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Provider 1144618794

NPI: 1144618794Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,553,916

Total Claims

199K

Beneficiaries

194K

1.0 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$787K
+37%
2019
$1.1M
+4%
2020
$1.1M
+22%
2021
$1.4M
+7%
2022
$1.5M
-7%
2023
$1.4M
+2%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4554 (Disposable underpads, all sizes)) accounts for 18% of total spending.

A4554Normal range

Disposable underpads, all sizes

$1.6M

36K claims · 18.4%

Your Cost: $43.35/claim|Median: $37.02
1.2× median
T4523Normal range

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

$1.4M

15K claims · 15.8%

Your Cost: $90.45/claim|Median: $96.13
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.3M

37K claims · 15.2%

Your Cost: $34.90/claim|Median: $42.03
0.8× median
T4524Normal range

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

$936K

9,621 claims · 10.9%

Your Cost: $97.31/claim|Median: $108.31
0.9× median
T4539Normal range

$767K

26K claims · 9.0%

Your Cost: $30.06/claim|Median: $27.96
1.1× median
T4537Normal range

$517K

14K claims · 6.0%

Your Cost: $36.33/claim|Median: $31.50
1.2× median
L3030Top 25%

Foot insert, removable, UCB-type, Berkeley shell, each

$511K

6,898 claims · 6.0%

Your Cost: $74.14/claim|Median: $61.03
1.2× median
T4522Normal range

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

$326K

5,700 claims · 3.8%

Your Cost: $57.14/claim|Median: $84.50
0.7× median
L3216Normal range

$266K

3,964 claims · 3.1%

Your Cost: $67.05/claim|Median: $56.74
1.2× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$203K

1,221 claims · 2.4%

Your Cost: $166.24/claim|Median: $177.75
0.9× median
L3002Normal range

$200K

1,824 claims · 2.3%

Your Cost: $109.85/claim|Median: $102.74
1.1× median
L3221Normal range

$132K

1,712 claims · 1.5%

Your Cost: $77.38/claim|Median: $60.92
1.3× median
T4540Normal range

$132K

6,879 claims · 1.5%

Your Cost: $19.18/claim|Median: $17.85
1.1× median
A4927Normal range

Gloves, non-sterile, per 100

$132K

29K claims · 1.5%

Your Cost: $4.55/claim|Median: $12.90
0.4× median
L3217Top 25%

$74K

794 claims · 0.9%

Your Cost: $93.61/claim|Median: $74.76
1.3× median
A6530Normal range

$28K

753 claims · 0.3%

Your Cost: $36.55/claim|Median: $49.70
0.7× median
A4670Normal range

$20K

335 claims · 0.2%

Your Cost: $58.30/claim|Median: $50.23
1.2× median
L3410Normal range

$18K

284 claims · 0.2%

Your Cost: $63.51/claim|Median: $57.70
1.1× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$8K

327 claims · 0.1%

Your Cost: $24.95/claim|Median: $33.21
0.8× median
L3222Top 25%

$7K

74 claims · 0.1%

Your Cost: $96.05/claim|Median: $85.13
1.1× median
L3010Top 10%

Foot insert, removable, longitudinal-metatarsal support, each

$6K

28 claims · 0.1%

Your Cost: $229.27/claim|Median: $133.98
1.7× median
L3340Top 10%

$6K

115 claims · 0.1%

Your Cost: $49.01/claim|Median: $34.38
1.4× median
A6540Normal range

$5K

27 claims · 0.1%

Your Cost: $196.24/claim|Median: $160.99
1.2× median
L3219Top 1%

$5K

29 claims · 0.1%

Your Cost: $177.76/claim|Median: $76.91
2.3× median
A4335Top 25%

Incontinence supply, miscellaneous

$5K

418 claims · 0.1%

Your Cost: $11.35/claim|Median: $5.54
2.0× median
A5512Normal range

Diabetic shoe insert, custom molded, each

$5K

294 claims · 0.1%

Your Cost: $16.12/claim|Median: $24.01
0.7× median
L3001Top 25%

$3K

30 claims · 0.0%

Your Cost: $114.05/claim|Median: $83.05
1.4× median
L3060Normal range

Foot insert, removable, soft foam, longitudinal arch support

$3K

51 claims · 0.0%

Your Cost: $63.56/claim|Median: $50.97
1.2× median
E0240Normal range

$1K

40 claims · 0.0%

Your Cost: $36.04/claim|Median: $62.75
0.6× median
E1399Normal range

Durable medical equipment, miscellaneous

$1K

206 claims · 0.0%

Your Cost: $5.94/claim|Median: $104.06
0.1× median
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