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Provider 1154349157

NPI: 1154349157Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.4M

$16,385,435

Total Claims

204K

Beneficiaries

202K

1.0 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+4%
2019
$2.2M
+6%
2020
$2.4M
+4%
2021
$2.5M
-6%
2022
$2.3M
+3%
2023
$2.4M
+1%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 17% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.7M

5,232 claims · 16.6%

Your Cost: $520.84/claim|Median: $465.86
1.1× median
B4160Normal range

Enteral formula, per 100 calories

$1.4M

9,607 claims · 8.7%

Your Cost: $148.13/claim|Median: $157.30
0.9× median
A4927Top 10%

Gloves, non-sterile, per 100

$1.4M

46K claims · 8.5%

Your Cost: $30.55/claim|Median: $12.90
2.4× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.3M

27K claims · 8.0%

Your Cost: $48.28/claim|Median: $41.28
1.2× median
T4523Top 25%

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

$1.2M

10K claims · 7.5%

Your Cost: $119.77/claim|Median: $96.13
1.2× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$849K

5,929 claims · 5.2%

Your Cost: $143.26/claim|Median: $89.79
1.6× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$775K

13K claims · 4.7%

Your Cost: $61.64/claim|Median: $42.03
1.5× median
T4534Top 25%

Adult-sized disposable underpads/pads, small

$705K

4,677 claims · 4.3%

Your Cost: $150.67/claim|Median: $110.54
1.4× median
T4522Normal range

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

$698K

7,441 claims · 4.3%

Your Cost: $93.82/claim|Median: $84.50
1.1× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$668K

5,030 claims · 4.1%

Your Cost: $132.74/claim|Median: $105.14
1.3× median
T4524Top 25%

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

$650K

4,315 claims · 4.0%

Your Cost: $150.54/claim|Median: $108.31
1.4× median
T4527Normal range

Adult-sized disposable incontinence product, large

$646K

5,989 claims · 3.9%

Your Cost: $107.80/claim|Median: $99.53
1.1× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$612K

6,164 claims · 3.7%

Your Cost: $99.29/claim|Median: $88.94
1.1× median
B4100Top 25%

$566K

5,852 claims · 3.5%

Your Cost: $96.75/claim|Median: $67.58
1.4× median
T4543Top 25%

Pediatric-sized disposable incontinence product, above XL

$513K

1,922 claims · 3.1%

Your Cost: $266.72/claim|Median: $177.75
1.5× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$399K

2,668 claims · 2.4%

Your Cost: $149.66/claim|Median: $92.20
1.6× median
T4537Normal range

$395K

25K claims · 2.4%

Your Cost: $15.85/claim|Median: $31.50
0.5× median
T4530Top 25%

$271K

2,222 claims · 1.7%

Your Cost: $122.10/claim|Median: $83.90
1.5× median
A4351Top 25%

Intermittent urinary catheter, straight tip, each

$174K

1,013 claims · 1.1%

Your Cost: $171.48/claim|Median: $116.15
1.5× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$148K

713 claims · 0.9%

Your Cost: $208.26/claim|Median: $117.24
1.8× median
B4087Top 10%

$65K

607 claims · 0.4%

Your Cost: $106.30/claim|Median: $25.27
4.2× median
T4532Top 25%

$56K

367 claims · 0.3%

Your Cost: $153.25/claim|Median: $116.50
1.3× median
A4349Normal range

$28K

729 claims · 0.2%

Your Cost: $38.68/claim|Median: $28.92
1.3× median
A9901Normal range

$19K

6,424 claims · 0.1%

Your Cost: $3.00/claim|Median: $5.31
0.6× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$18K

43 claims · 0.1%

Your Cost: $416.22/claim|Median: $508.29
0.8× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$14K

1,495 claims · 0.1%

Your Cost: $9.23/claim|Median: $9.88
0.9× median
B4154Normal range

$11K

95 claims · 0.1%

Your Cost: $120.07/claim|Median: $132.96
0.9× median
A4357Normal range

Bedside drainage bag, day or night

$9K

2,410 claims · 0.1%

Your Cost: $3.72/claim|Median: $7.46
0.5× median
A6402Normal range

$4K

478 claims · 0.0%

Your Cost: $9.22/claim|Median: $7.69
1.2× median
A4358Normal range

$4K

1,168 claims · 0.0%

Your Cost: $3.17/claim|Median: $6.27
0.5× median
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