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Provider 1013367697

NPI: 1013367697Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.4M

$15,355,757

Total Claims

338K

Beneficiaries

320K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$169K
+233%
2019
$564K
+188%
2020
$1.6M
+42%
2021
$2.3M
+13%
2022
$2.6M
+37%
2023
$3.6M
+24%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4554 (Disposable underpads, all sizes)) accounts for 16% of total spending.

A4554Normal range

Disposable underpads, all sizes

$2.4M

56K claims · 15.8%

Your Cost: $43.65/claim|Median: $37.02
1.2× median
T4524Normal range

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

$2.0M

20K claims · 13.3%

Your Cost: $102.36/claim|Median: $108.31
0.9× median
T4543Top 25%

Pediatric-sized disposable incontinence product, above XL

$2.0M

8,514 claims · 12.7%

Your Cost: $229.14/claim|Median: $177.75
1.3× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.9M

53K claims · 12.6%

Your Cost: $36.52/claim|Median: $42.03
0.9× median
T4539Normal range

$1.3M

45K claims · 8.7%

Your Cost: $29.42/claim|Median: $27.96
1.1× median
T4523Normal range

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

$1.1M

15K claims · 7.2%

Your Cost: $75.53/claim|Median: $96.13
0.8× median
L3030Normal range

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

$864K

14K claims · 5.6%

Your Cost: $63.13/claim|Median: $61.03
1.0× median
T4537Normal range

$837K

24K claims · 5.5%

Your Cost: $34.19/claim|Median: $31.50
1.1× median
L3217Normal range

$755K

9,090 claims · 4.9%

Your Cost: $83.07/claim|Median: $74.76
1.1× median
T4522Normal range

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

$376K

7,159 claims · 2.5%

Your Cost: $52.56/claim|Median: $84.50
0.6× median
L3222Top 25%

$331K

3,412 claims · 2.2%

Your Cost: $97.03/claim|Median: $85.13
1.1× median
A4927Normal range

Gloves, non-sterile, per 100

$257K

56K claims · 1.7%

Your Cost: $4.56/claim|Median: $12.90
0.4× median
L3001Top 25%

$246K

1,823 claims · 1.6%

Your Cost: $135.01/claim|Median: $83.05
1.6× median
T4540Normal range

$242K

14K claims · 1.6%

Your Cost: $17.84/claim|Median: $17.85
1.0× median
L3216Normal range

$118K

2,913 claims · 0.8%

Your Cost: $40.46/claim|Median: $56.74
0.7× median
E0445Top 1%

$111K

67 claims · 0.7%

Your Cost: $1,650.00/claim|Median: $118.11
14.0× median
A6540Normal range

$89K

525 claims · 0.6%

Your Cost: $170.03/claim|Median: $160.99
1.1× median
L3410Top 25%

$86K

1,125 claims · 0.6%

Your Cost: $76.54/claim|Median: $57.70
1.3× median
A4670Normal range

$47K

962 claims · 0.3%

Your Cost: $48.78/claim|Median: $50.23
1.0× median
T4521Normal range

$37K

865 claims · 0.2%

Your Cost: $42.67/claim|Median: $81.60
0.5× median
L3221Normal range

$28K

618 claims · 0.2%

Your Cost: $45.62/claim|Median: $60.92
0.7× median
L3485Top 1%

$26K

545 claims · 0.2%

Your Cost: $47.07/claim|Median: $23.92
2.0× median
L3340Top 25%

$25K

518 claims · 0.2%

Your Cost: $48.91/claim|Median: $34.38
1.4× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$19K

1,082 claims · 0.1%

Your Cost: $17.30/claim|Median: $33.21
0.5× median
L3000Top 5%

Foot insert, removable, molded to patient model

$17K

33 claims · 0.1%

Your Cost: $502.61/claim|Median: $205.41
2.4× median
L3002Top 25%

$16K

85 claims · 0.1%

Your Cost: $190.53/claim|Median: $102.74
1.9× median
A6530Normal range

$16K

782 claims · 0.1%

Your Cost: $20.23/claim|Median: $49.70
0.4× median
A5512Normal range

Diabetic shoe insert, custom molded, each

$13K

988 claims · 0.1%

Your Cost: $13.14/claim|Median: $24.01
0.5× median
L3390Top 10%

$10K

184 claims · 0.1%

Your Cost: $52.78/claim|Median: $26.14
2.0× median
L3060Top 25%

Foot insert, removable, soft foam, longitudinal arch support

$4K

52 claims · 0.0%

Your Cost: $82.16/claim|Median: $50.97
1.6× median
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