your Cost: $29.38/claim|Median: $16.57
1.8× median
L3670Normal range

$298K

4,200 claims · 1.1%

Your Cost: $70.92/claim|Median: $60.60
1.2× median
L2795Top 25%

$202K

4,062 claims · 0.7%

Your Cost: $49.79/claim|Median: $41.13
1.2× median
L4387Normal range

$182K

2,028 claims · 0.7%

Your Cost: $89.64/claim|Median: $96.24
0.9× median
L1845Top 1%

$172K

317 claims · 0.6%

Your Cost: $541.49/claim|Median: $388.58
1.4× median
L2397Top 10%

$130K

2,119 claims · 0.5%

Your Cost: $61.51/claim|Median: $9.37
6.6× median
L2755Normal range

$111K

1,573 claims · 0.4%

Your Cost: $70.29/claim|Median: $84.81
0.8× median
L3265Top 25%

$89K

1,943 claims · 0.3%

Your Cost: $45.67/claim|Median: $19.80
2.3× median
L3650Normal range

$72K

2,026 claims · 0.3%

Your Cost: $35.65/claim|Median: $31.79
1.1× median
L3924Normal range

$59K

1,459 claims · 0.2%

Your Cost: $40.39/claim|Median: $41.40
1.0× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$52K

1,224 claims · 0.2%

Your Cost: $42.63/claim|Median: $31.59
1.3× median
L3923Top 5%

$52K

1,061 claims · 0.2%

Your Cost: $49.02/claim|Median: $21.47
2.3× median
L2830Normal range

$48K

776 claims · 0.2%

Your Cost: $62.13/claim|Median: $56.20
1.1× median
L3995Normal range

$44K

1,875 claims · 0.2%

Your Cost: $23.73/claim|Median: $24.91
1.0× median
L2820Normal range

$43K

777 claims · 0.2%

Your Cost: $55.21/claim|Median: $56.23
1.0× median
E0748Top 10%

$40K

13 claims · 0.1%

Your Cost: $3,069.52/claim|Median: $1,640.10
1.9× median
L1852Normal range

$23K

84 claims · 0.1%

Your Cost: $275.62/claim|Median: $97.81
2.8× median
L0627Top 25%

$10K

39 claims · 0.0%

Your Cost: $265.65/claim|Median: $165.39
1.6× median
L4396Normal range

$9K

86 claims · 0.0%

Your Cost: $107.09/claim|Median: $95.98
1.1× median
A4565Normal range

$8K

2,039 claims · 0.0%

Your Cost: $4.04/claim|Median: $5.77
0.7× median
E0935Normal range

$5K

47 claims · 0.0%

Your Cost: $101.49/claim|Median: $121.70
0.8× median
L1821Normal range

$3K

287 claims · 0.0%

Your Cost: $10.45/claim|Median: $51.43
0.2× median
L4397Normal range

$3K

28 claims · 0.0%

Your Cost: $98.70/claim|Median: $97.67
1.0× median
L3761Normal range

$3K

13 claims · 0.0%

Your Cost: $192.72/claim|Median: $56.41
3.4× median
L0642Normal range

$2K

23 claims · 0.0%

Your Cost: $104.43/claim|Median: $181.03
0.6× median
L3675Top 25%

$1K

15 claims · 0.0%

Your Cost: $81.36/claim|Median: $69.38
1.2× median
A4467Normal range

$839

217 claims · 0.0%

Your Cost: $3.87/claim|Median: $20.21
0.2× median
A9270Top 25%

$182

39 claims · 0.0%

Your Cost: $4.66/claim|Median: $0.20
23.3× median

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