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Provider 1841558160

NPI: 1841558160Share
Active Billing Period:2020-05→2024-12(56 months)

Total Paid

$12.6M

$12,596,204

Total Claims

65K

Beneficiaries

56K

1.2 claims/patient

Avg Cost/Claim

$194

Monthly Spending Trend

Yearly Spending

2020
$649K
+386%
2021
$3.2M
+10%
2022
$3.5M
-13%
2023
$3.0M
-24%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (K0553 (Supply allowance for therapeutic CGM, per month)) accounts for 32% of total spending.

K0553Top 5%

Supply allowance for therapeutic CGM, per month

$4.0M

13K claims · 31.7%

Your Cost: $304.23/claim|Median: $53.20
5.7× median
A9274Normal range

External ambulatory insulin delivery system, disposable

$3.9M

8,801 claims · 30.7%

Your Cost: $439.35/claim|Median: $466.16
0.9× median
A4238Normal range

$2.1M

9,613 claims · 16.7%

Your Cost: $219.19/claim|Median: $143.28
1.5× median
E0784Normal range

External ambulatory infusion pump, insulin

$565K

1,455 claims · 4.5%

Your Cost: $388.10/claim|Median: $1,188.30
0.3× median
A4239Top 25%

Supply allowance for non-insulin pump CGM, per month

$554K

3,076 claims · 4.4%

Your Cost: $179.97/claim|Median: $73.75
2.4× median
A4230Normal range

Infusion supplies, non-chemotherapy, per visit

$539K

4,185 claims · 4.3%

Your Cost: $128.71/claim|Median: $136.09
0.9× median
A9276Normal range

Breath test analyzer, FDA approved, disposable

$212K

1,154 claims · 1.7%

Your Cost: $183.71/claim|Median: $294.58
0.6× median
A4253Top 25%

Blood glucose test strips

$153K

3,251 claims · 1.2%

Your Cost: $47.06/claim|Median: $6.92
6.8× median
K0554Top 5%

$124K

312 claims · 1.0%

Your Cost: $397.37/claim|Median: $77.38
5.1× median
A4232Normal range

$124K

4,675 claims · 1.0%

Your Cost: $26.49/claim|Median: $34.49
0.8× median
A9277Normal range

Breath alcohol test, per administration

$112K

408 claims · 0.9%

Your Cost: $273.85/claim|Median: $407.76
0.7× median
A6257Normal range

$79K

4,274 claims · 0.6%

Your Cost: $18.51/claim|Median: $10.48
1.8× median
A4259Top 5%

Lancets for blood glucose testing

$52K

2,969 claims · 0.4%

Your Cost: $17.59/claim|Median: $2.27
7.7× median
E2102Top 10%

$26K

158 claims · 0.2%

Your Cost: $165.54/claim|Median: $34.23
4.8× median
A5120Top 25%

$20K

1,797 claims · 0.2%

Your Cost: $10.92/claim|Median: $6.35
1.7× median
E2103Top 25%

$18K

103 claims · 0.1%

Your Cost: $170.00/claim|Median: $85.49
2.0× median
A4456Top 25%

$17K

1,583 claims · 0.1%

Your Cost: $11.00/claim|Median: $6.74
1.6× median
A4245Normal range

$16K

2,686 claims · 0.1%

Your Cost: $5.87/claim|Median: $2.33
2.5× median
A4364Normal range

$11K

1,099 claims · 0.1%

Your Cost: $9.65/claim|Median: $6.21
1.6× median
A9278Normal range

$7K

24 claims · 0.1%

Your Cost: $301.28/claim|Median: $366.50
0.8× median
A4256Normal range

$72

29 claims · 0.0%

Your Cost: $2.49/claim|Median: $2.85
0.9× median
A4258Normal range

$21

14 claims · 0.0%

Your Cost: $1.52/claim|Median: $1.39
1.1× median
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