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Provider 1174526792

NPI: 1174526792Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,063,851

Total Claims

198K

Beneficiaries

181K

1.1 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+1%
2019
$1.3M
+48%
2020
$1.9M
+3%
2021
$2.0M
+6%
2022
$2.1M
+10%
2023
$2.3M
-5%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 14% of total spending.

T4527Top 25%

Adult-sized disposable incontinence product, large

$1.8M

13K claims · 14.0%

Your Cost: $140.31/claim|Median: $99.53
1.4× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.8M

38K claims · 13.8%

Your Cost: $47.93/claim|Median: $41.28
1.2× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.5M

11K claims · 11.7%

Your Cost: $138.40/claim|Median: $105.14
1.3× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$1.2M

20K claims · 9.2%

Your Cost: $60.45/claim|Median: $42.03
1.4× median
T4543Top 25%

Pediatric-sized disposable incontinence product, above XL

$1.2M

4,967 claims · 9.1%

Your Cost: $238.53/claim|Median: $177.75
1.3× median
A4927Top 25%

Gloves, non-sterile, per 100

$1.1M

41K claims · 8.5%

Your Cost: $26.92/claim|Median: $12.90
2.1× median
T4526Top 10%

Adult-sized disposable incontinence product, medium

$1.0M

7,305 claims · 8.0%

Your Cost: $143.11/claim|Median: $88.94
1.6× median
A4520Top 10%

$859K

5,365 claims · 6.6%

Your Cost: $160.08/claim|Median: $39.60
4.0× median
T4524Normal range

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

$647K

5,007 claims · 5.0%

Your Cost: $129.20/claim|Median: $108.31
1.2× median
A4553Normal range

$431K

29K claims · 3.3%

Your Cost: $14.92/claim|Median: $15.13
1.0× median
A6250Top 10%

Skin sealant protectant, moisturizer, each ounce

$292K

5,706 claims · 2.2%

Your Cost: $51.21/claim|Median: $9.88
5.2× median
A4554Normal range

Disposable underpads, all sizes

$183K

3,907 claims · 1.4%

Your Cost: $46.79/claim|Median: $37.02
1.3× median
T4523Normal range

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

$161K

1,372 claims · 1.2%

Your Cost: $117.19/claim|Median: $96.13
1.2× median
A6530Top 5%

$140K

756 claims · 1.1%

Your Cost: $185.06/claim|Median: $49.70
3.7× median
T4525Top 5%

$132K

929 claims · 1.0%

Your Cost: $141.63/claim|Median: $79.46
1.8× median
T4522Normal range

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

$98K

1,171 claims · 0.7%

Your Cost: $83.64/claim|Median: $84.50
1.0× median
E1028Top 25%

$82K

801 claims · 0.6%

Your Cost: $102.45/claim|Median: $54.00
1.9× median
K0739Normal range

$61K

1,672 claims · 0.5%

Your Cost: $36.46/claim|Median: $34.09
1.1× median
T4534Top 25%

Adult-sized disposable underpads/pads, small

$58K

405 claims · 0.4%

Your Cost: $143.29/claim|Median: $110.54
1.3× median
E0973Normal range

$51K

721 claims · 0.4%

Your Cost: $70.59/claim|Median: $42.75
1.7× median
T5999Top 25%

Transportation service, not otherwise classified

$38K

432 claims · 0.3%

Your Cost: $87.27/claim|Median: $8.13
10.7× median
K0001Top 10%

Standard wheelchair

$37K

1,126 claims · 0.3%

Your Cost: $32.54/claim|Median: $12.27
2.7× median
T4537Normal range

$27K

2,419 claims · 0.2%

Your Cost: $11.23/claim|Median: $31.50
0.4× median
E0971Top 25%

$18K

471 claims · 0.1%

Your Cost: $38.71/claim|Median: $13.46
2.9× median
E2611Top 25%

General wheelchair seat cushion, width less than twenty-two inches

$11K

77 claims · 0.1%

Your Cost: $143.90/claim|Median: $61.71
2.3× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$9K

426 claims · 0.1%

Your Cost: $20.92/claim|Median: $33.21
0.6× median
A5512Normal range

Diabetic shoe insert, custom molded, each

$8K

210 claims · 0.1%

Your Cost: $37.31/claim|Median: $24.01
1.6× median
E0955Normal range

$5K

90 claims · 0.0%

Your Cost: $50.51/claim|Median: $43.51
1.2× median
E0951Top 10%

$4K

136 claims · 0.0%

Your Cost: $25.77/claim|Median: $9.88
2.6× median
E2620Normal range

$3K

15 claims · 0.0%

Your Cost: $219.45/claim|Median: $232.23
0.9× median
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