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

⚖️ Compare🖨️ Print Report

Provider 1003990664

NPI: 1003990664Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.4M

$16,383,291

Total Claims

344K

Beneficiaries

294K

1.2 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$402K
+120%
2019
$883K
+62%
2020
$1.4M
+105%
2021
$2.9M
+31%
2022
$3.8M
-13%
2023
$3.3M
+8%
2024
$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4524 (Adult-sized disposable incontinence product, brief/diaper, medium)) accounts for 14% of total spending.

T4524Normal range

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

$2.3M

21K claims · 14.0%

Your Cost: $111.02/claim|Median: $108.31
1.0× median
A4554Normal range

Disposable underpads, all sizes

$2.3M

51K claims · 13.8%

Your Cost: $44.42/claim|Median: $37.02
1.2× median
L3030Normal range

Foot insert, removable, UCB-type, Berkeley shell, each

$2.2M

35K claims · 13.1%

Your Cost: $62.35/claim|Median: $61.03
1.0× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$1.9M

8,505 claims · 11.4%

Your Cost: $219.18/claim|Median: $177.75
1.2× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.2M

39K claims · 7.1%

Your Cost: $29.78/claim|Median: $42.03
0.7× median
L3216Normal range

$946K

21K claims · 5.8%

Your Cost: $45.48/claim|Median: $56.74
0.8× median
T4539Normal range

$920K

35K claims · 5.6%

Your Cost: $26.15/claim|Median: $27.96
0.9× median
T4523Normal range

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

$820K

12K claims · 5.0%

Your Cost: $69.79/claim|Median: $96.13
0.7× median
L3001Normal range

$689K

7,380 claims · 4.2%

Your Cost: $93.37/claim|Median: $83.05
1.1× median
L3217Normal range

$570K

8,546 claims · 3.5%

Your Cost: $66.71/claim|Median: $74.76
0.9× median
T4537Normal range

$570K

22K claims · 3.5%

Your Cost: $25.73/claim|Median: $31.50
0.8× median
L3221Normal range

$552K

11K claims · 3.4%

Your Cost: $52.36/claim|Median: $60.92
0.9× median
L3222Normal range

$257K

3,461 claims · 1.6%

Your Cost: $74.16/claim|Median: $85.13
0.9× median
A6530Normal range

$251K

7,071 claims · 1.5%

Your Cost: $35.56/claim|Median: $49.70
0.7× median
T4522Normal range

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

$245K

4,980 claims · 1.5%

Your Cost: $49.19/claim|Median: $84.50
0.6× median
T4540Normal range

$177K

13K claims · 1.1%

Your Cost: $13.92/claim|Median: $17.85
0.8× median
L3410Top 25%

$156K

2,448 claims · 1.0%

Your Cost: $63.81/claim|Median: $57.70
1.1× median
A6540Normal range

$131K

793 claims · 0.8%

Your Cost: $164.96/claim|Median: $160.99
1.0× median
A4927Normal range

Gloves, non-sterile, per 100

$126K

28K claims · 0.8%

Your Cost: $4.42/claim|Median: $12.90
0.3× median
L3485Top 5%

$61K

1,701 claims · 0.4%

Your Cost: $36.07/claim|Median: $23.92
1.5× median
L3340Normal range

$38K

833 claims · 0.2%

Your Cost: $45.96/claim|Median: $34.38
1.3× median
A4670Normal range

$31K

786 claims · 0.2%

Your Cost: $39.47/claim|Median: $50.23
0.8× median
T4521Normal range

$22K

504 claims · 0.1%

Your Cost: $43.20/claim|Median: $81.60
0.5× median
L3010Normal range

Foot insert, removable, longitudinal-metatarsal support, each

$20K

186 claims · 0.1%

Your Cost: $106.45/claim|Median: $133.98
0.8× median
A6533Normal range

$19K

491 claims · 0.1%

Your Cost: $38.19/claim|Median: $74.92
0.5× median
A4335Normal range

Incontinence supply, miscellaneous

$14K

6,379 claims · 0.1%

Your Cost: $2.19/claim|Median: $5.54
0.4× median
L3060Normal range

Foot insert, removable, soft foam, longitudinal arch support

$11K

233 claims · 0.1%

Your Cost: $47.18/claim|Median: $50.97
0.9× median
A6539Normal range

$7K

75 claims · 0.0%

Your Cost: $91.77/claim|Median: $107.32
0.9× median
E0240Normal range

$7K

194 claims · 0.0%

Your Cost: $34.39/claim|Median: $62.75
0.5× median
A4402Normal range

$7K

2,173 claims · 0.0%

Your Cost: $3.00/claim|Median: $4.15
0.7× median
← All providersHow we detect fraud →