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Provider 1003988676

NPI: 1003988676Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.7M

$12,693,968

Total Claims

301K

Beneficiaries

300K

1.0 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+33%
2019
$1.5M
+22%
2020
$1.8M
+4%
2021
$1.9M
+10%
2022
$2.0M
+13%
2023
$2.3M
-8%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4541 (Pediatric-sized disposable incontinence product, large)) accounts for 28% of total spending.

T4541Normal range

Pediatric-sized disposable incontinence product, large

$3.6M

68K claims · 28.3%

Your Cost: $52.72/claim|Median: $41.28
1.3× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$2.4M

47K claims · 19.0%

Your Cost: $51.37/claim|Median: $42.03
1.2× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.3M

19K claims · 10.5%

Your Cost: $70.08/claim|Median: $99.53
0.7× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.1M

18K claims · 8.4%

Your Cost: $58.87/claim|Median: $88.94
0.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$779K

11K claims · 6.1%

Your Cost: $69.07/claim|Median: $105.14
0.7× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$717K

8,989 claims · 5.6%

Your Cost: $79.71/claim|Median: $96.13
0.8× median
T4524Normal range

Adult-sized disposable incontinence product, brief/diaper, medium

$696K

9,428 claims · 5.5%

Your Cost: $73.85/claim|Median: $108.31
0.7× median
T4537Top 25%

$298K

5,241 claims · 2.3%

Your Cost: $56.91/claim|Median: $31.50
1.8× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$291K

36K claims · 2.3%

Your Cost: $8.11/claim|Median: $9.88
0.8× median
T4522Normal range

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

$260K

3,185 claims · 2.1%

Your Cost: $81.72/claim|Median: $84.50
1.0× median
E1390Normal range

Oxygen concentrator, single delivery port

$210K

3,577 claims · 1.7%

Your Cost: $58.70/claim|Median: $45.11
1.3× median
A4335Normal range

Incontinence supply, miscellaneous

$186K

37K claims · 1.5%

Your Cost: $5.07/claim|Median: $5.54
0.9× median
T4525Normal range

$166K

3,054 claims · 1.3%

Your Cost: $54.42/claim|Median: $79.46
0.7× median
E0277Normal range

$122K

2,955 claims · 1.0%

Your Cost: $41.39/claim|Median: $92.82
0.4× median
T4536Normal range

Adult disposable incontinence product, pull-on, large

$111K

9,424 claims · 0.9%

Your Cost: $11.79/claim|Median: $11.57
1.0× median
K0003Normal range

$111K

4,510 claims · 0.9%

Your Cost: $24.61/claim|Median: $18.14
1.4× median
E0260Normal range

Hospital bed, semi-electric

$78K

4,000 claims · 0.6%

Your Cost: $19.54/claim|Median: $23.07
0.8× median
E0295Normal range

$76K

3,032 claims · 0.6%

Your Cost: $24.92/claim|Median: $41.43
0.6× median
E0245Normal range

$38K

706 claims · 0.3%

Your Cost: $53.47/claim|Median: $42.10
1.3× median
E0635Normal range

$35K

1,061 claims · 0.3%

Your Cost: $32.84/claim|Median: $67.94
0.5× median
E0431Normal range

Portable gaseous oxygen system, rental

$33K

3,186 claims · 0.3%

Your Cost: $10.41/claim|Median: $10.37
1.0× median
E0185Normal range

$31K

558 claims · 0.2%

Your Cost: $55.50/claim|Median: $38.42
1.4× median
E0630Normal range

$18K

942 claims · 0.1%

Your Cost: $19.08/claim|Median: $23.70
0.8× median
E2611Top 25%

General wheelchair seat cushion, width less than twenty-two inches

$12K

97 claims · 0.1%

Your Cost: $122.47/claim|Median: $61.71
2.0× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$12K

245 claims · 0.1%

Your Cost: $48.17/claim|Median: $31.59
1.5× median
E0971Top 25%

$4K

96 claims · 0.0%

Your Cost: $43.71/claim|Median: $13.46
3.2× median
E0443Top 10%

$4K

72 claims · 0.0%

Your Cost: $54.47/claim|Median: $12.89
4.2× median
E2601Top 25%

General wheelchair back cushion, width less than twenty-two inches

$3K

97 claims · 0.0%

Your Cost: $26.63/claim|Median: $17.73
1.5× median
E0305Top 25%

$1K

89 claims · 0.0%

Your Cost: $14.83/claim|Median: $8.35
1.8× median
E0247Normal range

$1K

13 claims · 0.0%

Your Cost: $87.00/claim|Median: $75.27
1.2× median
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