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Provider 1164530630

NPI: 1164530630Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.5M

$15,534,742

Total Claims

195K

Beneficiaries

176K

1.1 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-2%
2019
$2.6M
-15%
2020
$2.2M
-1%
2021
$2.2M
-5%
2022
$2.1M
+1%
2023
$2.1M
-15%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 14% of total spending.

E1399Normal range

Durable medical equipment, miscellaneous

$2.2M

5,942 claims · 14.0%

Your Cost: $364.86/claim|Median: $104.06
3.5× median
B4035Top 10%

Enteral feeding supply kit, pump fed, per day

$1.3M

4,932 claims · 8.4%

Your Cost: $264.26/claim|Median: $117.24
2.3× median
K0108Normal range

Wheelchair component or accessory, NOS

$843K

4,337 claims · 5.4%

Your Cost: $194.44/claim|Median: $153.75
1.3× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$748K

7,419 claims · 4.8%

Your Cost: $100.86/claim|Median: $110.54
0.9× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$717K

2,228 claims · 4.6%

Your Cost: $321.85/claim|Median: $300.16
1.1× median
B4153Normal range

$606K

1,136 claims · 3.9%

Your Cost: $533.06/claim|Median: $410.73
1.3× median
T4522Normal range

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

$531K

5,927 claims · 3.4%

Your Cost: $89.51/claim|Median: $84.50
1.1× median
T4523Normal range

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

$521K

4,723 claims · 3.4%

Your Cost: $110.22/claim|Median: $96.13
1.1× median
A6212Top 5%

$507K

1,317 claims · 3.3%

Your Cost: $384.79/claim|Median: $76.51
5.0× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$464K

11K claims · 3.0%

Your Cost: $40.39/claim|Median: $41.28
1.0× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$448K

739 claims · 2.9%

Your Cost: $605.79/claim|Median: $465.86
1.3× median
A4927Normal range

Gloves, non-sterile, per 100

$408K

28K claims · 2.6%

Your Cost: $14.82/claim|Median: $12.90
1.1× median
A4335Top 10%

Incontinence supply, miscellaneous

$383K

13K claims · 2.5%

Your Cost: $29.18/claim|Median: $5.54
5.3× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$378K

4,019 claims · 2.4%

Your Cost: $93.97/claim|Median: $88.94
1.1× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$354K

2,546 claims · 2.3%

Your Cost: $138.89/claim|Median: $116.15
1.2× median
T4537Normal range

$337K

9,413 claims · 2.2%

Your Cost: $35.80/claim|Median: $31.50
1.1× median
T4525Normal range

$327K

3,337 claims · 2.1%

Your Cost: $98.12/claim|Median: $79.46
1.2× median
E1390Top 10%

Oxygen concentrator, single delivery port

$264K

2,818 claims · 1.7%

Your Cost: $93.73/claim|Median: $45.11
2.1× median
B4160Normal range

Enteral formula, per 100 calories

$264K

1,996 claims · 1.7%

Your Cost: $132.21/claim|Median: $157.30
0.8× median
T4527Normal range

Adult-sized disposable incontinence product, large

$254K

2,360 claims · 1.6%

Your Cost: $107.46/claim|Median: $99.53
1.1× median
T4530Normal range

$224K

3,263 claims · 1.4%

Your Cost: $68.53/claim|Median: $83.90
0.8× median
T4532Normal range

$187K

2,485 claims · 1.2%

Your Cost: $75.30/claim|Median: $116.50
0.6× median
T4524Top 25%

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

$187K

1,372 claims · 1.2%

Your Cost: $136.38/claim|Median: $108.31
1.3× median
A4217Top 5%

Sterile water or saline for nebulizer, per unit

$172K

1,942 claims · 1.1%

Your Cost: $88.81/claim|Median: $13.14
6.8× median
K0739Top 10%

$163K

1,638 claims · 1.0%

Your Cost: $99.57/claim|Median: $34.09
2.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$148K

1,412 claims · 1.0%

Your Cost: $104.76/claim|Median: $105.14
1.0× median
B4088Normal range

$148K

2,072 claims · 0.9%

Your Cost: $71.22/claim|Median: $73.20
1.0× median
A4624Top 5%

$146K

561 claims · 0.9%

Your Cost: $260.00/claim|Median: $107.53
2.4× median
A4606Normal range

$143K

2,715 claims · 0.9%

Your Cost: $52.62/claim|Median: $50.63
1.0× median
B4034Top 10%

$139K

1,129 claims · 0.9%

Your Cost: $123.44/claim|Median: $46.28
2.7× median
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