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Provider 1164536025

NPI: 1164536025Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.1M

$11,144,865

Total Claims

57K

Beneficiaries

48K

1.2 claims/patient

Avg Cost/Claim

$197

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-23%
2019
$1.2M
+37%
2020
$1.6M
+29%
2021
$2.1M
-15%
2022
$1.8M
-22%
2023
$1.4M
+1%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 32% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$3.5M

8,014 claims · 31.6%

Your Cost: $439.58/claim|Median: $465.86
0.9× median
B4035Top 5%

Enteral feeding supply kit, pump fed, per day

$2.6M

9,258 claims · 23.6%

Your Cost: $284.59/claim|Median: $117.24
2.4× median
B4087Top 5%

$1.3M

8,364 claims · 12.0%

Your Cost: $159.92/claim|Median: $25.27
6.3× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$1.3M

5,765 claims · 11.2%

Your Cost: $216.95/claim|Median: $300.16
0.7× median
B4160Normal range

Enteral formula, per 100 calories

$656K

6,428 claims · 5.9%

Your Cost: $102.10/claim|Median: $157.30
0.6× median
B9002Top 25%

$576K

5,477 claims · 5.2%

Your Cost: $105.09/claim|Median: $54.41
1.9× median
B4088Normal range

$247K

2,651 claims · 2.2%

Your Cost: $93.12/claim|Median: $73.20
1.3× median
B4034Top 5%

$158K

1,057 claims · 1.4%

Your Cost: $149.65/claim|Median: $46.28
3.2× median
A4222Top 5%

$142K

394 claims · 1.3%

Your Cost: $359.57/claim|Median: $62.70
5.7× median
B4155Normal range

$102K

1,932 claims · 0.9%

Your Cost: $52.96/claim|Median: $46.72
1.1× median
B4036Top 1%

$92K

417 claims · 0.8%

Your Cost: $219.78/claim|Median: $74.87
2.9× median
B4100Normal range

$90K

2,031 claims · 0.8%

Your Cost: $44.46/claim|Median: $67.58
0.7× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$79K

697 claims · 0.7%

Your Cost: $113.34/claim|Median: $92.20
1.2× median
99601Top 25%

$79K

664 claims · 0.7%

Your Cost: $118.36/claim|Median: $82.41
1.4× median
B4103Normal range

$64K

711 claims · 0.6%

Your Cost: $90.29/claim|Median: $82.54
1.1× median
A4221Top 25%

Supplies for maintenance of drug infusion catheter

$35K

1,262 claims · 0.3%

Your Cost: $28.08/claim|Median: $16.19
1.7× median
B4081Normal range

$24K

530 claims · 0.2%

Your Cost: $45.46/claim|Median: $36.64
1.2× median
90378Normal range

$20K

16 claims · 0.2%

Your Cost: $1,233.08/claim|Median: $1,627.19
0.8× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$14K

143 claims · 0.1%

Your Cost: $96.63/claim|Median: $89.79
1.1× median
E0776Top 25%

$12K

462 claims · 0.1%

Your Cost: $25.41/claim|Median: $8.13
3.1× median
T4533Normal range

Adult disposable incontinence product, youth or small

$9K

259 claims · 0.1%

Your Cost: $33.15/claim|Median: $87.25
0.4× median
B4158Normal range

$968

13 claims · 0.0%

Your Cost: $74.49/claim|Median: $145.71
0.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$60

19 claims · 0.0%

Your Cost: $3.17/claim|Median: $9.56
0.3× median
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