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Provider 1073570230

NPI: 1073570230Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,630,155

Total Claims

230K

Beneficiaries

204K

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$951K
+51%
2019
$1.4M
+21%
2020
$1.7M
-20%
2021
$1.4M
-14%
2022
$1.2M
+27%
2023
$1.5M
-5%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4253 (Blood glucose test strips)) accounts for 15% of total spending.

A4253Top 5%

Blood glucose test strips

$1.5M

21K claims · 15.2%

Your Cost: $69.63/claim|Median: $6.92
10.1× median
T4527Normal range

Adult-sized disposable incontinence product, large

$789K

8,855 claims · 8.2%

Your Cost: $89.11/claim|Median: $99.53
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$611K

12K claims · 6.3%

Your Cost: $52.12/claim|Median: $42.03
1.2× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$599K

8,170 claims · 6.2%

Your Cost: $73.32/claim|Median: $88.94
0.8× median
E0601Top 10%

Continuous positive airway pressure (CPAP) device

$543K

7,763 claims · 5.6%

Your Cost: $69.91/claim|Median: $35.30
2.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$489K

5,106 claims · 5.1%

Your Cost: $95.82/claim|Median: $105.14
0.9× median
A7031Top 1%

$382K

4,532 claims · 4.0%

Your Cost: $84.19/claim|Median: $25.17
3.3× median
A4215Normal range

Sterile needle, each

$307K

9,319 claims · 3.2%

Your Cost: $32.92/claim|Median: $20.71
1.6× median
A7030Top 10%

Full face mask for CPAP device

$290K

2,907 claims · 3.0%

Your Cost: $99.83/claim|Median: $56.36
1.8× median
A7032Top 5%

$257K

2,985 claims · 2.7%

Your Cost: $86.14/claim|Median: $25.48
3.4× median
E1390Normal range

Oxygen concentrator, single delivery port

$255K

5,510 claims · 2.6%

Your Cost: $46.31/claim|Median: $45.11
1.0× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$254K

3,068 claims · 2.6%

Your Cost: $82.73/claim|Median: $110.54
0.7× median
A4927Normal range

Gloves, non-sterile, per 100

$248K

21K claims · 2.6%

Your Cost: $11.94/claim|Median: $12.90
0.9× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$219K

1,861 claims · 2.3%

Your Cost: $117.61/claim|Median: $177.75
0.7× median
T4523Normal range

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

$190K

1,892 claims · 2.0%

Your Cost: $100.41/claim|Median: $96.13
1.0× median
A4259Top 10%

Lancets for blood glucose testing

$176K

16K claims · 1.8%

Your Cost: $10.88/claim|Median: $2.27
4.8× median
T4522Normal range

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

$167K

1,939 claims · 1.7%

Your Cost: $85.94/claim|Median: $84.50
1.0× median
A4604Top 25%

$165K

4,831 claims · 1.7%

Your Cost: $34.22/claim|Median: $22.01
1.6× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$157K

7,851 claims · 1.6%

Your Cost: $20.01/claim|Median: $18.68
1.1× median
E0260Normal range

Hospital bed, semi-electric

$157K

5,368 claims · 1.6%

Your Cost: $29.20/claim|Median: $23.07
1.3× median
A7034Top 25%

$153K

2,539 claims · 1.6%

Your Cost: $60.45/claim|Median: $35.90
1.7× median
T4537Top 25%

$152K

3,766 claims · 1.6%

Your Cost: $40.38/claim|Median: $31.50
1.3× median
E0570Normal range

Nebulizer, with compressor

$150K

7,483 claims · 1.6%

Your Cost: $20.08/claim|Median: $16.16
1.2× median
K0001Normal range

Standard wheelchair

$133K

7,626 claims · 1.4%

Your Cost: $17.46/claim|Median: $12.27
1.4× median
A4239Top 10%

Supply allowance for non-insulin pump CGM, per month

$117K

514 claims · 1.2%

Your Cost: $227.95/claim|Median: $73.75
3.1× median
A7035Top 25%

$100K

4,872 claims · 1.0%

Your Cost: $20.55/claim|Median: $13.01
1.6× median
T4524Normal range

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

$100K

1,023 claims · 1.0%

Your Cost: $97.48/claim|Median: $108.31
0.9× median
A7038Top 5%

$97K

7,710 claims · 1.0%

Your Cost: $12.59/claim|Median: $3.53
3.6× median
S8490Normal range

$92K

4,212 claims · 1.0%

Your Cost: $21.82/claim|Median: $22.06
1.0× median
A4670Normal range

$89K

1,781 claims · 0.9%

Your Cost: $50.13/claim|Median: $50.23
1.0× median
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