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Provider 1942365598

NPI: 1942365598Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$7.6M

$7,582,139

Total Claims

150K

Beneficiaries

72K

2.1 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$776K
+12%
2019
$868K
+21%
2020
$1.0M
-0%
2021
$1.0M
+30%
2022
$1.4M
-3%
2023
$1.3M
-10%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4606) accounts for 16% of total spending.

A4606Top 5%

$1.2M

6,216 claims · 16.2%

Your Cost: $197.09/claim|Median: $50.63
3.9× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$874K

6,982 claims · 11.5%

Your Cost: $125.17/claim|Median: $117.24
1.1× median
A4624Top 25%

$742K

4,129 claims · 9.8%

Your Cost: $179.61/claim|Median: $107.53
1.7× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$719K

1,479 claims · 9.5%

Your Cost: $486.16/claim|Median: $583.21
0.8× median
E1390Top 25%

Oxygen concentrator, single delivery port

$717K

8,915 claims · 9.5%

Your Cost: $80.47/claim|Median: $45.11
1.8× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$702K

13K claims · 9.3%

Your Cost: $52.13/claim|Median: $55.51
0.9× median
B4088Normal range

$427K

4,171 claims · 5.6%

Your Cost: $102.31/claim|Median: $73.20
1.4× median
A7520Top 25%

$352K

3,069 claims · 4.6%

Your Cost: $114.58/claim|Median: $49.59
2.3× median
E0466Top 10%

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

$206K

339 claims · 2.7%

Your Cost: $606.32/claim|Median: $317.50
1.9× median
A9900Normal range

$199K

2,837 claims · 2.6%

Your Cost: $70.29/claim|Median: $58.14
1.2× median
A7526Normal range

$179K

3,701 claims · 2.4%

Your Cost: $48.42/claim|Median: $33.61
1.4× median
A4628Top 5%

$160K

5,166 claims · 2.1%

Your Cost: $30.94/claim|Median: $7.48
4.1× median
T4530Normal range

$142K

1,844 claims · 1.9%

Your Cost: $77.25/claim|Median: $83.90
0.9× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$99K

4,914 claims · 1.3%

Your Cost: $20.17/claim|Median: $13.14
1.5× median
A4483Normal range

$87K

905 claims · 1.2%

Your Cost: $96.54/claim|Median: $91.41
1.1× median
T4522Normal range

Adult-sized disposable incontinence product, brief/diaper, above XL

$82K

1,027 claims · 1.1%

Your Cost: $79.44/claim|Median: $84.50
0.9× median
A9999Normal range

$81K

27K claims · 1.1%

Your Cost: $2.97/claim|Median: $39.73
0.1× median
A4629Normal range

$73K

2,181 claims · 1.0%

Your Cost: $33.42/claim|Median: $54.42
0.6× median
A6402Normal range

$69K

6,657 claims · 0.9%

Your Cost: $10.40/claim|Median: $7.69
1.4× median
A7508Normal range

$54K

2,492 claims · 0.7%

Your Cost: $21.85/claim|Median: $41.86
0.5× median
S8189Normal range

$54K

1,282 claims · 0.7%

Your Cost: $42.37/claim|Median: $81.07
0.5× median
E0603Normal range

Breast pump, electric, any type

$49K

440 claims · 0.6%

Your Cost: $110.60/claim|Median: $131.70
0.8× median
E0445Top 1%

$37K

30 claims · 0.5%

Your Cost: $1,228.08/claim|Median: $118.11
10.4× median
A4216Normal range

$37K

3,052 claims · 0.5%

Your Cost: $11.97/claim|Median: $8.45
1.4× median
A7000Normal range

$31K

6,573 claims · 0.4%

Your Cost: $4.73/claim|Median: $11.83
0.4× median
B4034Normal range

$29K

1,287 claims · 0.4%

Your Cost: $22.22/claim|Median: $46.28
0.5× median
A6209Normal range

$24K

364 claims · 0.3%

Your Cost: $66.07/claim|Median: $55.36
1.2× median
A4930Top 25%

$24K

555 claims · 0.3%

Your Cost: $42.76/claim|Median: $3.61
11.8× median
A4927Normal range

Gloves, non-sterile, per 100

$22K

3,317 claims · 0.3%

Your Cost: $6.54/claim|Median: $12.90
0.5× median
A7002Normal range

$15K

7,784 claims · 0.2%

Your Cost: $1.87/claim|Median: $4.97
0.4× median