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Provider 1164736146

NPI: 1164736146Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.1M

$10,148,156

Total Claims

51K

Beneficiaries

49K

1.0 claims/patient

Avg Cost/Claim

$197

Monthly Spending Trend

Yearly Spending

2018
$401K
-9%
2019
$365K
+6%
2020
$387K
+69%
2021
$655K
+195%
2022
$1.9M
+61%
2023
$3.1M
+6%
2024
$3.3M

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 23% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.3M

4,129 claims · 22.7%

Your Cost: $557.70/claim|Median: $465.86
1.2× median
B4157Top 1%

$2.1M

1,150 claims · 20.6%

Your Cost: $1,818.34/claim|Median: $693.97
2.6× median
B4160Top 10%

Enteral formula, per 100 calories

$1.9M

6,068 claims · 18.3%

Your Cost: $306.47/claim|Median: $157.30
1.9× median
B4155Top 5%

$864K

1,489 claims · 8.5%

Your Cost: $580.06/claim|Median: $46.72
12.4× median
B4162Top 1%

$421K

273 claims · 4.1%

Your Cost: $1,542.32/claim|Median: $412.82
3.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$408K

3,940 claims · 4.0%

Your Cost: $103.56/claim|Median: $89.79
1.2× median
B4154Normal range

$355K

2,431 claims · 3.5%

Your Cost: $146.00/claim|Median: $132.96
1.1× median
B9998Top 1%

Enteral/parenteral nutritional supplies, NOS

$258K

397 claims · 2.5%

Your Cost: $650.57/claim|Median: $55.51
11.7× median
T4527Normal range

Adult-sized disposable incontinence product, large

$204K

2,813 claims · 2.0%

Your Cost: $72.51/claim|Median: $99.53
0.7× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$194K

4,593 claims · 1.9%

Your Cost: $42.29/claim|Median: $42.03
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$169K

1,892 claims · 1.7%

Your Cost: $89.47/claim|Median: $105.14
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$150K

2,158 claims · 1.5%

Your Cost: $69.48/claim|Median: $88.94
0.8× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$105K

3,644 claims · 1.0%

Your Cost: $28.71/claim|Median: $41.28
0.7× median
E1399Normal range

Durable medical equipment, miscellaneous

$85K

254 claims · 0.8%

Your Cost: $335.88/claim|Median: $104.06
3.2× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$78K

439 claims · 0.8%

Your Cost: $176.61/claim|Median: $117.24
1.5× median
A4670Normal range

$75K

1,704 claims · 0.7%

Your Cost: $44.12/claim|Median: $50.23
0.9× median
E0260Top 25%

Hospital bed, semi-electric

$66K

1,635 claims · 0.7%

Your Cost: $40.47/claim|Median: $23.07
1.8× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$53K

335 claims · 0.5%

Your Cost: $158.32/claim|Median: $171.64
0.9× median
B4158Top 5%

$50K

104 claims · 0.5%

Your Cost: $483.28/claim|Median: $145.71
3.3× median
B4088Normal range

$32K

465 claims · 0.3%

Your Cost: $68.39/claim|Median: $73.20
0.9× median
A4927Normal range

Gloves, non-sterile, per 100

$31K

2,086 claims · 0.3%

Your Cost: $14.70/claim|Median: $12.90
1.1× median
T4525Normal range

$30K

372 claims · 0.3%

Your Cost: $81.72/claim|Median: $79.46
1.0× median
E0245Normal range

$27K

809 claims · 0.3%

Your Cost: $33.44/claim|Median: $42.10
0.8× median
B4087Top 10%

$15K

137 claims · 0.2%

Your Cost: $112.76/claim|Median: $25.27
4.5× median
A4456Normal range

$15K

2,414 claims · 0.2%

Your Cost: $6.37/claim|Median: $6.74
0.9× median
T4537Normal range

$15K

872 claims · 0.1%

Your Cost: $17.32/claim|Median: $31.50
0.5× median
T4522Normal range

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

$15K

205 claims · 0.1%

Your Cost: $70.93/claim|Median: $84.50
0.8× median
S5165Normal range

Home modifications, per service

$15K

34 claims · 0.1%

Your Cost: $426.54/claim|Median: $2,196.32
0.2× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$13K

71 claims · 0.1%

Your Cost: $176.17/claim|Median: $92.20
1.9× median
T4524Normal range

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

$12K

118 claims · 0.1%

Your Cost: $102.58/claim|Median: $108.31
0.9× median
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