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Provider 1811097504

NPI: 1811097504Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.9M

$12,906,545

Total Claims

260K

Beneficiaries

197K

1.3 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$265K
-11%
2019
$236K
-13%
2020
$206K
+10%
2021
$227K
+653%
2022
$1.7M
+180%
2023
$4.8M
+15%
2024
$5.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A9276 (Breath test analyzer, FDA approved, disposable)) accounts for 55% of total spending.

A9276Top 25%

Breath test analyzer, FDA approved, disposable

$7.0M

18K claims · 54.6%

Your Cost: $391.59/claim|Median: $294.58
1.3× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$2.2M

33K claims · 17.1%

Your Cost: $66.62/claim|Median: $73.75
0.9× median
A9277Normal range

Breath alcohol test, per administration

$1.3M

4,091 claims · 10.0%

Your Cost: $315.07/claim|Median: $407.76
0.8× median
A9278Normal range

$740K

3,438 claims · 5.7%

Your Cost: $215.17/claim|Median: $366.50
0.6× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$501K

7,876 claims · 3.9%

Your Cost: $63.64/claim|Median: $53.20
1.2× median
E2103Normal range

$180K

2,966 claims · 1.4%

Your Cost: $60.80/claim|Median: $85.49
0.7× median
A7030Normal range

Full face mask for CPAP device

$130K

10K claims · 1.0%

Your Cost: $12.67/claim|Median: $56.36
0.2× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$122K

2,451 claims · 0.9%

Your Cost: $49.61/claim|Median: $116.15
0.4× median
A7031Normal range

$93K

10K claims · 0.7%

Your Cost: $8.94/claim|Median: $25.17
0.4× median
A7032Normal range

$71K

5,462 claims · 0.5%

Your Cost: $12.92/claim|Median: $25.48
0.5× median
A7034Normal range

$66K

8,557 claims · 0.5%

Your Cost: $7.66/claim|Median: $35.90
0.2× median
Q0514Normal range

$59K

12K claims · 0.5%

Your Cost: $4.85/claim|Median: $7.47
0.6× median
K0554Normal range

$51K

892 claims · 0.4%

Your Cost: $57.43/claim|Median: $77.38
0.7× median
A7038Normal range

$35K

14K claims · 0.3%

Your Cost: $2.57/claim|Median: $3.53
0.7× median
A4253Normal range

Blood glucose test strips

$35K

4,275 claims · 0.3%

Your Cost: $8.19/claim|Median: $6.92
1.2× median
A7037Normal range

$35K

13K claims · 0.3%

Your Cost: $2.68/claim|Median: $10.56
0.3× median
A7035Normal range

$30K

9,282 claims · 0.2%

Your Cost: $3.28/claim|Median: $13.01
0.3× median
A7033Normal range

$27K

2,981 claims · 0.2%

Your Cost: $9.14/claim|Median: $20.57
0.4× median
A4604Normal range

$26K

5,296 claims · 0.2%

Your Cost: $4.91/claim|Median: $22.01
0.2× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$20K

3,210 claims · 0.2%

Your Cost: $6.08/claim|Median: $35.30
0.2× median
A7003Normal range

Administration set for nebulizer, with small volume

$18K

12K claims · 0.1%

Your Cost: $1.49/claim|Median: $1.48
1.0× median
J7620Top 25%

$16K

5,475 claims · 0.1%

Your Cost: $2.90/claim|Median: $0.14
20.7× median
A4352Normal range

Intermittent urinary catheter, Coude tip, each

$16K

133 claims · 0.1%

Your Cost: $119.23/claim|Median: $280.71
0.4× median
J7613Top 10%

Albuterol inhalation solution, concentrated, per milligram

$14K

5,700 claims · 0.1%

Your Cost: $2.50/claim|Median: $0.08
31.3× median
A7046Normal range

Water collection device for humidifier, each

$13K

5,186 claims · 0.1%

Your Cost: $2.54/claim|Median: $6.86
0.4× median
A7004Normal range

$12K

11K claims · 0.1%

Your Cost: $1.12/claim|Median: $1.10
1.0× median
A7013Top 25%

$11K

12K claims · 0.1%

Your Cost: $0.92/claim|Median: $0.48
1.9× median
E0570Normal range

Nebulizer, with compressor

$11K

9,415 claims · 0.1%

Your Cost: $1.16/claim|Median: $16.16
0.1× median
A7015Normal range

$11K

11K claims · 0.1%

Your Cost: $0.92/claim|Median: $1.08
0.9× median
A7039Normal range

$6K

3,484 claims · 0.0%

Your Cost: $1.66/claim|Median: $4.54
0.4× median
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