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Provider 1033190137

NPI: 1033190137Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,479,640

Total Claims

256K

Beneficiaries

196K

1.3 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+36%
2019
$2.0M
+22%
2020
$2.4M
+6%
2021
$2.6M
-1%
2022
$2.6M
+2%
2023
$2.6M
+4%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 16% of total spending.

T4527Normal range

Adult-sized disposable incontinence product, large

$2.7M

34K claims · 16.1%

Your Cost: $78.63/claim|Median: $99.53
0.8× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$2.1M

25K claims · 12.5%

Your Cost: $83.52/claim|Median: $105.14
0.8× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$2.0M

28K claims · 12.3%

Your Cost: $72.89/claim|Median: $88.94
0.8× median
A4554Top 25%

Disposable underpads, all sizes

$1.8M

37K claims · 10.9%

Your Cost: $48.78/claim|Median: $37.02
1.3× median
T4523Normal range

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

$1.2M

15K claims · 7.1%

Your Cost: $78.03/claim|Median: $96.13
0.8× median
A4553Top 5%

$1.1M

6,084 claims · 6.5%

Your Cost: $175.39/claim|Median: $15.13
11.6× median
T4522Normal range

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

$1.0M

15K claims · 6.4%

Your Cost: $71.69/claim|Median: $84.50
0.8× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$828K

10K claims · 5.0%

Your Cost: $79.80/claim|Median: $171.64
0.5× median
T4524Normal range

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

$795K

9,735 claims · 4.8%

Your Cost: $81.67/claim|Median: $108.31
0.8× median
T4525Normal range

$656K

10K claims · 4.0%

Your Cost: $63.13/claim|Median: $79.46
0.8× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$650K

9,455 claims · 3.9%

Your Cost: $68.76/claim|Median: $110.54
0.6× median
T4521Normal range

$245K

3,819 claims · 1.5%

Your Cost: $64.22/claim|Median: $81.60
0.8× median
B4160Normal range

Enteral formula, per 100 calories

$220K

1,973 claims · 1.3%

Your Cost: $111.48/claim|Median: $157.30
0.7× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$197K

2,434 claims · 1.2%

Your Cost: $81.03/claim|Median: $117.24
0.7× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$190K

3,126 claims · 1.2%

Your Cost: $60.80/claim|Median: $92.20
0.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$184K

2,036 claims · 1.1%

Your Cost: $90.53/claim|Median: $89.79
1.0× median
T4530Normal range

$167K

3,608 claims · 1.0%

Your Cost: $46.18/claim|Median: $83.90
0.6× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$79K

1,414 claims · 0.5%

Your Cost: $56.12/claim|Median: $116.15
0.5× median
B4034Normal range

$77K

2,569 claims · 0.5%

Your Cost: $30.16/claim|Median: $46.28
0.7× median
A6197Normal range

$63K

239 claims · 0.4%

Your Cost: $262.54/claim|Median: $156.22
1.7× median
A6260Top 25%

$51K

2,403 claims · 0.3%

Your Cost: $21.21/claim|Median: $10.03
2.1× median
A4314Normal range

$37K

4,276 claims · 0.2%

Your Cost: $8.71/claim|Median: $5.42
1.6× median
A4452Normal range

$30K

3,450 claims · 0.2%

Your Cost: $8.64/claim|Median: $9.98
0.9× median
A6446Top 25%

$28K

911 claims · 0.2%

Your Cost: $31.16/claim|Median: $14.64
2.1× median
A6252Top 25%

$22K

285 claims · 0.1%

Your Cost: $75.89/claim|Median: $46.15
1.6× median
A4409Normal range

$15K

662 claims · 0.1%

Your Cost: $22.27/claim|Median: $61.38
0.4× median
A4425Normal range

$14K

700 claims · 0.1%

Your Cost: $19.81/claim|Median: $38.79
0.5× median
A4322Normal range

$14K

495 claims · 0.1%

Your Cost: $27.51/claim|Median: $14.10
2.0× median
A6216Normal range

Gauze, non-impregnated, sterile

$11K

1,861 claims · 0.1%

Your Cost: $5.99/claim|Median: $4.91
1.2× median
A4357Normal range

Bedside drainage bag, day or night

$10K

5,567 claims · 0.1%

Your Cost: $1.87/claim|Median: $7.46
0.3× median
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