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Provider 1083748867

NPI: 1083748867Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,356,274

Total Claims

199K

Beneficiaries

36K

5.6 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-6%
2019
$1.5M
+25%
2020
$1.9M
+6%
2021
$2.0M
-16%
2022
$1.7M
-10%
2023
$1.5M
-26%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 24% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.8M

7,103 claims · 24.3%

Your Cost: $387.75/claim|Median: $465.86
0.8× median
A4223Top 10%

$2.1M

5,399 claims · 18.6%

Your Cost: $391.25/claim|Median: $60.92
6.4× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.8M

106K claims · 15.4%

Your Cost: $16.54/claim|Median: $117.24
0.1× median
S9342Top 25%

Home infusion therapy, continuous or intermittent, per diem

$1.2M

3,482 claims · 10.4%

Your Cost: $337.93/claim|Median: $176.25
1.9× median
B4160Normal range

Enteral formula, per 100 calories

$615K

4,305 claims · 5.4%

Your Cost: $142.78/claim|Median: $157.30
0.9× median
A4222Top 25%

$552K

3,021 claims · 4.9%

Your Cost: $182.87/claim|Median: $62.70
2.9× median
B4034Normal range

$540K

29K claims · 4.8%

Your Cost: $18.59/claim|Median: $46.28
0.4× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$465K

6,279 claims · 4.1%

Your Cost: $74.08/claim|Median: $92.20
0.8× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$224K

3,701 claims · 2.0%

Your Cost: $60.41/claim|Median: $89.79
0.7× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$211K

11K claims · 1.9%

Your Cost: $19.60/claim|Median: $16.19
1.2× median
B4153Normal range

$203K

1,373 claims · 1.8%

Your Cost: $147.63/claim|Median: $410.73
0.4× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$188K

3,191 claims · 1.7%

Your Cost: $58.87/claim|Median: $300.16
0.2× median
A4305Top 25%

$170K

1,172 claims · 1.5%

Your Cost: $145.11/claim|Median: $76.95
1.9× median
B4088Normal range

$166K

2,892 claims · 1.5%

Your Cost: $57.35/claim|Median: $73.20
0.8× median
B4185Normal range

$86K

743 claims · 0.8%

Your Cost: $115.16/claim|Median: $134.70
0.9× median
B4155Normal range

$53K

2,255 claims · 0.5%

Your Cost: $23.58/claim|Median: $46.72
0.5× median
S9343Normal range

$33K

256 claims · 0.3%

Your Cost: $127.72/claim|Median: $99.47
1.3× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$29K

5,603 claims · 0.3%

Your Cost: $5.12/claim|Median: $1.53
3.3× median
B4036Normal range

$16K

927 claims · 0.1%

Your Cost: $17.15/claim|Median: $74.87
0.2× median
B9002Normal range

$5K

369 claims · 0.0%

Your Cost: $12.73/claim|Median: $54.41
0.2× median
99601Normal range

$2K

25 claims · 0.0%

Your Cost: $79.88/claim|Median: $82.41
1.0× median
J0696Top 25%

$2K

173 claims · 0.0%

Your Cost: $11.39/claim|Median: $1.34
8.5× median
E0776Normal range

$686

506 claims · 0.0%

Your Cost: $1.36/claim|Median: $8.13
0.2× median
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