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Provider 1942291463

NPI: 1942291463Share
Active Billing Period:2018-01→2021-10(46 months)
Billing appears to have stoppedLast active: 2021-10

Total Paid

$13.3M

$13,349,936

Total Claims

257K

Beneficiaries

194K

1.3 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+81%
2019
$3.5M
+28%
2020
$4.5M
-25%
2021
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E0465 (Home ventilator, any type, used with invasive interface)) accounts for 13% of total spending.

E0465Normal range

Home ventilator, any type, used with invasive interface

$1.7M

3,257 claims · 12.7%

Your Cost: $520.79/claim|Median: $583.21
0.9× median
S8189Normal range

$1.6M

16K claims · 12.0%

Your Cost: $97.55/claim|Median: $81.07
1.2× median
E0466Normal range

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

$1.5M

3,343 claims · 11.0%

Your Cost: $438.70/claim|Median: $317.50
1.4× median
E0601Top 10%

Continuous positive airway pressure (CPAP) device

$1.2M

18K claims · 8.9%

Your Cost: $66.21/claim|Median: $35.30
1.9× median
E1390Normal range

Oxygen concentrator, single delivery port

$641K

14K claims · 4.8%

Your Cost: $44.42/claim|Median: $45.11
1.0× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$604K

4,232 claims · 4.5%

Your Cost: $142.71/claim|Median: $55.51
2.6× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$466K

1,042 claims · 3.5%

Your Cost: $447.38/claim|Median: $465.86
1.0× median
E0445Top 25%

$429K

1,730 claims · 3.2%

Your Cost: $247.91/claim|Median: $118.11
2.1× median
A7030Normal range

Full face mask for CPAP device

$384K

7,756 claims · 2.9%

Your Cost: $49.46/claim|Median: $56.36
0.9× median
A4606Normal range

$335K

3,904 claims · 2.5%

Your Cost: $85.74/claim|Median: $50.63
1.7× median
E1399Normal range

Durable medical equipment, miscellaneous

$328K

5,016 claims · 2.5%

Your Cost: $65.40/claim|Median: $104.06
0.6× median
A4624Normal range

$304K

3,247 claims · 2.3%

Your Cost: $93.48/claim|Median: $107.53
0.9× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$277K

11K claims · 2.1%

Your Cost: $25.02/claim|Median: $18.68
1.3× median
A4217Top 25%

Sterile water or saline for nebulizer, per unit

$276K

4,262 claims · 2.1%

Your Cost: $64.78/claim|Median: $13.14
4.9× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$258K

2,182 claims · 1.9%

Your Cost: $118.35/claim|Median: $117.24
1.0× median
E0470Normal range

$220K

2,280 claims · 1.6%

Your Cost: $96.32/claim|Median: $81.45
1.2× median
A7526Top 25%

$192K

3,403 claims · 1.4%

Your Cost: $56.54/claim|Median: $33.61
1.7× median
A7034Normal range

$188K

5,514 claims · 1.4%

Your Cost: $34.08/claim|Median: $35.90
0.9× median
A4629Normal range

$184K

3,089 claims · 1.4%

Your Cost: $59.57/claim|Median: $54.42
1.1× median
A7507Normal range

$180K

2,347 claims · 1.3%

Your Cost: $76.75/claim|Median: $59.66
1.3× median
A4604Normal range

$162K

7,116 claims · 1.2%

Your Cost: $22.77/claim|Median: $22.01
1.0× median
B4160Top 10%

Enteral formula, per 100 calories

$159K

500 claims · 1.2%

Your Cost: $318.58/claim|Median: $157.30
2.0× median
A4623Normal range

$153K

1,687 claims · 1.1%

Your Cost: $90.80/claim|Median: $60.83
1.5× median
A7035Normal range

$135K

11K claims · 1.0%

Your Cost: $12.23/claim|Median: $13.01
0.9× median
A7520Normal range

$134K

1,877 claims · 1.0%

Your Cost: $71.59/claim|Median: $49.59
1.4× median
A7031Normal range

$128K

6,380 claims · 1.0%

Your Cost: $20.02/claim|Median: $25.17
0.8× median
E0431Normal range

Portable gaseous oxygen system, rental

$115K

11K claims · 0.9%

Your Cost: $10.44/claim|Median: $10.37
1.0× median
E0600Top 25%

$114K

2,884 claims · 0.9%

Your Cost: $39.53/claim|Median: $25.31
1.6× median
E0570Normal range

Nebulizer, with compressor

$85K

4,386 claims · 0.6%

Your Cost: $19.31/claim|Median: $16.16
1.2× median
A4483Normal range

$64K

1,049 claims · 0.5%

Your Cost: $61.33/claim|Median: $91.41
0.7× median
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