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Provider 1053303016

NPI: 1053303016Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.7M

$14,701,665

Total Claims

223K

Beneficiaries

213K

1.0 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$989K
-9%
2019
$904K
+49%
2020
$1.3M
+178%
2021
$3.7M
-20%
2022
$3.0M
-8%
2023
$2.7M
-27%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4351 (Intermittent urinary catheter, straight tip, each)) accounts for 10% of total spending.

A4351Normal range

Intermittent urinary catheter, straight tip, each

$1.4M

9,446 claims · 9.7%

Your Cost: $150.23/claim|Median: $116.15
1.3× median
T4534Top 10%

Adult-sized disposable underpads/pads, small

$1.4M

8,247 claims · 9.4%

Your Cost: $167.63/claim|Median: $110.54
1.5× median
T4522Top 10%

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

$1.3M

9,818 claims · 8.6%

Your Cost: $128.32/claim|Median: $84.50
1.5× median
T4537Top 25%

$1.1M

27K claims · 7.2%

Your Cost: $39.94/claim|Median: $31.50
1.3× median
T4523Top 25%

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

$1.1M

7,617 claims · 7.2%

Your Cost: $139.08/claim|Median: $96.13
1.4× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$1.1M

2,412 claims · 7.1%

Your Cost: $435.54/claim|Median: $508.29
0.9× median
A4927Top 25%

Gloves, non-sterile, per 100

$944K

48K claims · 6.4%

Your Cost: $19.83/claim|Median: $12.90
1.5× median
T4527Normal range

Adult-sized disposable incontinence product, large

$778K

6,536 claims · 5.3%

Your Cost: $119.01/claim|Median: $99.53
1.2× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$655K

12K claims · 4.5%

Your Cost: $53.27/claim|Median: $42.03
1.3× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$648K

5,866 claims · 4.4%

Your Cost: $110.55/claim|Median: $88.94
1.2× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$593K

26K claims · 4.0%

Your Cost: $22.86/claim|Median: $41.28
0.6× median
T4524Top 25%

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

$545K

3,617 claims · 3.7%

Your Cost: $150.72/claim|Median: $108.31
1.4× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$500K

4,371 claims · 3.4%

Your Cost: $114.49/claim|Median: $105.14
1.1× median
T4530Top 10%

$404K

2,916 claims · 2.8%

Your Cost: $138.68/claim|Median: $83.90
1.7× median
T4543Top 5%

Pediatric-sized disposable incontinence product, above XL

$403K

1,364 claims · 2.7%

Your Cost: $295.29/claim|Median: $177.75
1.7× median
B4100Normal range

$333K

6,421 claims · 2.3%

Your Cost: $51.83/claim|Median: $67.58
0.8× median
A4352Normal range

Intermittent urinary catheter, Coude tip, each

$301K

1,260 claims · 2.1%

Your Cost: $239.25/claim|Median: $280.71
0.9× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$211K

1,096 claims · 1.4%

Your Cost: $192.68/claim|Median: $171.64
1.1× median
T4521Top 5%

$181K

1,252 claims · 1.2%

Your Cost: $144.84/claim|Median: $81.60
1.8× median
A6212Normal range

$150K

1,187 claims · 1.0%

Your Cost: $126.77/claim|Median: $76.51
1.7× median
A4500Top 10%

$122K

2,228 claims · 0.8%

Your Cost: $54.81/claim|Median: $33.49
1.6× median
E1399Normal range

Durable medical equipment, miscellaneous

$111K

394 claims · 0.8%

Your Cost: $282.01/claim|Median: $104.06
2.7× median
T4542Normal range

$87K

7,679 claims · 0.6%

Your Cost: $11.28/claim|Median: $33.31
0.3× median
B4034Normal range

$63K

1,371 claims · 0.4%

Your Cost: $45.95/claim|Median: $46.28
1.0× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$62K

1,896 claims · 0.4%

Your Cost: $32.73/claim|Median: $13.14
2.5× median
A4344Top 25%

$57K

557 claims · 0.4%

Your Cost: $101.74/claim|Median: $29.31
3.5× median
A4322Top 25%

$35K

1,022 claims · 0.2%

Your Cost: $34.37/claim|Median: $14.10
2.4× median
A4357Normal range

Bedside drainage bag, day or night

$35K

3,393 claims · 0.2%

Your Cost: $10.33/claim|Median: $7.46
1.4× median
B4036Normal range

$35K

1,215 claims · 0.2%

Your Cost: $28.60/claim|Median: $74.87
0.4× median
B4160Top 5%

Enteral formula, per 100 calories

$34K

91 claims · 0.2%

Your Cost: $370.89/claim|Median: $157.30
2.4× median
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