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Unknown Provider 1093814774

NPI: 1093814774Share
Active Billing Period:2018-01→2022-12(60 months)
Billing appears to have stoppedLast active: 2022-12

Total Paid

$25.8M

$25,750,790

Total Claims

433K

Beneficiaries

358K

1.2 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$5.8M
-12%
2019
$5.1M
-6%
2020
$4.8M
+9%
2021
$5.3M
-8%
2022
$4.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1999 (Miscellaneous therapeutic items and supplies)) accounts for 10% of total spending.

T1999Normal range

Miscellaneous therapeutic items and supplies

$2.6M

74K claims · 10.1%

Your Cost: $35.47/claim|Median: $28.63
1.2× median
T4543Top 1%

Pediatric-sized disposable incontinence product, above XL

$2.2M

3,798 claims · 8.7%

Your Cost: $588.63/claim|Median: $177.75
3.3× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$1.9M

32K claims · 7.4%

Your Cost: $59.26/claim|Median: $42.03
1.4× median
T4527Top 25%

Adult-sized disposable incontinence product, large

$1.7M

13K claims · 6.8%

Your Cost: $133.79/claim|Median: $99.53
1.3× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$1.6M

14K claims · 6.3%

Your Cost: $116.91/claim|Median: $88.94
1.3× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.5M

36K claims · 5.9%

Your Cost: $42.00/claim|Median: $41.28
1.0× median
B4160Normal range

Enteral formula, per 100 calories

$1.3M

6,355 claims · 5.1%

Your Cost: $207.79/claim|Median: $157.30
1.3× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$1.1M

9,160 claims · 4.2%

Your Cost: $117.16/claim|Median: $89.79
1.3× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.0M

7,660 claims · 4.0%

Your Cost: $133.36/claim|Median: $105.14
1.3× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.0M

2,222 claims · 3.9%

Your Cost: $452.14/claim|Median: $465.86
1.0× median
T4534Top 25%

Adult-sized disposable underpads/pads, small

$983K

7,130 claims · 3.8%

Your Cost: $137.89/claim|Median: $110.54
1.2× median
T4537Top 25%

$839K

18K claims · 3.3%

Your Cost: $47.17/claim|Median: $31.50
1.5× median
A9999Normal range

$814K

26K claims · 3.2%

Your Cost: $30.87/claim|Median: $39.73
0.8× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$650K

4,905 claims · 2.5%

Your Cost: $132.60/claim|Median: $92.20
1.4× median
A4927Top 25%

Gloves, non-sterile, per 100

$637K

33K claims · 2.5%

Your Cost: $19.47/claim|Median: $12.90
1.5× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$578K

62K claims · 2.2%

Your Cost: $9.35/claim|Median: $9.88
0.9× median
E1390Top 25%

Oxygen concentrator, single delivery port

$557K

7,602 claims · 2.2%

Your Cost: $73.29/claim|Median: $45.11
1.6× median
B4154Normal range

$541K

3,432 claims · 2.1%

Your Cost: $157.75/claim|Median: $132.96
1.2× median
T4523Top 25%

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

$428K

3,431 claims · 1.7%

Your Cost: $124.82/claim|Median: $96.13
1.3× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$421K

3,056 claims · 1.6%

Your Cost: $137.87/claim|Median: $55.51
2.5× median
T4524Top 25%

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

$374K

2,589 claims · 1.5%

Your Cost: $144.33/claim|Median: $108.31
1.3× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$304K

1,398 claims · 1.2%

Your Cost: $217.11/claim|Median: $117.24
1.9× median
T4522Top 25%

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

$280K

2,572 claims · 1.1%

Your Cost: $109.00/claim|Median: $84.50
1.3× median
B4088Top 10%

$213K

1,436 claims · 0.8%

Your Cost: $148.34/claim|Median: $73.20
2.0× median
B4100Top 25%

$181K

1,246 claims · 0.7%

Your Cost: $145.47/claim|Median: $67.58
2.2× median
E1392Top 5%

$174K

4,818 claims · 0.7%

Your Cost: $36.15/claim|Median: $10.81
3.3× median
T4530Normal range

$165K

1,684 claims · 0.6%

Your Cost: $98.11/claim|Median: $83.90
1.2× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$132K

1,376 claims · 0.5%

Your Cost: $96.10/claim|Median: $116.15
0.8× median
A6530Normal range

$131K

2,790 claims · 0.5%

Your Cost: $47.03/claim|Median: $49.70
0.9× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$125K

680 claims · 0.5%

Your Cost: $183.47/claim|Median: $171.64
1.1× median
A7030Top 25%

Full face mask for CPAP device

$111K

1,215 claims · 0.4%

Your Cost: $90.97/claim|Median: $56.36
1.6× median
B4034Top 25%

$106K

1,091 claims · 0.4%

Your Cost: $96.96/claim|Median: $46.28
2.1× median
A4335Normal range

Incontinence supply, miscellaneous

$82K

11K claims · 0.3%

Your Cost: $7.55/claim|Median: $5.54
1.4× median
A4604Top 25%

$66K

1,925 claims · 0.3%

Your Cost: $34.40/claim|Median: $22.01
1.6× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$62K

1,151 claims · 0.2%

Your Cost: $53.44/claim|Median: $35.30
1.5× median
A7034Top 25%

$60K

982 claims · 0.2%

Your Cost: $60.77/claim|Median: $35.90
1.7× median
B4158Normal range

$57K

301 claims · 0.2%

Your Cost: $187.78/claim|Median: $145.71
1.3× median
A6533Top 25%

$56K

376 claims · 0.2%

Your Cost: $149.55/claim|Median: $74.92
2.0× median
A7031Top 25%

$55K

1,603 claims · 0.2%

Your Cost: $34.30/claim|Median: $25.17
1.4× median
E0570Normal range

Nebulizer, with compressor

$54K

2,373 claims · 0.2%

Your Cost: $22.82/claim|Median: $16.16
1.4× median
T4521Normal range

$40K

481 claims · 0.2%

Your Cost: $84.13/claim|Median: $81.60
1.0× median
E0260Top 5%

Hospital bed, semi-electric

$38K

356 claims · 0.1%

Your Cost: $107.93/claim|Median: $23.07
4.7× median
A7032Normal range

$32K

1,324 claims · 0.1%

Your Cost: $23.88/claim|Median: $25.48
0.9× median
T4525Top 25%

$28K

254 claims · 0.1%

Your Cost: $111.27/claim|Median: $79.46
1.4× median
A7035Top 25%

$28K

1,373 claims · 0.1%

Your Cost: $20.30/claim|Median: $13.01
1.6× median
A4322Top 25%

$25K

734 claims · 0.1%

Your Cost: $33.93/claim|Median: $14.10
2.4× median
E0431Normal range

Portable gaseous oxygen system, rental

$24K

1,995 claims · 0.1%

Your Cost: $11.80/claim|Median: $10.37
1.1× median
A4628Top 25%

$23K

1,183 claims · 0.1%

Your Cost: $19.24/claim|Median: $7.48
2.6× median
K0001Top 10%

Standard wheelchair

$22K

703 claims · 0.1%

Your Cost: $30.78/claim|Median: $12.27
2.5× median
A7038Normal range

$17K

4,591 claims · 0.1%

Your Cost: $3.62/claim|Median: $3.53
1.0× median
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