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Provider 1912092594

NPI: 1912092594Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.3M

$18,263,160

Total Claims

422K

Beneficiaries

415K

1.0 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+53%
2019
$1.5M
+47%
2020
$2.2M
+31%
2021
$2.9M
+9%
2022
$3.2M
+9%
2023
$3.5M
+10%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E0466 (Home ventilator, any type, used with non-invasive interface)) accounts for 31% of total spending.

E0466Normal range

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

$5.6M

20K claims · 30.7%

Your Cost: $286.85/claim|Median: $317.50
0.9× median
E1390Normal range

Oxygen concentrator, single delivery port

$3.3M

74K claims · 17.9%

Your Cost: $44.49/claim|Median: $45.11
1.0× median
E1392Top 5%

$1.4M

38K claims · 7.5%

Your Cost: $36.09/claim|Median: $10.81
3.3× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$858K

26K claims · 4.7%

Your Cost: $33.59/claim|Median: $35.30
1.0× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$717K

2,188 claims · 3.9%

Your Cost: $327.71/claim|Median: $583.21
0.6× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$450K

12K claims · 2.5%

Your Cost: $36.51/claim|Median: $31.59
1.2× median
A7030Normal range

Full face mask for CPAP device

$419K

7,316 claims · 2.3%

Your Cost: $57.29/claim|Median: $56.36
1.0× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$329K

3,074 claims · 1.8%

Your Cost: $106.98/claim|Median: $117.24
0.9× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$325K

7,702 claims · 1.8%

Your Cost: $42.14/claim|Median: $18.68
2.3× median
E0431Top 25%

Portable gaseous oxygen system, rental

$300K

16K claims · 1.6%

Your Cost: $19.09/claim|Median: $10.37
1.8× median
A7031Top 25%

$235K

6,491 claims · 1.3%

Your Cost: $36.23/claim|Median: $25.17
1.4× median
A7034Normal range

$233K

10K claims · 1.3%

Your Cost: $23.17/claim|Median: $35.90
0.6× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$207K

1,605 claims · 1.1%

Your Cost: $128.79/claim|Median: $89.79
1.4× median
A7032Normal range

$200K

5,849 claims · 1.1%

Your Cost: $34.21/claim|Median: $25.48
1.3× median
E0470Normal range

$184K

2,397 claims · 1.0%

Your Cost: $76.61/claim|Median: $81.45
0.9× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$178K

2,013 claims · 1.0%

Your Cost: $88.48/claim|Median: $92.20
1.0× median
A4624Normal range

$165K

2,052 claims · 0.9%

Your Cost: $80.61/claim|Median: $107.53
0.7× median
E0600Top 25%

$162K

4,042 claims · 0.9%

Your Cost: $40.04/claim|Median: $25.31
1.6× median
E0163Normal range

$157K

4,202 claims · 0.9%

Your Cost: $37.43/claim|Median: $27.98
1.3× median
A4629Normal range

$157K

2,526 claims · 0.9%

Your Cost: $62.25/claim|Median: $54.42
1.1× median
E0483Normal range

High-frequency chest wall oscillation air-pulse generator system

$157K

803 claims · 0.9%

Your Cost: $194.96/claim|Median: $321.50
0.6× median
K0001Normal range

Standard wheelchair

$132K

12K claims · 0.7%

Your Cost: $11.11/claim|Median: $12.27
0.9× median
A4623Normal range

$132K

1,899 claims · 0.7%

Your Cost: $69.47/claim|Median: $60.83
1.1× median
E0630Normal range

$116K

3,934 claims · 0.6%

Your Cost: $29.48/claim|Median: $23.70
1.2× median
K0738Normal range

$114K

17K claims · 0.6%

Your Cost: $6.70/claim|Median: $17.69
0.4× median
E0445Normal range

$110K

1,112 claims · 0.6%

Your Cost: $98.79/claim|Median: $118.11
0.8× median
A7035Normal range

$108K

11K claims · 0.6%

Your Cost: $9.83/claim|Median: $13.01
0.8× median
B4034Normal range

$107K

2,293 claims · 0.6%

Your Cost: $46.50/claim|Median: $46.28
1.0× median
A4605Normal range

$99K

854 claims · 0.5%

Your Cost: $116.07/claim|Median: $121.51
1.0× median
E0261Top 25%

$98K

2,605 claims · 0.5%

Your Cost: $37.61/claim|Median: $19.15
2.0× median
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