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Provider 1801181003

NPI: 1801181003Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.1M

$8,135,487

Total Claims

37K

Beneficiaries

24K

1.5 claims/patient

Avg Cost/Claim

$222

Monthly Spending Trend

Yearly Spending

2018
$64K
-40%
2019
$39K
+1699%
2020
$700K
+227%
2021
$2.3M
-11%
2022
$2.1M
-1%
2023
$2.0M
-53%
2024
$956K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 25% of total spending.

E1399Top 25%

Durable medical equipment, miscellaneous

$2.0M

3,378 claims · 24.7%

Your Cost: $594.57/claim|Median: $104.06
5.7× median
E1007Top 25%

$1.1M

218 claims · 13.4%

Your Cost: $4,993.57/claim|Median: $3,203.03
1.6× median
K0108Normal range

Wheelchair component or accessory, NOS

$1.0M

7,494 claims · 12.8%

Your Cost: $139.46/claim|Median: $153.75
0.9× median
E2617Top 25%

$540K

383 claims · 6.6%

Your Cost: $1,409.03/claim|Median: $939.89
1.5× median
K0861Top 10%

$472K

112 claims · 5.8%

Your Cost: $4,211.57/claim|Median: $2,607.07
1.6× median
E2609Top 10%

$472K

276 claims · 5.8%

Your Cost: $1,708.57/claim|Median: $840.30
2.0× median
E1028Normal range

$422K

5,960 claims · 5.2%

Your Cost: $70.77/claim|Median: $54.00
1.3× median
E2311Top 25%

$317K

246 claims · 3.9%

Your Cost: $1,289.55/claim|Median: $879.38
1.5× median
E0240Top 10%

$265K

212 claims · 3.3%

Your Cost: $1,248.83/claim|Median: $62.75
19.9× median
K0739Normal range

$213K

4,534 claims · 2.6%

Your Cost: $46.98/claim|Median: $34.09
1.4× median
E0955Normal range

$182K

2,878 claims · 2.2%

Your Cost: $63.20/claim|Median: $43.51
1.5× median
E1161Normal range

$180K

899 claims · 2.2%

Your Cost: $200.27/claim|Median: $200.27
1.0× median
E1012Normal range

$117K

200 claims · 1.4%

Your Cost: $586.45/claim|Median: $491.22
1.2× median
E2607Top 10%

$106K

444 claims · 1.3%

Your Cost: $238.53/claim|Median: $150.23
1.6× median
E0973Normal range

$87K

1,141 claims · 1.1%

Your Cost: $76.57/claim|Median: $42.75
1.8× median
K0040Normal range

$77K

1,097 claims · 0.9%

Your Cost: $70.33/claim|Median: $62.90
1.1× median
E2377Top 25%

$71K

241 claims · 0.9%

Your Cost: $294.69/claim|Median: $192.61
1.5× median
E0960Normal range

$59K

1,064 claims · 0.7%

Your Cost: $55.44/claim|Median: $58.78
0.9× median
E2313Top 25%

$47K

240 claims · 0.6%

Your Cost: $197.44/claim|Median: $143.00
1.4× median
K0823Top 25%

Power wheelchair, Group 2

$47K

262 claims · 0.6%

Your Cost: $178.62/claim|Median: $95.35
1.9× median
E0950Normal range

$47K

667 claims · 0.6%

Your Cost: $69.74/claim|Median: $67.43
1.0× median
E2620Top 10%

$46K

110 claims · 0.6%

Your Cost: $419.12/claim|Median: $232.23
1.8× median
E0956Normal range

$38K

396 claims · 0.5%

Your Cost: $95.09/claim|Median: $106.01
0.9× median
E0971Top 25%

$36K

768 claims · 0.4%

Your Cost: $46.26/claim|Median: $13.46
3.4× median
A9900Top 10%

$34K

104 claims · 0.4%

Your Cost: $322.71/claim|Median: $58.14
5.6× median
97542Normal range

Wheelchair management training

$27K

991 claims · 0.3%

Your Cost: $27.27/claim|Median: $18.66
1.5× median
E2300Top 25%

$26K

13 claims · 0.3%

Your Cost: $1,994.06/claim|Median: $1,532.13
1.3× median
E0978Normal range

$23K

1,188 claims · 0.3%

Your Cost: $19.54/claim|Median: $14.50
1.3× median
E2213Normal range

$21K

543 claims · 0.3%

Your Cost: $38.61/claim|Median: $32.15
1.2× median
E2211Normal range

$7K

179 claims · 0.1%

Your Cost: $40.34/claim|Median: $35.48
1.1× median