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Provider 1891725263

NPI: 1891725263Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,800,774

Total Claims

39K

Beneficiaries

33K

1.2 claims/patient

Avg Cost/Claim

$200

Monthly Spending Trend

Yearly Spending

2018
$607K
-29%
2019
$433K
+81%
2020
$783K
+43%
2021
$1.1M
+32%
2022
$1.5M
-2%
2023
$1.4M
+35%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S5165 (Home modifications, per service)) accounts for 73% of total spending.

S5165Top 25%

Home modifications, per service

$5.7M

1,358 claims · 73.2%

Your Cost: $4,204.95/claim|Median: $2,196.32
1.9× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$713K

2,771 claims · 9.1%

Your Cost: $257.20/claim|Median: $141.34
1.8× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$156K

4,172 claims · 2.0%

Your Cost: $37.43/claim|Median: $41.28
0.9× median
E0260Top 10%

Hospital bed, semi-electric

$148K

2,420 claims · 1.9%

Your Cost: $61.19/claim|Median: $23.07
2.7× median
K0003Top 10%

$145K

2,444 claims · 1.9%

Your Cost: $59.51/claim|Median: $18.14
3.3× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$115K

1,211 claims · 1.5%

Your Cost: $94.92/claim|Median: $105.14
0.9× median
T4527Normal range

Adult-sized disposable incontinence product, large

$90K

998 claims · 1.2%

Your Cost: $90.63/claim|Median: $99.53
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$69K

784 claims · 0.9%

Your Cost: $88.58/claim|Median: $89.79
1.0× median
E1028Normal range

$68K

1,366 claims · 0.9%

Your Cost: $49.58/claim|Median: $54.00
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$66K

1,483 claims · 0.8%

Your Cost: $44.21/claim|Median: $42.03
1.1× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$65K

774 claims · 0.8%

Your Cost: $84.08/claim|Median: $88.94
0.9× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$62K

1,794 claims · 0.8%

Your Cost: $34.52/claim|Median: $31.59
1.1× median
A4927Normal range

Gloves, non-sterile, per 100

$59K

4,186 claims · 0.8%

Your Cost: $14.21/claim|Median: $12.90
1.1× median
E0570Top 25%

Nebulizer, with compressor

$59K

1,315 claims · 0.8%

Your Cost: $44.54/claim|Median: $16.16
2.8× median
K0001Top 10%

Standard wheelchair

$46K

1,537 claims · 0.6%

Your Cost: $30.11/claim|Median: $12.27
2.5× median
A4670Normal range

$45K

1,069 claims · 0.6%

Your Cost: $42.27/claim|Median: $50.23
0.8× median
K0823Top 25%

Power wheelchair, Group 2

$41K

197 claims · 0.5%

Your Cost: $209.46/claim|Median: $95.35
2.2× median
E2201Normal range

$21K

476 claims · 0.3%

Your Cost: $43.20/claim|Median: $19.07
2.3× median
E0971Normal range

$16K

3,752 claims · 0.2%

Your Cost: $4.36/claim|Median: $13.46
0.3× median
E0245Normal range

$14K

457 claims · 0.2%

Your Cost: $30.76/claim|Median: $42.10
0.7× median
E0990Normal range

$12K

805 claims · 0.2%

Your Cost: $14.66/claim|Median: $19.31
0.8× median
E0730Normal range

$11K

162 claims · 0.1%

Your Cost: $66.96/claim|Median: $52.06
1.3× median
K0195Top 10%

$11K

807 claims · 0.1%

Your Cost: $13.40/claim|Median: $4.65
2.9× median
E0149Top 25%

$10K

323 claims · 0.1%

Your Cost: $31.85/claim|Median: $17.18
1.9× median
E0156Normal range

$10K

1,094 claims · 0.1%

Your Cost: $9.14/claim|Median: $7.15
1.3× median
K0007Normal range

$7K

96 claims · 0.1%

Your Cost: $69.56/claim|Median: $54.90
1.3× median
A6530Normal range

$6K

121 claims · 0.1%

Your Cost: $52.57/claim|Median: $49.70
1.1× median
E0165Normal range

$5K

300 claims · 0.1%

Your Cost: $16.90/claim|Median: $12.56
1.3× median
E0247Normal range

$4K

76 claims · 0.0%

Your Cost: $46.14/claim|Median: $75.27
0.6× median
L3908Normal range

$3K

82 claims · 0.0%

Your Cost: $41.25/claim|Median: $35.79
1.2× median
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