Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1972573137

NPI: 1972573137Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,354,237

Total Claims

59K

Beneficiaries

49K

1.2 claims/patient

Avg Cost/Claim

$261

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-14%
2019
$1.7M
+20%
2020
$2.0M
+9%
2021
$2.2M
-3%
2022
$2.1M
+51%
2023
$3.1M
-23%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 36% of total spending.

E1399Top 10%

Durable medical equipment, miscellaneous

$5.5M

3,701 claims · 36.1%

Your Cost: $1,495.84/claim|Median: $104.06
14.4× median
K0108Top 25%

Wheelchair component or accessory, NOS

$2.3M

8,450 claims · 14.8%

Your Cost: $269.34/claim|Median: $153.75
1.8× median
E1028Top 10%

$935K

5,561 claims · 6.1%

Your Cost: $168.19/claim|Median: $54.00
3.1× median
E1007Top 25%

$789K

155 claims · 5.1%

Your Cost: $5,091.10/claim|Median: $3,203.03
1.6× median
K0739Top 25%

$785K

10K claims · 5.1%

Your Cost: $75.52/claim|Median: $34.09
2.2× median
K0005Normal range

$570K

405 claims · 3.7%

Your Cost: $1,407.11/claim|Median: $1,060.57
1.3× median
E2311Top 25%

$510K

414 claims · 3.3%

Your Cost: $1,232.14/claim|Median: $879.38
1.4× median
E1161Top 25%

$480K

1,081 claims · 3.1%

Your Cost: $444.33/claim|Median: $200.27
2.2× median
E0973Top 5%

$400K

2,689 claims · 2.6%

Your Cost: $148.83/claim|Median: $42.75
3.5× median
E0955Top 25%

$296K

3,005 claims · 1.9%

Your Cost: $98.42/claim|Median: $43.51
2.3× median
E1012Normal range

$271K

435 claims · 1.8%

Your Cost: $622.82/claim|Median: $491.22
1.3× median
A9900Normal range

$215K

3,214 claims · 1.4%

Your Cost: $66.86/claim|Median: $58.14
1.1× median
E2607Top 25%

$213K

903 claims · 1.4%

Your Cost: $235.78/claim|Median: $150.23
1.6× median
E2363Top 25%

$168K

751 claims · 1.1%

Your Cost: $223.22/claim|Median: $152.83
1.5× median
E2620Top 25%

$165K

442 claims · 1.1%

Your Cost: $373.27/claim|Median: $232.23
1.6× median
E0240Top 10%

$156K

104 claims · 1.0%

Your Cost: $1,500.35/claim|Median: $62.75
23.9× median
K0040Top 10%

$156K

1,443 claims · 1.0%

Your Cost: $107.94/claim|Median: $62.90
1.7× median
K0861Normal range

$124K

39 claims · 0.8%

Your Cost: $3,186.93/claim|Median: $2,607.07
1.2× median
E2300Top 1%

$116K

51 claims · 0.8%

Your Cost: $2,277.26/claim|Median: $1,532.13
1.5× median
K0669Top 1%

$98K

12 claims · 0.6%

Your Cost: $8,149.75/claim|Median: $8,005.21
1.0× median
E0960Top 25%

$92K

1,227 claims · 0.6%

Your Cost: $74.83/claim|Median: $58.78
1.3× median
K0823Normal range

Power wheelchair, Group 2

$92K

990 claims · 0.6%

Your Cost: $92.44/claim|Median: $95.35
1.0× median
E0978Top 5%

$82K

2,553 claims · 0.5%

Your Cost: $32.10/claim|Median: $14.50
2.2× median
E0950Top 5%

$79K

533 claims · 0.5%

Your Cost: $148.83/claim|Median: $67.43
2.2× median
E0971Top 25%

$79K

1,786 claims · 0.5%

Your Cost: $44.39/claim|Median: $13.46
3.3× median
E2386Normal range

$76K

642 claims · 0.5%

Your Cost: $117.75/claim|Median: $99.07
1.2× median
E2392Top 25%

$73K

1,057 claims · 0.5%

Your Cost: $68.74/claim|Median: $53.88
1.3× median
E0956Normal range

$65K

544 claims · 0.4%

Your Cost: $120.08/claim|Median: $106.01
1.1× median
E2361Normal range

$64K

514 claims · 0.4%

Your Cost: $123.96/claim|Median: $99.84
1.2× median
E2394Normal range

$49K

827 claims · 0.3%

Your Cost: $59.10/claim|Median: $49.65
1.2× median
← All providersHow we detect fraud →