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Provider 1811060544

NPI: 1811060544Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.1M

$16,070,244

Total Claims

786K

Beneficiaries

192K

4.1 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+4%
2019
$1.9M
+11%
2020
$2.1M
+7%
2021
$2.2M
+17%
2022
$2.6M
+8%
2023
$2.8M
-5%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 15% of total spending.

B4035Normal range

Enteral feeding supply kit, pump fed, per day

$2.4M

250K claims · 14.7%

Your Cost: $9.46/claim|Median: $117.24
0.1× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$1.4M

29K claims · 8.9%

Your Cost: $48.58/claim|Median: $55.51
0.9× median
E1390Top 25%

Oxygen concentrator, single delivery port

$1.2M

17K claims · 7.3%

Your Cost: $68.46/claim|Median: $45.11
1.5× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$1.0M

2,079 claims · 6.3%

Your Cost: $488.07/claim|Median: $583.21
0.8× median
E0466Top 25%

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

$872K

1,861 claims · 5.4%

Your Cost: $468.36/claim|Median: $317.50
1.5× median
A4624Normal range

$834K

6,862 claims · 5.2%

Your Cost: $121.57/claim|Median: $107.53
1.1× median
A4606Normal range

$618K

21K claims · 3.8%

Your Cost: $29.31/claim|Median: $50.63
0.6× median
B4088Normal range

$569K

8,347 claims · 3.5%

Your Cost: $68.20/claim|Median: $73.20
0.9× median
A4628Top 1%

$556K

8,084 claims · 3.5%

Your Cost: $68.76/claim|Median: $7.48
9.2× median
A9999Normal range

$420K

42K claims · 2.6%

Your Cost: $10.07/claim|Median: $39.73
0.3× median
T4530Normal range

$399K

56K claims · 2.5%

Your Cost: $7.08/claim|Median: $83.90
0.1× median
A7520Top 25%

$355K

3,815 claims · 2.2%

Your Cost: $92.97/claim|Median: $49.59
1.9× median
E2402Normal range

Wheelchair, negative pressure wound therapy, electrical pump

$327K

978 claims · 2.0%

Your Cost: $334.70/claim|Median: $362.35
0.9× median
A7521Top 5%

$326K

898 claims · 2.0%

Your Cost: $362.97/claim|Median: $39.24
9.2× median
B9002Top 5%

$284K

588 claims · 1.8%

Your Cost: $483.40/claim|Median: $54.41
8.9× median
A7526Top 10%

$274K

3,622 claims · 1.7%

Your Cost: $75.67/claim|Median: $33.61
2.3× median
T4522Normal range

Adult-sized disposable incontinence product, brief/diaper, above XL

$262K

33K claims · 1.6%

Your Cost: $8.01/claim|Median: $84.50
0.1× median
B4034Normal range

$255K

46K claims · 1.6%

Your Cost: $5.58/claim|Median: $46.28
0.1× median
E1150Normal range

$245K

6,142 claims · 1.5%

Your Cost: $39.91/claim|Median: $43.37
0.9× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$208K

34K claims · 1.3%

Your Cost: $6.19/claim|Median: $110.54
0.1× median
A6209Top 25%

$204K

1,413 claims · 1.3%

Your Cost: $144.07/claim|Median: $55.36
2.6× median
A4629Normal range

$201K

2,694 claims · 1.2%

Your Cost: $74.54/claim|Median: $54.42
1.4× median
A4217Top 25%

Sterile water or saline for nebulizer, per unit

$145K

2,630 claims · 0.9%

Your Cost: $55.27/claim|Median: $13.14
4.2× median
E0431Normal range

Portable gaseous oxygen system, rental

$144K

12K claims · 0.9%

Your Cost: $12.22/claim|Median: $10.37
1.2× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$139K

13K claims · 0.9%

Your Cost: $10.53/claim|Median: $96.13
0.1× median
A4483Normal range

$137K

5,637 claims · 0.9%

Your Cost: $24.25/claim|Median: $91.41
0.3× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$133K

211 claims · 0.8%

Your Cost: $630.06/claim|Median: $508.29
1.2× median
T4531Normal range

$124K

22K claims · 0.8%

Your Cost: $5.73/claim|Median: $100.68
0.1× median
A4216Normal range

$114K

7,561 claims · 0.7%

Your Cost: $15.10/claim|Median: $8.45
1.8× median
T4521Normal range

$112K

13K claims · 0.7%

Your Cost: $8.48/claim|Median: $81.60
0.1× median
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