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Provider 1164556213

NPI: 1164556213Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,371,138

Total Claims

92K

Beneficiaries

43K

2.1 claims/patient

Avg Cost/Claim

$134

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+9%
2019
$1.6M
+9%
2020
$1.8M
-5%
2021
$1.7M
-10%
2022
$1.5M
+58%
2023
$2.4M
-26%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 29% of total spending.

B4161Top 5%

Enteral formula, semisolid, 100 calories = 1 unit

$3.6M

3,832 claims · 28.9%

Your Cost: $932.11/claim|Median: $465.86
2.0× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$2.3M

21K claims · 18.2%

Your Cost: $109.03/claim|Median: $117.24
0.9× median
A4222Top 25%

$1.5M

7,330 claims · 12.2%

Your Cost: $205.72/claim|Median: $62.70
3.3× median
B4160Normal range

Enteral formula, per 100 calories

$1.2M

6,033 claims · 10.1%

Your Cost: $206.14/claim|Median: $157.30
1.3× median
A4223Top 10%

$1.0M

2,612 claims · 8.4%

Your Cost: $398.05/claim|Median: $60.92
6.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$504K

7,404 claims · 4.1%

Your Cost: $68.02/claim|Median: $92.20
0.7× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$334K

17K claims · 2.7%

Your Cost: $19.72/claim|Median: $16.19
1.2× median
B4185Normal range

$330K

2,751 claims · 2.7%

Your Cost: $119.94/claim|Median: $134.70
0.9× median
A4305Normal range

$315K

2,390 claims · 2.5%

Your Cost: $131.61/claim|Median: $76.95
1.7× median
B4034Normal range

$288K

5,542 claims · 2.3%

Your Cost: $52.03/claim|Median: $46.28
1.1× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$243K

3,675 claims · 2.0%

Your Cost: $66.10/claim|Median: $89.79
0.7× median
B4224Normal range

$206K

2,939 claims · 1.7%

Your Cost: $70.10/claim|Median: $78.83
0.9× median
B9002Normal range

$141K

1,835 claims · 1.1%

Your Cost: $77.02/claim|Median: $54.41
1.4× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$122K

1,462 claims · 1.0%

Your Cost: $83.43/claim|Median: $300.16
0.3× median
B4153Normal range

$106K

283 claims · 0.9%

Your Cost: $375.48/claim|Median: $410.73
0.9× median
B4088Normal range

$78K

2,660 claims · 0.6%

Your Cost: $29.46/claim|Median: $73.20
0.4× median
B4220Normal range

$61K

2,941 claims · 0.5%

Your Cost: $20.90/claim|Median: $27.49
0.8× median
E0781Top 25%

$13K

83 claims · 0.1%

Your Cost: $155.40/claim|Median: $54.38
2.9× median
B4155Normal range

$10K

270 claims · 0.1%

Your Cost: $35.33/claim|Median: $46.72
0.8× median
E0776Normal range

$2K

575 claims · 0.0%

Your Cost: $3.24/claim|Median: $8.13
0.4× median
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