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Provider 1912952375

NPI: 1912952375Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$9.4M

$9,395,836

Total Claims

147K

Beneficiaries

137K

1.1 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$10K
+869%
2019
$94K
+436%
2020
$505K
+288%
2021
$2.0M
+7%
2022
$2.1M
+17%
2023
$2.5M
-8%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4239 (Supply allowance for non-insulin pump CGM, per month)) accounts for 13% of total spending.

A4239Top 25%

Supply allowance for non-insulin pump CGM, per month

$1.2M

5,657 claims · 13.0%

Your Cost: $216.20/claim|Median: $73.75
2.9× median
K0553Top 10%

Supply allowance for therapeutic CGM, per month

$1.0M

4,922 claims · 11.0%

Your Cost: $210.21/claim|Median: $53.20
4.0× median
A6197Normal range

$915K

4,370 claims · 9.7%

Your Cost: $209.41/claim|Median: $156.22
1.3× median
A6212Normal range

$477K

4,190 claims · 5.1%

Your Cost: $113.81/claim|Median: $76.51
1.5× median
E0603Normal range

Breast pump, electric, any type

$342K

3,855 claims · 3.6%

Your Cost: $88.67/claim|Median: $131.70
0.7× median
A6021Normal range

$338K

2,959 claims · 3.6%

Your Cost: $114.12/claim|Median: $111.06
1.0× median
E0784Normal range

External ambulatory infusion pump, insulin

$328K

413 claims · 3.5%

Your Cost: $794.59/claim|Median: $1,188.30
0.7× median
A6210Normal range

$318K

1,771 claims · 3.4%

Your Cost: $179.46/claim|Median: $163.78
1.1× median
A4385Normal range

$296K

4,182 claims · 3.2%

Your Cost: $70.80/claim|Median: $49.51
1.4× median
A6196Normal range

$246K

2,405 claims · 2.6%

Your Cost: $102.33/claim|Median: $71.68
1.4× median
A6252Normal range

$239K

4,510 claims · 2.5%

Your Cost: $53.04/claim|Median: $46.15
1.1× median
A4407Top 25%

$223K

1,903 claims · 2.4%

Your Cost: $117.41/claim|Median: $73.73
1.6× median
A4230Normal range

Infusion supplies, non-chemotherapy, per visit

$220K

2,528 claims · 2.3%

Your Cost: $86.85/claim|Median: $136.09
0.6× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$209K

509 claims · 2.2%

Your Cost: $410.39/claim|Median: $508.29
0.8× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$191K

1,382 claims · 2.0%

Your Cost: $137.98/claim|Median: $116.15
1.2× median
A9274Normal range

External ambulatory insulin delivery system, disposable

$176K

364 claims · 1.9%

Your Cost: $483.77/claim|Median: $466.16
1.0× median
A6213Normal range

$170K

1,046 claims · 1.8%

Your Cost: $162.55/claim|Median: $95.60
1.7× median
A6449Top 10%

$160K

2,493 claims · 1.7%

Your Cost: $64.22/claim|Median: $5.88
10.9× median
A6209Normal range

$158K

1,678 claims · 1.7%

Your Cost: $94.16/claim|Median: $55.36
1.7× median
A4409Normal range

$157K

2,112 claims · 1.7%

Your Cost: $74.30/claim|Median: $61.38
1.2× median
A6446Normal range

$145K

5,788 claims · 1.5%

Your Cost: $24.99/claim|Median: $14.64
1.7× median
A4362Normal range

$113K

2,801 claims · 1.2%

Your Cost: $40.48/claim|Median: $36.03
1.1× median
E2103Top 25%

$108K

530 claims · 1.2%

Your Cost: $204.58/claim|Median: $85.49
2.4× median
A4452Normal range

$93K

6,832 claims · 1.0%

Your Cost: $13.59/claim|Median: $9.98
1.4× median
A6253Normal range

$91K

1,033 claims · 1.0%

Your Cost: $87.92/claim|Median: $93.50
0.9× median
A6452Top 25%

$89K

481 claims · 0.9%

Your Cost: $184.11/claim|Median: $83.58
2.2× median
A4394Top 10%

$83K

2,991 claims · 0.9%

Your Cost: $27.74/claim|Median: $12.65
2.2× median
A4425Normal range

$77K

2,073 claims · 0.8%

Your Cost: $37.37/claim|Median: $38.79
1.0× median
A5057Normal range

$74K

617 claims · 0.8%

Your Cost: $119.90/claim|Median: $118.12
1.0× median
A4232Normal range

$66K

2,439 claims · 0.7%

Your Cost: $26.97/claim|Median: $34.49
0.8× median
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