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SONSHINE MEDICAL INC.

Durable Medical Equipment & Medical Supplies, Customized Equipment·CANTON, OH·NPI: 1891750691Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$34.9M

$34,925,705

Total Claims

70K

Beneficiaries

57K

1.2 claims/patient

Avg Cost/Claim

$497

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+3%
2019
$3.0M
-4%
2020
$2.9M
+2%
2021
$3.0M
+51%
2022
$4.5M
+126%
2023
$10.1M
-17%
2024
$8.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 35 distinct procedure codes. The top code (E2617) accounts for 19% of total spending.

E2617Normal range

$6.5M

5,447 claims · 18.7%

Your Cost: $1,199.57/claim|Median: $939.89
1.3× median
E2609Normal range

$5.0M

5,545 claims · 14.3%

Your Cost: $898.80/claim|Median: $840.30
1.1× median
E1161Top 5%

$4.5M

2,457 claims · 12.9%

Your Cost: $1,831.73/claim|Median: $200.27
9.1× median
E1007Top 25%

$2.9M

593 claims · 8.2%

Your Cost: $4,831.06/claim|Median: $3,203.03
1.5× median
K0005Top 25%

$2.7M

1,652 claims · 7.7%

Your Cost: $1,625.61/claim|Median: $1,060.57
1.5× median
E1028Top 1%

$2.4M

5,410 claims · 6.9%

Your Cost: $442.79/claim|Median: $54.00
8.2× median
K0108Top 25%

Wheelchair component or accessory, NOS

$1.9M

6,089 claims · 5.5%

Your Cost: $317.64/claim|Median: $153.75
2.1× median
K0861Top 25%

$1.0M

248 claims · 3.0%

Your Cost: $4,180.45/claim|Median: $2,607.07
1.6× median
E0956Top 10%

$948K

5,022 claims · 2.7%

Your Cost: $188.82/claim|Median: $106.01
1.8× median
E2311Top 10%

$899K

598 claims · 2.6%

Your Cost: $1,503.02/claim|Median: $879.38
1.7× median
E1012Top 5%

$788K

503 claims · 2.3%

Your Cost: $1,566.25/claim|Median: $491.22
3.2× median
E0973Top 5%

$716K

4,664 claims · 2.1%

Your Cost: $153.58/claim|Median: $42.75
3.6× median
E0990Top 5%

$650K

4,094 claims · 1.9%

Your Cost: $158.69/claim|Median: $19.31
8.2× median
E0955Top 5%

$603K

3,742 claims · 1.7%

Your Cost: $161.07/claim|Median: $43.51
3.7× median
K0040Top 10%

$524K

4,524 claims · 1.5%

Your Cost: $115.81/claim|Median: $62.90
1.8× median
E2203Normal range

$477K

1,381 claims · 1.4%

Your Cost: $345.55/claim|Median: $306.17
1.1× median
E2201Top 5%

$458K

1,571 claims · 1.3%

Your Cost: $291.50/claim|Median: $19.07
15.3× median
E2231Normal range

$343K

3,229 claims · 1.0%

Your Cost: $106.31/claim|Median: $91.19
1.2× median
E0971Top 5%

$278K

4,088 claims · 0.8%

Your Cost: $68.00/claim|Median: $13.46
5.1× median
E0954Top 1%

$263K

1,316 claims · 0.8%

Your Cost: $200.07/claim|Median: $59.93
3.3× median
E2377Top 25%

$193K

694 claims · 0.6%

Your Cost: $277.43/claim|Median: $192.61
1.4× median
E0953Top 5%

$154K

782 claims · 0.4%

Your Cost: $196.68/claim|Median: $67.68
2.9× median
E2313Top 25%

$142K

676 claims · 0.4%

Your Cost: $209.42/claim|Median: $143.00
1.5× median
E0961Top 5%

$112K

2,859 claims · 0.3%

Your Cost: $39.35/claim|Median: $10.99
3.6× median
E0986Top 1%

$107K

27 claims · 0.3%

Your Cost: $3,981.37/claim|Median: $945.66
4.2× median
E2361Top 10%

$95K

444 claims · 0.3%

Your Cost: $213.09/claim|Median: $99.84
2.1× median
K0862Top 1%

$69K

15 claims · 0.2%

Your Cost: $4,599.02/claim|Median: $3,358.09
1.4× median
K0739Normal range

$58K

1,114 claims · 0.2%

Your Cost: $52.31/claim|Median: $34.09
1.5× median
E2213Top 5%

$58K

1,104 claims · 0.2%

Your Cost: $52.42/claim|Median: $32.15
1.6× median
E2363Top 1%

$30K

97 claims · 0.1%

Your Cost: $313.17/claim|Median: $152.83
2.0× median
E2208Top 10%

$18K

200 claims · 0.1%

Your Cost: $88.45/claim|Median: $20.34
4.3× median
E2624Normal range

$3K

19 claims · 0.0%

Your Cost: $164.28/claim|Median: $181.24
0.9× median
E2209Normal range

$3K

30 claims · 0.0%

Your Cost: $99.92/claim|Median: $66.02
1.5× median
E2218Top 1%

$967

23 claims · 0.0%

Your Cost: $42.04/claim|Median: $4.69
9.0× median
E0951Top 5%

$470

16 claims · 0.0%

Your Cost: $29.38/claim|Median: $9.88
3.0× median

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