Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1104174838

NPI: 1104174838Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,171,815

Total Claims

321K

Beneficiaries

317K

1.0 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$938K
+20%
2019
$1.1M
+33%
2020
$1.5M
+7%
2021
$1.6M
+2%
2022
$1.6M
+3%
2023
$1.7M
+1%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T4541 (Pediatric-sized disposable incontinence product, large)) accounts for 41% of total spending.

T4541Top 25%

Pediatric-sized disposable incontinence product, large

$4.2M

71K claims · 41.2%

Your Cost: $58.64/claim|Median: $41.28
1.4× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$2.7M

57K claims · 26.6%

Your Cost: $47.46/claim|Median: $42.03
1.1× median
T4527Normal range

Adult-sized disposable incontinence product, large

$635K

9,293 claims · 6.2%

Your Cost: $68.29/claim|Median: $99.53
0.7× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$607K

11K claims · 6.0%

Your Cost: $54.49/claim|Median: $88.94
0.6× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$585K

58K claims · 5.7%

Your Cost: $10.02/claim|Median: $9.88
1.0× median
T4536Normal range

Adult disposable incontinence product, pull-on, large

$443K

37K claims · 4.4%

Your Cost: $11.84/claim|Median: $11.57
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$265K

3,953 claims · 2.6%

Your Cost: $67.13/claim|Median: $105.14
0.6× median
A4335Normal range

Incontinence supply, miscellaneous

$191K

51K claims · 1.9%

Your Cost: $3.77/claim|Median: $5.54
0.7× median
A4927Normal range

Gloves, non-sterile, per 100

$163K

13K claims · 1.6%

Your Cost: $12.92/claim|Median: $12.90
1.0× median
T4523Normal range

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

$153K

1,515 claims · 1.5%

Your Cost: $100.66/claim|Median: $96.13
1.0× median
T4537Normal range

$113K

5,207 claims · 1.1%

Your Cost: $21.67/claim|Median: $31.50
0.7× median
T4525Normal range

$64K

1,225 claims · 0.6%

Your Cost: $52.06/claim|Median: $79.46
0.7× median
T4524Normal range

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

$51K

507 claims · 0.5%

Your Cost: $100.52/claim|Median: $108.31
0.9× median
T4522Normal range

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

$8K

107 claims · 0.1%

Your Cost: $75.13/claim|Median: $84.50
0.9× median
← All providersHow we detect fraud →