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Provider 1083793566

NPI: 1083793566Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.4M

$16,420,794

Total Claims

59K

Beneficiaries

44K

1.3 claims/patient

Avg Cost/Claim

$278

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+49%
2019
$1.9M
+23%
2020
$2.3M
+22%
2021
$2.8M
-1%
2022
$2.8M
-1%
2023
$2.8M
-12%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 48% of total spending.

S9342Top 5%

Home infusion therapy, continuous or intermittent, per diem

$7.8M

13K claims · 47.6%

Your Cost: $604.70/claim|Median: $176.25
3.4× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.7M

3,318 claims · 10.2%

Your Cost: $503.63/claim|Median: $465.86
1.1× median
99601Top 5%

$1.4M

9,385 claims · 8.5%

Your Cost: $148.40/claim|Median: $82.41
1.8× median
S9343Top 5%

$1.2M

2,088 claims · 7.2%

Your Cost: $565.12/claim|Median: $99.47
5.7× median
B4160Normal range

Enteral formula, per 100 calories

$975K

4,649 claims · 5.9%

Your Cost: $209.78/claim|Median: $157.30
1.3× median
S9500Top 25%

$842K

2,654 claims · 5.1%

Your Cost: $317.09/claim|Median: $144.40
2.2× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$514K

1,815 claims · 3.1%

Your Cost: $283.19/claim|Median: $300.16
0.9× median
S5161Normal range

Emergency response system, per month

$312K

11K claims · 1.9%

Your Cost: $27.66/claim|Median: $29.97
0.9× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$262K

1,577 claims · 1.6%

Your Cost: $166.31/claim|Median: $117.24
1.4× median
S5501Top 25%

$213K

1,881 claims · 1.3%

Your Cost: $113.05/claim|Median: $43.74
2.6× median
B4152Top 10%

Enteral formula, calorically dense, per 100 calories

$202K

1,074 claims · 1.2%

Your Cost: $187.65/claim|Median: $92.20
2.0× median
S9379Top 10%

$187K

910 claims · 1.1%

Your Cost: $205.75/claim|Median: $70.89
2.9× median
S9502Top 25%

$166K

492 claims · 1.0%

Your Cost: $336.78/claim|Median: $165.71
2.0× median
S9330Normal range

$112K

806 claims · 0.7%

Your Cost: $139.34/claim|Median: $113.82
1.2× median
B4150Top 5%

Enteral formula, nutritionally complete with fiber, per 100 calories

$96K

452 claims · 0.6%

Your Cost: $211.98/claim|Median: $89.79
2.4× median
B4088Top 5%

$86K

503 claims · 0.5%

Your Cost: $171.65/claim|Median: $73.20
2.3× median
J2930Top 1%

$75K

877 claims · 0.5%

Your Cost: $85.91/claim|Median: $3.03
28.4× median
B4153Top 25%

$69K

100 claims · 0.4%

Your Cost: $691.89/claim|Median: $410.73
1.7× median
S9490Top 1%

$68K

572 claims · 0.4%

Your Cost: $118.68/claim|Median: $60.49
2.0× median
S9501Top 10%

$65K

188 claims · 0.4%

Your Cost: $345.05/claim|Median: $160.52
2.1× median
S9374Top 25%

$43K

224 claims · 0.3%

Your Cost: $193.70/claim|Median: $136.10
1.4× median
J9190Top 25%

$17K

621 claims · 0.1%

Your Cost: $26.82/claim|Median: $9.86
2.7× median
B4158Normal range

$13K

108 claims · 0.1%

Your Cost: $124.66/claim|Median: $145.71
0.9× median
B4154Top 25%

$11K

50 claims · 0.1%

Your Cost: $222.56/claim|Median: $132.96
1.7× median
J3370Top 1%

$10K

60 claims · 0.1%

Your Cost: $165.19/claim|Median: $2.40
68.8× median
S5502Top 5%

$8K

80 claims · 0.0%

Your Cost: $96.14/claim|Median: $25.28
3.8× median
B4155Normal range

$7K

202 claims · 0.0%

Your Cost: $36.97/claim|Median: $46.72
0.8× median
B4185Normal range

$3K

42 claims · 0.0%

Your Cost: $69.01/claim|Median: $134.70
0.5× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$2K

100 claims · 0.0%

Your Cost: $20.55/claim|Median: $16.19
1.3× median
S5160Normal range

Emergency response system, per month

$1K

42 claims · 0.0%

Your Cost: $30.95/claim|Median: $38.52
0.8× median
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