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Provider 1912945577

NPI: 1912945577Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.2M

$16,159,744

Total Claims

295K

Beneficiaries

227K

1.3 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+31%
2019
$2.3M
+66%
2020
$3.8M
-13%
2021
$3.3M
-18%
2022
$2.7M
-39%
2023
$1.6M
-52%
2024
$788K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 23% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$3.8M

6,031 claims · 23.3%

Your Cost: $623.66/claim|Median: $465.86
1.3× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$2.1M

17K claims · 13.1%

Your Cost: $125.37/claim|Median: $117.24
1.1× median
E1390Normal range

Oxygen concentrator, single delivery port

$1.6M

47K claims · 10.0%

Your Cost: $34.16/claim|Median: $45.11
0.8× median
E0466Normal range

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

$1.1M

2,820 claims · 6.7%

Your Cost: $383.10/claim|Median: $317.50
1.2× median
B4160Normal range

Enteral formula, per 100 calories

$1.0M

5,607 claims · 6.2%

Your Cost: $180.02/claim|Median: $157.30
1.1× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$623K

1,616 claims · 3.9%

Your Cost: $385.75/claim|Median: $300.16
1.3× median
E0445Normal range

$616K

6,019 claims · 3.8%

Your Cost: $102.32/claim|Median: $118.11
0.9× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$480K

6,929 claims · 3.0%

Your Cost: $69.27/claim|Median: $92.20
0.8× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$349K

12K claims · 2.2%

Your Cost: $29.96/claim|Median: $35.30
0.8× median
B4153Normal range

$346K

1,104 claims · 2.1%

Your Cost: $313.85/claim|Median: $410.73
0.8× median
A7030Normal range

Full face mask for CPAP device

$346K

6,881 claims · 2.1%

Your Cost: $50.34/claim|Median: $56.36
0.9× median
B4154Top 25%

$331K

1,546 claims · 2.0%

Your Cost: $213.93/claim|Median: $132.96
1.6× median
A7031Normal range

$298K

11K claims · 1.8%

Your Cost: $28.28/claim|Median: $25.17
1.1× median
B9002Normal range

$293K

5,872 claims · 1.8%

Your Cost: $49.89/claim|Median: $54.41
0.9× median
B4034Normal range

$288K

4,688 claims · 1.8%

Your Cost: $61.47/claim|Median: $46.28
1.3× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$264K

446 claims · 1.6%

Your Cost: $592.26/claim|Median: $583.21
1.0× median
A4604Normal range

$190K

7,450 claims · 1.2%

Your Cost: $25.45/claim|Median: $22.01
1.2× median
A7034Normal range

$174K

5,705 claims · 1.1%

Your Cost: $30.47/claim|Median: $35.90
0.8× median
A7032Normal range

$169K

5,607 claims · 1.0%

Your Cost: $30.15/claim|Median: $25.48
1.2× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$164K

3,629 claims · 1.0%

Your Cost: $45.26/claim|Median: $89.79
0.5× median
E0431Normal range

Portable gaseous oxygen system, rental

$146K

19K claims · 0.9%

Your Cost: $7.50/claim|Median: $10.37
0.7× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$137K

12K claims · 0.9%

Your Cost: $11.30/claim|Median: $18.68
0.6× median
B4158Normal range

$116K

747 claims · 0.7%

Your Cost: $155.24/claim|Median: $145.71
1.1× median
E0600Normal range

$99K

3,598 claims · 0.6%

Your Cost: $27.63/claim|Median: $25.31
1.1× median
K0738Normal range

$80K

7,271 claims · 0.5%

Your Cost: $10.97/claim|Median: $17.69
0.6× median
A7035Normal range

$78K

7,447 claims · 0.5%

Your Cost: $10.49/claim|Median: $13.01
0.8× median
A7033Normal range

$78K

3,292 claims · 0.5%

Your Cost: $23.60/claim|Median: $20.57
1.1× median
A7038Normal range

$72K

21K claims · 0.4%

Your Cost: $3.43/claim|Median: $3.53
1.0× median
E1392Normal range

$71K

7,456 claims · 0.4%

Your Cost: $9.59/claim|Median: $10.81
0.9× median
E0570Normal range

Nebulizer, with compressor

$71K

9,417 claims · 0.4%

Your Cost: $7.59/claim|Median: $16.16
0.5× median
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