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Provider 1972500940

NPI: 1972500940Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.4M

$14,386,786

Total Claims

244K

Beneficiaries

234K

1.0 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$372K
+331%
2019
$1.6M
+1%
2020
$1.6M
+27%
2021
$2.1M
+25%
2022
$2.6M
+34%
2023
$3.4M
-21%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E0603 (Breast pump, electric, any type)) accounts for 19% of total spending.

E0603Top 10%

Breast pump, electric, any type

$2.8M

12K claims · 19.2%

Your Cost: $221.09/claim|Median: $131.70
1.7× median
E1390Top 25%

Oxygen concentrator, single delivery port

$2.1M

27K claims · 14.3%

Your Cost: $77.15/claim|Median: $45.11
1.7× median
L4361Top 25%

$1.0M

4,842 claims · 7.0%

Your Cost: $209.10/claim|Median: $161.24
1.3× median
E0466Top 5%

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

$909K

1,075 claims · 6.3%

Your Cost: $845.65/claim|Median: $317.50
2.7× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$856K

21K claims · 5.9%

Your Cost: $40.07/claim|Median: $35.30
1.1× median
E0570Normal range

Nebulizer, with compressor

$633K

19K claims · 4.4%

Your Cost: $33.42/claim|Median: $16.16
2.1× median
A7030Top 25%

Full face mask for CPAP device

$508K

6,052 claims · 3.5%

Your Cost: $83.92/claim|Median: $56.36
1.5× median
A4604Top 25%

$506K

14K claims · 3.5%

Your Cost: $36.02/claim|Median: $22.01
1.6× median
E0114Top 10%

$454K

9,508 claims · 3.2%

Your Cost: $47.73/claim|Median: $29.11
1.6× median
E1392Top 10%

$446K

14K claims · 3.1%

Your Cost: $31.49/claim|Median: $10.81
2.9× median
A7034Top 25%

$376K

6,503 claims · 2.6%

Your Cost: $57.87/claim|Median: $35.90
1.6× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$376K

6,825 claims · 2.6%

Your Cost: $55.14/claim|Median: $31.59
1.7× median
L3908Top 25%

$300K

6,447 claims · 2.1%

Your Cost: $46.58/claim|Median: $35.79
1.3× median
E0562Top 5%

Humidifier, heated, used with positive airway pressure device

$285K

1,722 claims · 2.0%

Your Cost: $165.43/claim|Median: $18.68
8.9× median
E0604Normal range

$277K

4,805 claims · 1.9%

Your Cost: $57.64/claim|Median: $48.56
1.2× median
A7035Top 25%

$224K

12K claims · 1.6%

Your Cost: $19.40/claim|Median: $13.01
1.5× median
K0738Top 25%

$208K

6,816 claims · 1.4%

Your Cost: $30.57/claim|Median: $17.69
1.7× median
E0470Normal range

$174K

1,645 claims · 1.2%

Your Cost: $105.83/claim|Median: $81.45
1.3× median
E0118Top 25%

$159K

2,739 claims · 1.1%

Your Cost: $57.97/claim|Median: $40.16
1.4× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$158K

631 claims · 1.1%

Your Cost: $249.94/claim|Median: $210.29
1.2× median
A7005Top 25%

$148K

7,197 claims · 1.0%

Your Cost: $20.55/claim|Median: $12.44
1.7× median
L3809Normal range

$143K

2,742 claims · 1.0%

Your Cost: $52.04/claim|Median: $115.28
0.5× median
A7031Top 25%

$142K

3,801 claims · 1.0%

Your Cost: $37.40/claim|Median: $25.17
1.5× median
L4350Normal range

$118K

2,072 claims · 0.8%

Your Cost: $56.82/claim|Median: $52.71
1.1× median
A7038Top 25%

$106K

19K claims · 0.7%

Your Cost: $5.49/claim|Median: $3.53
1.6× median
L1902Top 25%

$105K

1,619 claims · 0.7%

Your Cost: $65.09/claim|Median: $46.30
1.4× median
L0628Top 25%

$94K

1,449 claims · 0.7%

Your Cost: $65.05/claim|Median: $50.20
1.3× median
A4670Top 10%

$90K

1,268 claims · 0.6%

Your Cost: $70.67/claim|Median: $50.23
1.4× median
L4387Top 5%

$87K

540 claims · 0.6%

Your Cost: $160.44/claim|Median: $96.24
1.7× median
E0245Top 25%

$86K

1,333 claims · 0.6%

Your Cost: $64.41/claim|Median: $42.10
1.5× median
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