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Provider 1023457561

NPI: 1023457561Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.5M

$7,530,975

Total Claims

97K

Beneficiaries

25K

3.8 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-6%
2019
$1.1M
-13%
2020
$950K
+39%
2021
$1.3M
-15%
2022
$1.1M
-15%
2023
$958K
-4%
2024
$916K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 20% of total spending.

S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$1.5M

19K claims · 19.9%

Your Cost: $78.76/claim|Median: $176.25
0.4× median
S9340Normal range

$1.3M

19K claims · 17.8%

Your Cost: $71.03/claim|Median: $196.46
0.4× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.3M

4,899 claims · 17.1%

Your Cost: $263.42/claim|Median: $465.86
0.6× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$728K

16K claims · 9.7%

Your Cost: $45.18/claim|Median: $117.24
0.4× median
B4160Normal range

Enteral formula, per 100 calories

$570K

4,871 claims · 7.6%

Your Cost: $117.09/claim|Median: $157.30
0.7× median
S9343Normal range

$393K

4,546 claims · 5.2%

Your Cost: $86.37/claim|Median: $99.47
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$311K

4,683 claims · 4.1%

Your Cost: $66.51/claim|Median: $89.79
0.7× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$300K

5,490 claims · 4.0%

Your Cost: $54.61/claim|Median: $92.20
0.6× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$233K

931 claims · 3.1%

Your Cost: $249.76/claim|Median: $300.16
0.8× median
99601Normal range

$158K

1,797 claims · 2.1%

Your Cost: $87.95/claim|Median: $82.41
1.1× median
A4223Normal range

$140K

4,179 claims · 1.9%

Your Cost: $33.61/claim|Median: $60.92
0.6× median
B4088Normal range

$112K

1,175 claims · 1.5%

Your Cost: $94.89/claim|Median: $73.20
1.3× median
B4155Normal range

$109K

4,105 claims · 1.5%

Your Cost: $26.66/claim|Median: $46.72
0.6× median
B4154Normal range

$87K

580 claims · 1.2%

Your Cost: $149.56/claim|Median: $132.96
1.1× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$59K

516 claims · 0.8%

Your Cost: $114.58/claim|Median: $55.51
2.1× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$47K

2,953 claims · 0.6%

Your Cost: $15.94/claim|Median: $16.19
1.0× median
A4222Normal range

$37K

308 claims · 0.5%

Your Cost: $119.62/claim|Median: $62.70
1.9× median
S9500Normal range

$35K

244 claims · 0.5%

Your Cost: $142.62/claim|Median: $144.40
1.0× median
B4153Normal range

$20K

52 claims · 0.3%

Your Cost: $391.26/claim|Median: $410.73
1.0× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$19K

337 claims · 0.3%

Your Cost: $57.34/claim|Median: $51.67
1.1× median
S9341Normal range

$12K

74 claims · 0.2%

Your Cost: $164.38/claim|Median: $142.63
1.2× median
B4034Normal range

$10K

133 claims · 0.1%

Your Cost: $77.93/claim|Median: $46.28
1.7× median
S9359Normal range

$7K

105 claims · 0.1%

Your Cost: $66.53/claim|Median: $62.59
1.1× median
A4305Normal range

$5K

399 claims · 0.1%

Your Cost: $11.65/claim|Median: $76.95
0.2× median
99602Normal range

$4K

43 claims · 0.0%

Your Cost: $83.17/claim|Median: $84.91
1.0× median
B9002Normal range

$1K

26 claims · 0.0%

Your Cost: $50.37/claim|Median: $54.41
0.9× median
A4452Normal range

$513

79 claims · 0.0%

Your Cost: $6.49/claim|Median: $9.98
0.7× median
A6402Normal range

$493

88 claims · 0.0%

Your Cost: $5.61/claim|Median: $7.69
0.7× median
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