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Provider 1801129135

NPI: 1801129135Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$15.8M

$15,754,692

Total Claims

339K

Beneficiaries

334K

1.0 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-3%
2019
$2.0M
-5%
2020
$1.9M
+1%
2021
$1.9M
+10%
2022
$2.1M
+31%
2023
$2.8M
+3%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (E0601 (Continuous positive airway pressure (CPAP) device)) accounts for 13% of total spending.

E0601Top 10%

Continuous positive airway pressure (CPAP) device

$2.1M

29K claims · 13.1%

Your Cost: $71.56/claim|Median: $35.30
2.0× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$1.5M

4,769 claims · 9.6%

Your Cost: $315.54/claim|Median: $233.73
1.4× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$1.4M

4,405 claims · 9.1%

Your Cost: $324.27/claim|Median: $255.03
1.3× median
A7033Top 5%

$1.4M

27K claims · 8.9%

Your Cost: $51.18/claim|Median: $20.57
2.5× median
E0470Top 10%

$1.1M

6,585 claims · 7.3%

Your Cost: $174.09/claim|Median: $81.45
2.1× median
A4604Top 5%

$1.0M

20K claims · 6.6%

Your Cost: $50.56/claim|Median: $22.01
2.3× median
A7034Top 5%

$991K

12K claims · 6.3%

Your Cost: $83.49/claim|Median: $35.90
2.3× median
A7038Top 10%

$971K

113K claims · 6.2%

Your Cost: $8.58/claim|Median: $3.53
2.4× median
A7030Top 10%

Full face mask for CPAP device

$967K

8,888 claims · 6.1%

Your Cost: $108.81/claim|Median: $56.36
1.9× median
E0562Top 1%

Humidifier, heated, used with positive airway pressure device

$888K

4,006 claims · 5.6%

Your Cost: $221.67/claim|Median: $18.68
11.9× median
A7032Normal range

$827K

25K claims · 5.2%

Your Cost: $33.51/claim|Median: $25.48
1.3× median
A7035Top 5%

$686K

23K claims · 4.4%

Your Cost: $29.28/claim|Median: $13.01
2.3× median
E0471Top 5%

Respiratory assist device, bi-level with backup rate

$588K

1,259 claims · 3.7%

Your Cost: $467.26/claim|Median: $210.29
2.2× median
A7031Top 25%

$348K

9,947 claims · 2.2%

Your Cost: $35.01/claim|Median: $25.17
1.4× median
A7046Top 5%

Water collection device for humidifier, each

$319K

20K claims · 2.0%

Your Cost: $16.05/claim|Median: $6.86
2.3× median
95782Normal range

$158K

200 claims · 1.0%

Your Cost: $787.88/claim|Median: $216.35
3.6× median
A7039Top 5%

$154K

14K claims · 1.0%

Your Cost: $11.00/claim|Median: $4.54
2.4× median
A7036Top 5%

$141K

9,822 claims · 0.9%

Your Cost: $14.31/claim|Median: $7.69
1.9× median
A7037Top 5%

$132K

5,022 claims · 0.8%

Your Cost: $26.38/claim|Median: $10.56
2.5× median