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Provider 1164410635

NPI: 1164410635Share
Active Billing Period:2018-12→2024-12(73 months)

Total Paid

$7.9M

$7,914,328

Total Claims

272K

Beneficiaries

257K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$49K
+2541%
2019
$1.3M
-4%
2020
$1.3M
-7%
2021
$1.2M
+12%
2022
$1.3M
+18%
2023
$1.5M
-17%
2024
$1.3M

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 17% of total spending.

A4554Normal range

Disposable underpads, all sizes

$1.3M

47K claims · 16.7%

Your Cost: $28.13/claim|Median: $37.02
0.8× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.1M

23K claims · 14.4%

Your Cost: $49.26/claim|Median: $88.94
0.6× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.0M

20K claims · 12.7%

Your Cost: $48.97/claim|Median: $99.53
0.5× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$723K

12K claims · 9.1%

Your Cost: $59.59/claim|Median: $105.14
0.6× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$445K

10K claims · 5.6%

Your Cost: $42.54/claim|Median: $42.03
1.0× median
A4245Top 25%

$391K

61K claims · 4.9%

Your Cost: $6.42/claim|Median: $2.33
2.8× median
T4524Normal range

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

$337K

5,113 claims · 4.3%

Your Cost: $65.93/claim|Median: $108.31
0.6× median
T4523Normal range

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

$330K

5,416 claims · 4.2%

Your Cost: $60.96/claim|Median: $96.13
0.6× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$324K

2,513 claims · 4.1%

Your Cost: $128.87/claim|Median: $110.54
1.2× median
T4522Normal range

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

$303K

4,142 claims · 3.8%

Your Cost: $73.08/claim|Median: $84.50
0.9× median
A4927Normal range

Gloves, non-sterile, per 100

$299K

47K claims · 3.8%

Your Cost: $6.36/claim|Median: $12.90
0.5× median
A5120Top 25%

$186K

14K claims · 2.4%

Your Cost: $13.40/claim|Median: $6.35
2.1× median
T4530Normal range

$164K

1,724 claims · 2.1%

Your Cost: $95.26/claim|Median: $83.90
1.1× median
T4525Normal range

$138K

2,454 claims · 1.7%

Your Cost: $56.30/claim|Median: $79.46
0.7× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$131K

1,151 claims · 1.7%

Your Cost: $113.59/claim|Median: $177.75
0.6× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$127K

1,693 claims · 1.6%

Your Cost: $74.80/claim|Median: $171.64
0.4× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$89K

152 claims · 1.1%

Your Cost: $587.32/claim|Median: $508.29
1.2× median
T4521Normal range

$84K

859 claims · 1.1%

Your Cost: $97.61/claim|Median: $81.60
1.2× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$64K

2,098 claims · 0.8%

Your Cost: $30.29/claim|Median: $41.28
0.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$64K

605 claims · 0.8%

Your Cost: $105.01/claim|Median: $89.79
1.2× median
A4351Top 25%

Intermittent urinary catheter, straight tip, each

$40K

197 claims · 0.5%

Your Cost: $204.10/claim|Median: $116.15
1.8× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$30K

1,916 claims · 0.4%

Your Cost: $15.46/claim|Median: $9.88
1.6× median
A4409Top 25%

$29K

338 claims · 0.4%

Your Cost: $85.79/claim|Median: $61.38
1.4× median
S5199Top 25%

Personal care item, NOS, each

$24K

438 claims · 0.3%

Your Cost: $55.42/claim|Median: $10.82
5.1× median
A6402Top 5%

$22K

454 claims · 0.3%

Your Cost: $48.81/claim|Median: $7.69
6.3× median
E1399Normal range

Durable medical equipment, miscellaneous

$17K

74 claims · 0.2%

Your Cost: $223.37/claim|Median: $104.06
2.1× median
A4425Normal range

$13K

298 claims · 0.2%

Your Cost: $42.56/claim|Median: $38.79
1.1× median
A4385Normal range

$13K

602 claims · 0.2%

Your Cost: $20.97/claim|Median: $49.51
0.4× median
A4358Top 1%

$9K

167 claims · 0.1%

Your Cost: $51.18/claim|Median: $6.27
8.2× median
A4456Normal range

$8K

1,377 claims · 0.1%

Your Cost: $5.81/claim|Median: $6.74
0.9× median
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