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Provider 1063710986

NPI: 1063710986Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$17.6M

$17,564,976

Total Claims

409K

Beneficiaries

406K

1.0 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+1%
2019
$1.9M
+9%
2020
$2.1M
+13%
2021
$2.3M
+22%
2022
$2.8M
+9%
2023
$3.1M
+11%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4541 (Pediatric-sized disposable incontinence product, large)) accounts for 18% of total spending.

T4541Top 25%

Pediatric-sized disposable incontinence product, large

$3.2M

50K claims · 18.4%

Your Cost: $64.88/claim|Median: $41.28
1.6× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$2.9M

46K claims · 16.4%

Your Cost: $63.19/claim|Median: $42.03
1.5× median
T4527Normal range

Adult-sized disposable incontinence product, large

$2.4M

20K claims · 13.7%

Your Cost: $118.58/claim|Median: $99.53
1.2× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.6M

16K claims · 8.9%

Your Cost: $96.79/claim|Median: $88.94
1.1× median
A4927Top 25%

Gloves, non-sterile, per 100

$1.2M

55K claims · 6.6%

Your Cost: $21.21/claim|Median: $12.90
1.6× median
A9900Normal range

$1.2M

58K claims · 6.6%

Your Cost: $19.83/claim|Median: $58.14
0.3× median
A6250Top 25%

Skin sealant protectant, moisturizer, each ounce

$776K

43K claims · 4.4%

Your Cost: $17.99/claim|Median: $9.88
1.8× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$697K

5,285 claims · 4.0%

Your Cost: $131.82/claim|Median: $105.14
1.3× median
A6545Top 10%

$639K

2,793 claims · 3.6%

Your Cost: $228.78/claim|Median: $70.25
3.3× median
T4525Normal range

$459K

4,738 claims · 2.6%

Your Cost: $96.97/claim|Median: $79.46
1.2× median
A4335Top 25%

Incontinence supply, miscellaneous

$409K

33K claims · 2.3%

Your Cost: $12.39/claim|Median: $5.54
2.2× median
T4536Normal range

Adult disposable incontinence product, pull-on, large

$386K

34K claims · 2.2%

Your Cost: $11.52/claim|Median: $11.57
1.0× median
T4537Top 25%

$281K

5,363 claims · 1.6%

Your Cost: $52.45/claim|Median: $31.50
1.7× median
T4523Top 25%

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

$263K

1,942 claims · 1.5%

Your Cost: $135.44/claim|Median: $96.13
1.4× median
T4524Top 25%

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

$184K

1,365 claims · 1.0%

Your Cost: $134.77/claim|Median: $108.31
1.2× median
K0003Top 10%

$175K

3,040 claims · 1.0%

Your Cost: $57.72/claim|Median: $18.14
3.2× median
E0295Normal range

$160K

2,838 claims · 0.9%

Your Cost: $56.52/claim|Median: $41.43
1.4× median
E0245Top 25%

$129K

2,076 claims · 0.7%

Your Cost: $62.17/claim|Median: $42.10
1.5× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$93K

2,447 claims · 0.5%

Your Cost: $37.86/claim|Median: $31.59
1.2× median
T4522Top 25%

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

$89K

860 claims · 0.5%

Your Cost: $103.82/claim|Median: $84.50
1.2× median
K0001Top 25%

Standard wheelchair

$61K

2,383 claims · 0.3%

Your Cost: $25.56/claim|Median: $12.27
2.1× median
E1038Top 25%

$51K

6,273 claims · 0.3%

Your Cost: $8.07/claim|Median: $4.70
1.7× median
E0163Normal range

$42K

1,193 claims · 0.2%

Your Cost: $34.81/claim|Median: $27.98
1.2× median
E2611Top 25%

General wheelchair seat cushion, width less than twenty-two inches

$34K

292 claims · 0.2%

Your Cost: $114.79/claim|Median: $61.71
1.9× median
K0002Top 10%

$29K

603 claims · 0.2%

Your Cost: $48.41/claim|Median: $16.01
3.0× median
E0630Top 25%

$27K

643 claims · 0.2%

Your Cost: $41.89/claim|Median: $23.70
1.8× median
E0305Normal range

$25K

2,825 claims · 0.1%

Your Cost: $8.76/claim|Median: $8.35
1.0× median
A5512Top 25%

Diabetic shoe insert, custom molded, each

$18K

394 claims · 0.1%

Your Cost: $46.21/claim|Median: $24.01
1.9× median
E0971Normal range

$17K

474 claims · 0.1%

Your Cost: $35.90/claim|Median: $13.46
2.7× median
E0277Normal range

$16K

126 claims · 0.1%

Your Cost: $128.28/claim|Median: $92.82
1.4× median
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