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Provider 1912987132

NPI: 1912987132Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.2M

$10,170,909

Total Claims

76K

Beneficiaries

60K

1.3 claims/patient

Avg Cost/Claim

$134

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+11%
2019
$1.8M
-25%
2020
$1.3M
-8%
2021
$1.2M
+26%
2022
$1.5M
+18%
2023
$1.8M
-48%
2024
$954K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (K0108 (Wheelchair component or accessory, NOS)) accounts for 17% of total spending.

K0108Top 25%

Wheelchair component or accessory, NOS

$1.7M

7,017 claims · 17.0%

Your Cost: $246.86/claim|Median: $153.75
1.6× median
E1028Top 25%

$1.1M

10K claims · 11.0%

Your Cost: $109.13/claim|Median: $54.00
2.0× median
E1161Normal range

$1.1M

3,942 claims · 10.9%

Your Cost: $282.14/claim|Median: $200.27
1.4× median
T2029Top 25%

Specialized transportation, waiver, per mile, extra

$982K

2,538 claims · 9.7%

Your Cost: $386.83/claim|Median: $141.34
2.7× median
E1399Top 25%

Durable medical equipment, miscellaneous

$648K

876 claims · 6.4%

Your Cost: $740.28/claim|Median: $104.06
7.1× median
E2617Normal range

$394K

359 claims · 3.9%

Your Cost: $1,098.15/claim|Median: $939.89
1.2× median
E0973Top 25%

$365K

3,198 claims · 3.6%

Your Cost: $114.16/claim|Median: $42.75
2.7× median
E0955Normal range

$352K

5,842 claims · 3.5%

Your Cost: $60.21/claim|Median: $43.51
1.4× median
K0739Normal range

$319K

11K claims · 3.1%

Your Cost: $27.95/claim|Median: $34.09
0.8× median
K0040Top 25%

$239K

2,536 claims · 2.3%

Your Cost: $94.25/claim|Median: $62.90
1.5× median
E0956Normal range

$224K

1,679 claims · 2.2%

Your Cost: $133.61/claim|Median: $106.01
1.3× median
K0823Top 25%

Power wheelchair, Group 2

$220K

1,239 claims · 2.2%

Your Cost: $177.38/claim|Median: $95.35
1.9× median
K0005Normal range

$204K

165 claims · 2.0%

Your Cost: $1,236.01/claim|Median: $1,060.57
1.2× median
Z0160Normal range

$202K

2,548 claims · 2.0%

Your Cost: $79.46/claim|Median: $80.52
1.0× median
E1007Top 25%

$165K

36 claims · 1.6%

Your Cost: $4,575.31/claim|Median: $3,203.03
1.4× median
K0004Top 25%

$159K

2,322 claims · 1.6%

Your Cost: $68.34/claim|Median: $34.32
2.0× median
E2607Normal range

$141K

749 claims · 1.4%

Your Cost: $188.12/claim|Median: $150.23
1.3× median
E2609Top 25%

$129K

111 claims · 1.3%

Your Cost: $1,164.58/claim|Median: $840.30
1.4× median
E0971Top 10%

$128K

2,390 claims · 1.3%

Your Cost: $53.60/claim|Median: $13.46
4.0× median
E0960Normal range

$121K

1,859 claims · 1.2%

Your Cost: $65.22/claim|Median: $58.78
1.1× median
E2613Normal range

$113K

391 claims · 1.1%

Your Cost: $289.11/claim|Median: $250.22
1.2× median
E2361Top 25%

$104K

717 claims · 1.0%

Your Cost: $144.58/claim|Median: $99.84
1.4× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$101K

706 claims · 1.0%

Your Cost: $142.53/claim|Median: $116.15
1.2× median
E1012Top 10%

$84K

59 claims · 0.8%

Your Cost: $1,421.22/claim|Median: $491.22
2.9× median
E0978Top 25%

$83K

3,096 claims · 0.8%

Your Cost: $26.78/claim|Median: $14.50
1.8× median
E2311Top 25%

$80K

67 claims · 0.8%

Your Cost: $1,187.94/claim|Median: $879.38
1.4× median
E0950Normal range

$63K

880 claims · 0.6%

Your Cost: $71.07/claim|Median: $67.43
1.1× median
E2213Normal range

$56K

1,480 claims · 0.5%

Your Cost: $37.79/claim|Median: $32.15
1.2× median
E2624Normal range

$55K

278 claims · 0.5%

Your Cost: $197.41/claim|Median: $181.24
1.1× median
E2392Top 25%

$48K

603 claims · 0.5%

Your Cost: $80.12/claim|Median: $53.88
1.5× median