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Provider 1023063641

NPI: 1023063641Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,293,943

Total Claims

292K

Beneficiaries

284K

1.0 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$644K
+42%
2019
$917K
+10%
2020
$1.0M
-27%
2021
$735K
+19%
2022
$877K
+315%
2023
$3.6M
+50%
2024
$5.5M

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 8% of total spending.

A4554Top 25%

Disposable underpads, all sizes

$1.0M

20K claims · 7.6%

Your Cost: $50.94/claim|Median: $37.02
1.4× median
T4522Normal range

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

$1.0M

12K claims · 7.6%

Your Cost: $87.35/claim|Median: $84.50
1.0× median
T4523Normal range

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

$1.0M

8,880 claims · 7.5%

Your Cost: $112.63/claim|Median: $96.13
1.2× median
T4524Normal range

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

$744K

6,400 claims · 5.6%

Your Cost: $116.19/claim|Median: $108.31
1.1× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$705K

5,239 claims · 5.3%

Your Cost: $134.66/claim|Median: $116.15
1.2× median
T4533Normal range

Adult disposable incontinence product, youth or small

$695K

9,357 claims · 5.2%

Your Cost: $74.33/claim|Median: $87.25
0.9× median
A4385Normal range

$526K

11K claims · 4.0%

Your Cost: $46.76/claim|Median: $49.51
0.9× median
A6197Normal range

$478K

4,610 claims · 3.6%

Your Cost: $103.69/claim|Median: $156.22
0.7× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$374K

1,078 claims · 2.8%

Your Cost: $347.33/claim|Median: $508.29
0.7× median
A6210Normal range

$366K

1,340 claims · 2.8%

Your Cost: $273.22/claim|Median: $163.78
1.7× median
A4407Normal range

$339K

6,282 claims · 2.5%

Your Cost: $53.91/claim|Median: $73.73
0.7× median
A4362Normal range

$317K

7,675 claims · 2.4%

Your Cost: $41.30/claim|Median: $36.03
1.1× median
T4530Normal range

$311K

4,219 claims · 2.3%

Your Cost: $73.71/claim|Median: $83.90
0.9× median
A4425Normal range

$289K

7,234 claims · 2.2%

Your Cost: $39.89/claim|Median: $38.79
1.0× median
A6212Normal range

$274K

4,911 claims · 2.1%

Your Cost: $55.83/claim|Median: $76.51
0.7× median
A4230Top 25%

Infusion supplies, non-chemotherapy, per visit

$272K

1,497 claims · 2.0%

Your Cost: $182.01/claim|Median: $136.09
1.3× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$262K

8,117 claims · 2.0%

Your Cost: $32.24/claim|Median: $42.03
0.8× median
A6252Normal range

$256K

6,094 claims · 1.9%

Your Cost: $41.93/claim|Median: $46.15
0.9× median
A5057Normal range

$255K

1,658 claims · 1.9%

Your Cost: $153.51/claim|Median: $118.12
1.3× median
A4409Normal range

$252K

6,448 claims · 1.9%

Your Cost: $39.01/claim|Median: $61.38
0.6× median
T4521Normal range

$225K

2,659 claims · 1.7%

Your Cost: $84.72/claim|Median: $81.60
1.0× median
A4414Normal range

$198K

4,166 claims · 1.5%

Your Cost: $47.44/claim|Median: $48.85
1.0× median
A6196Normal range

$180K

2,626 claims · 1.4%

Your Cost: $68.72/claim|Median: $71.68
1.0× median
A4419Normal range

$170K

3,066 claims · 1.3%

Your Cost: $55.51/claim|Median: $42.19
1.3× median
A5063Normal range

$158K

4,567 claims · 1.2%

Your Cost: $34.53/claim|Median: $27.93
1.2× median
T4537Normal range

$143K

4,820 claims · 1.1%

Your Cost: $29.73/claim|Median: $31.50
0.9× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$139K

2,276 claims · 1.0%

Your Cost: $61.02/claim|Median: $53.20
1.1× median
A6021Normal range

$131K

2,071 claims · 1.0%

Your Cost: $63.30/claim|Median: $111.06
0.6× median
A6213Normal range

$122K

709 claims · 0.9%

Your Cost: $171.87/claim|Median: $95.60
1.8× median
A6209Normal range

$117K

1,361 claims · 0.9%

Your Cost: $86.05/claim|Median: $55.36
1.6× median
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