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Provider 1033231832

NPI: 1033231832Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.9M

$15,898,260

Total Claims

109K

Beneficiaries

86K

1.3 claims/patient

Avg Cost/Claim

$146

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-1%
2019
$2.0M
+2%
2020
$2.1M
-6%
2021
$1.9M
-1%
2022
$1.9M
+39%
2023
$2.7M
+24%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (B4160 (Enteral formula, per 100 calories)) accounts for 24% of total spending.

B4160Normal range

Enteral formula, per 100 calories

$3.8M

20K claims · 23.8%

Your Cost: $192.43/claim|Median: $157.30
1.2× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$2.5M

21K claims · 15.7%

Your Cost: $119.75/claim|Median: $92.20
1.3× median
T4534Top 5%

Adult-sized disposable underpads/pads, small

$2.3M

12K claims · 14.5%

Your Cost: $195.66/claim|Median: $110.54
1.8× median
B4154Normal range

$1.7M

11K claims · 10.7%

Your Cost: $158.98/claim|Median: $132.96
1.2× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$1.1M

11K claims · 6.7%

Your Cost: $96.18/claim|Median: $89.79
1.1× median
B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$547K

717 claims · 3.4%

Your Cost: $763.32/claim|Median: $465.86
1.6× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$501K

2,627 claims · 3.1%

Your Cost: $190.62/claim|Median: $117.24
1.6× median
T4532Top 10%

$469K

2,492 claims · 2.9%

Your Cost: $188.10/claim|Median: $116.50
1.6× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$389K

4,848 claims · 2.4%

Your Cost: $80.26/claim|Median: $55.51
1.4× median
B4102Normal range

$358K

3,674 claims · 2.2%

Your Cost: $97.31/claim|Median: $65.22
1.5× median
T4530Top 25%

$341K

3,178 claims · 2.1%

Your Cost: $107.21/claim|Median: $83.90
1.3× median
T4527Top 5%

Adult-sized disposable incontinence product, large

$328K

1,600 claims · 2.1%

Your Cost: $205.13/claim|Median: $99.53
2.1× median
T4526Top 5%

Adult-sized disposable incontinence product, medium

$292K

1,627 claims · 1.8%

Your Cost: $179.52/claim|Median: $88.94
2.0× median
T4522Top 10%

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

$289K

2,186 claims · 1.8%

Your Cost: $132.04/claim|Median: $84.50
1.6× median
T4521Top 25%

$213K

1,957 claims · 1.3%

Your Cost: $108.82/claim|Median: $81.60
1.3× median
B4034Top 25%

$209K

2,101 claims · 1.3%

Your Cost: $99.70/claim|Median: $46.28
2.2× median
T4525Top 5%

$156K

880 claims · 1.0%

Your Cost: $177.21/claim|Median: $79.46
2.2× median
B4155Normal range

$82K

1,372 claims · 0.5%

Your Cost: $60.02/claim|Median: $46.72
1.3× median
T4523Top 5%

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

$79K

394 claims · 0.5%

Your Cost: $201.01/claim|Median: $96.13
2.1× median
T4528Top 1%

Adult-sized disposable incontinence product, extra-large

$78K

272 claims · 0.5%

Your Cost: $287.93/claim|Median: $105.14
2.7× median
B4153Normal range

$52K

1,566 claims · 0.3%

Your Cost: $33.37/claim|Median: $410.73
0.1× median
B9002Normal range

$40K

527 claims · 0.3%

Your Cost: $76.77/claim|Median: $54.41
1.4× median
A4335Top 10%

Incontinence supply, miscellaneous

$35K

1,158 claims · 0.2%

Your Cost: $29.87/claim|Median: $5.54
5.4× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$29K

873 claims · 0.2%

Your Cost: $32.99/claim|Median: $42.03
0.8× median
T4541Top 5%

Pediatric-sized disposable incontinence product, large

$29K

295 claims · 0.2%

Your Cost: $96.87/claim|Median: $41.28
2.3× median
T4524Top 1%

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

$14K

51 claims · 0.1%

Your Cost: $283.67/claim|Median: $108.31
2.6× median
B4088Normal range

$11K

189 claims · 0.1%

Your Cost: $58.85/claim|Median: $73.20
0.8× median
T4537Top 10%

$4K

57 claims · 0.0%

Your Cost: $72.44/claim|Median: $31.50
2.3× median
E0776Normal range

$2K

286 claims · 0.0%

Your Cost: $7.17/claim|Median: $8.13
0.9× median
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