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OPTION 1 NORTHWEST ENTERAL LLC

Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition·KENT, WA·NPI: 1043398407Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$32.4M

$32,431,753

Total Claims

240K

Beneficiaries

213K

1.1 claims/patient

Avg Cost/Claim

$135

Monthly Spending Trend

Yearly Spending

2018
$5.1M
-5%
2019
$4.8M
-3%
2020
$4.7M
-2%
2021
$4.6M
-6%
2022
$4.3M
+9%
2023
$4.7M
-7%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 46 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 21% of total spending.

B4035Top 10%

Enteral feeding supply kit, pump fed, per day

$6.7M

28K claims · 20.6%

Your Cost: $239.57/claim|Median: $117.24
2.0× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$6.4M

13K claims · 19.8%

Your Cost: $499.43/claim|Median: $465.86
1.1× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$5.0M

15K claims · 15.5%

Your Cost: $344.95/claim|Median: $300.16
1.1× median
B4087Top 10%

$2.9M

23K claims · 8.9%

Your Cost: $123.14/claim|Median: $25.27
4.9× median
B4160Normal range

Enteral formula, per 100 calories

$2.3M

20K claims · 7.0%

Your Cost: $110.75/claim|Median: $157.30
0.7× median
B4153Normal range

$1.2M

2,773 claims · 3.8%

Your Cost: $439.69/claim|Median: $410.73
1.1× median
B4034Top 10%

$915K

7,524 claims · 2.8%

Your Cost: $121.64/claim|Median: $46.28
2.6× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$892K

5,409 claims · 2.8%

Your Cost: $164.94/claim|Median: $92.20
1.8× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$767K

5,898 claims · 2.4%

Your Cost: $130.01/claim|Median: $89.79
1.4× median
B9002Top 25%

$575K

6,892 claims · 1.8%

Your Cost: $83.37/claim|Median: $54.41
1.5× median
B4088Normal range

$559K

9,025 claims · 1.7%

Your Cost: $61.96/claim|Median: $73.20
0.8× median
S9999Top 25%

$446K

36K claims · 1.4%

Your Cost: $12.51/claim|Median: $5.38
2.3× median
B4158Normal range

$418K

3,609 claims · 1.3%

Your Cost: $115.93/claim|Median: $145.71
0.8× median
T4530Normal range

$406K

6,018 claims · 1.3%

Your Cost: $67.40/claim|Median: $83.90
0.8× median
B4154Top 25%

$339K

1,620 claims · 1.0%

Your Cost: $208.99/claim|Median: $132.96
1.6× median
B4155Normal range

$272K

5,706 claims · 0.8%

Your Cost: $47.64/claim|Median: $46.72
1.0× median
B9998Top 5%

Enteral/parenteral nutritional supplies, NOS

$243K

1,340 claims · 0.7%

Your Cost: $181.07/claim|Median: $55.51
3.3× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$233K

2,496 claims · 0.7%

Your Cost: $93.45/claim|Median: $110.54
0.8× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$192K

5,590 claims · 0.6%

Your Cost: $34.37/claim|Median: $41.28
0.8× median
T4537Normal range

$190K

5,442 claims · 0.6%

Your Cost: $34.86/claim|Median: $31.50
1.1× median
B4036Top 10%

$167K

1,103 claims · 0.5%

Your Cost: $151.26/claim|Median: $74.87
2.0× median
T4522Normal range

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

$164K

2,109 claims · 0.5%

Your Cost: $77.69/claim|Median: $84.50
0.9× median
T4523Normal range

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

$158K

1,635 claims · 0.5%

Your Cost: $96.68/claim|Median: $96.13
1.0× median
A4927Normal range

Gloves, non-sterile, per 100

$140K

12K claims · 0.4%

Your Cost: $11.23/claim|Median: $12.90
0.9× median
B4100Normal range

$113K

2,607 claims · 0.3%

Your Cost: $43.32/claim|Median: $67.58
0.6× median
T4524Normal range

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

$95K

908 claims · 0.3%

Your Cost: $104.16/claim|Median: $108.31
1.0× median
B4103Normal range

$88K

2,108 claims · 0.3%

Your Cost: $41.68/claim|Median: $82.54
0.5× median
E0776Top 25%

$79K

4,352 claims · 0.2%

Your Cost: $18.04/claim|Median: $8.13
2.2× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$78K

580 claims · 0.2%

Your Cost: $133.97/claim|Median: $116.15
1.2× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$72K

2,239 claims · 0.2%

Your Cost: $32.01/claim|Median: $42.03
0.8× median
B4081Normal range

$59K

1,589 claims · 0.2%

Your Cost: $37.02/claim|Median: $36.64
1.0× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$55K

597 claims · 0.2%

Your Cost: $92.80/claim|Median: $88.94
1.0× median
T4525Normal range

$43K

461 claims · 0.1%

Your Cost: $93.21/claim|Median: $79.46
1.2× median
T4532Normal range

$42K

548 claims · 0.1%

Your Cost: $76.01/claim|Median: $116.50
0.7× median
A6218Top 25%

$33K

189 claims · 0.1%

Your Cost: $176.57/claim|Median: $12.89
13.7× median
T4533Normal range

Adult disposable incontinence product, youth or small

$32K

475 claims · 0.1%

Your Cost: $67.47/claim|Median: $87.25
0.8× median
B4162Normal range

$21K

52 claims · 0.1%

Your Cost: $409.41/claim|Median: $412.82
1.0× median
B4082Normal range

$14K

377 claims · 0.0%

Your Cost: $36.02/claim|Median: $28.33
1.3× median
A4357Top 25%

Bedside drainage bag, day or night

$6K

287 claims · 0.0%

Your Cost: $19.21/claim|Median: $7.46
2.6× median
T4531Normal range

$4K

68 claims · 0.0%

Your Cost: $58.82/claim|Median: $100.68
0.6× median
A4335Normal range

Incontinence supply, miscellaneous

$3K

407 claims · 0.0%

Your Cost: $8.19/claim|Median: $5.54
1.5× median
A4628Normal range

$2K

180 claims · 0.0%

Your Cost: $11.18/claim|Median: $7.48
1.5× median
A4332Normal range

$1K

126 claims · 0.0%

Your Cost: $9.42/claim|Median: $6.47
1.5× median
A7000Top 25%

$340

16 claims · 0.0%

Your Cost: $21.23/claim|Median: $11.83
1.8× median
A7002Top 10%

$184

12 claims · 0.0%

Your Cost: $15.30/claim|Median: $4.97
3.1× median
A6260Normal range

$23

13 claims · 0.0%

Your Cost: $1.78/claim|Median: $10.03
0.2× median

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