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Provider 1114978731

NPI: 1114978731Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.5M

$13,481,682

Total Claims

191K

Beneficiaries

179K

1.1 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-27%
2019
$1.6M
+11%
2020
$1.7M
+15%
2021
$2.0M
-2%
2022
$1.9M
+9%
2023
$2.1M
-6%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4353 (Intermittent urinary catheter, with insertion supplies)) accounts for 27% of total spending.

A4353Normal range

Intermittent urinary catheter, with insertion supplies

$3.6M

6,025 claims · 26.9%

Your Cost: $602.04/claim|Median: $508.29
1.2× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$987K

7,407 claims · 7.3%

Your Cost: $133.27/claim|Median: $116.15
1.1× median
T4523Normal range

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

$834K

7,274 claims · 6.2%

Your Cost: $114.67/claim|Median: $96.13
1.2× median
A4352Top 25%

Intermittent urinary catheter, Coude tip, each

$702K

1,443 claims · 5.2%

Your Cost: $486.74/claim|Median: $280.71
1.7× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$665K

14K claims · 4.9%

Your Cost: $46.99/claim|Median: $42.03
1.1× median
A4927Normal range

Gloves, non-sterile, per 100

$659K

36K claims · 4.9%

Your Cost: $18.35/claim|Median: $12.90
1.4× median
T4527Normal range

Adult-sized disposable incontinence product, large

$639K

5,779 claims · 4.7%

Your Cost: $110.63/claim|Median: $99.53
1.1× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$590K

5,626 claims · 4.4%

Your Cost: $104.86/claim|Median: $88.94
1.2× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$584K

15K claims · 4.3%

Your Cost: $38.57/claim|Median: $41.28
0.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$582K

5,127 claims · 4.3%

Your Cost: $113.49/claim|Median: $105.14
1.1× median
T4522Normal range

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

$565K

6,540 claims · 4.2%

Your Cost: $86.41/claim|Median: $84.50
1.0× median
A4554Normal range

Disposable underpads, all sizes

$543K

15K claims · 4.0%

Your Cost: $37.29/claim|Median: $37.02
1.0× median
T4524Normal range

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

$447K

3,783 claims · 3.3%

Your Cost: $118.27/claim|Median: $108.31
1.1× median
T4534Top 25%

Adult-sized disposable underpads/pads, small

$315K

2,158 claims · 2.3%

Your Cost: $145.74/claim|Median: $110.54
1.3× median
A4357Top 5%

Bedside drainage bag, day or night

$149K

4,520 claims · 1.1%

Your Cost: $33.07/claim|Median: $7.46
4.4× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$144K

756 claims · 1.1%

Your Cost: $190.52/claim|Median: $177.75
1.1× median
A4553Normal range

$143K

9,426 claims · 1.1%

Your Cost: $15.18/claim|Median: $15.13
1.0× median
T5999Top 25%

Transportation service, not otherwise classified

$128K

2,644 claims · 0.9%

Your Cost: $48.25/claim|Median: $8.13
5.9× median
A4385Normal range

$121K

2,370 claims · 0.9%

Your Cost: $50.96/claim|Median: $49.51
1.0× median
A4409Normal range

$116K

2,076 claims · 0.9%

Your Cost: $55.93/claim|Median: $61.38
0.9× median
A4349Top 25%

$96K

2,135 claims · 0.7%

Your Cost: $45.04/claim|Median: $28.92
1.6× median
T4530Top 25%

$90K

880 claims · 0.7%

Your Cost: $102.40/claim|Median: $83.90
1.2× median
T4521Top 25%

$89K

882 claims · 0.7%

Your Cost: $100.94/claim|Median: $81.60
1.2× median
A4358Top 10%

$84K

3,725 claims · 0.6%

Your Cost: $22.49/claim|Median: $6.27
3.6× median
A4407Normal range

$76K

1,115 claims · 0.6%

Your Cost: $68.18/claim|Median: $73.73
0.9× median
A4425Normal range

$53K

1,448 claims · 0.4%

Your Cost: $36.53/claim|Median: $38.79
0.9× median
T4533Normal range

Adult disposable incontinence product, youth or small

$36K

400 claims · 0.3%

Your Cost: $91.15/claim|Median: $87.25
1.0× median
T4537Normal range

$36K

1,867 claims · 0.3%

Your Cost: $19.10/claim|Median: $31.50
0.6× median
A4335Top 25%

Incontinence supply, miscellaneous

$35K

2,649 claims · 0.3%

Your Cost: $13.23/claim|Median: $5.54
2.4× median
A9999Normal range

$32K

1,580 claims · 0.2%

Your Cost: $20.15/claim|Median: $39.73
0.5× median
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