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Provider 1043339807

NPI: 1043339807Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.6M

$13,624,451

Total Claims

124K

Beneficiaries

29K

4.3 claims/patient

Avg Cost/Claim

$109

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-91%
2019
$243K
+99%
2020
$484K
+49%
2021
$719K
+9%
2022
$781K
+521%
2023
$4.9M
-19%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (A4223) accounts for 40% of total spending.

A4223Top 25%

$5.5M

43K claims · 40.2%

Your Cost: $128.71/claim|Median: $60.92
2.1× median
S9500Top 25%

$2.3M

7,391 claims · 16.8%

Your Cost: $309.73/claim|Median: $144.40
2.1× median
G0299Top 10%

Skilled nursing services, home health, per visit, RN

$1.4M

11K claims · 10.5%

Your Cost: $132.80/claim|Median: $51.67
2.6× median
S9502Top 25%

$1.0M

2,876 claims · 7.4%

Your Cost: $349.62/claim|Median: $165.71
2.1× median
99601Normal range

$574K

6,759 claims · 4.2%

Your Cost: $84.93/claim|Median: $82.41
1.0× median
S9501Top 10%

$531K

1,495 claims · 3.9%

Your Cost: $355.41/claim|Median: $160.52
2.2× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$531K

25K claims · 3.9%

Your Cost: $20.91/claim|Median: $117.24
0.2× median
S9366Top 25%

$498K

715 claims · 3.7%

Your Cost: $697.00/claim|Median: $394.05
1.8× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$303K

1,072 claims · 2.2%

Your Cost: $282.64/claim|Median: $176.25
1.6× median
S9343Normal range

$217K

1,057 claims · 1.6%

Your Cost: $205.01/claim|Median: $99.47
2.1× median
B4034Normal range

$205K

20K claims · 1.5%

Your Cost: $10.45/claim|Median: $46.28
0.2× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$175K

2,224 claims · 1.3%

Your Cost: $78.50/claim|Median: $55.51
1.4× median
S9503Normal range

$81K

365 claims · 0.6%

Your Cost: $221.26/claim|Median: $205.52
1.1× median
S9379Top 10%

$66K

332 claims · 0.5%

Your Cost: $197.32/claim|Median: $70.89
2.8× median
B4088Top 25%

$53K

454 claims · 0.4%

Your Cost: $117.06/claim|Median: $73.20
1.6× median
J0696Top 1%

$53K

202 claims · 0.4%

Your Cost: $261.37/claim|Median: $1.34
195.1× median
S9374Top 25%

$49K

238 claims · 0.4%

Your Cost: $204.84/claim|Median: $136.10
1.5× median
S9367Top 1%

$35K

41 claims · 0.3%

Your Cost: $854.10/claim|Median: $270.91
3.2× median
A4306Normal range

$9K

487 claims · 0.1%

Your Cost: $19.49/claim|Median: $21.29
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$9K

158 claims · 0.1%

Your Cost: $55.62/claim|Median: $89.79
0.6× median
A4305Top 10%

$7K

28 claims · 0.1%

Your Cost: $267.14/claim|Median: $76.95
3.5× median
S9375Top 25%

$7K

36 claims · 0.1%

Your Cost: $194.44/claim|Median: $165.98
1.2× median
99602Normal range

$7K

89 claims · 0.0%

Your Cost: $75.29/claim|Median: $84.91
0.9× median
B4185Normal range

$6K

47 claims · 0.0%

Your Cost: $137.56/claim|Median: $134.70
1.0× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$5K

105 claims · 0.0%

Your Cost: $51.72/claim|Median: $92.20
0.6× median
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