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Unknown Provider 1184653388

NPI: 1184653388Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$60.1M

$60,091,603

Total Claims

255K

Beneficiaries

191K

1.3 claims/patient

Avg Cost/Claim

$235

Monthly Spending Trend

Yearly Spending

2018
$6.1M
+28%
2019
$7.8M
-9%
2020
$7.1M
+36%
2021
$9.6M
+12%
2022
$10.8M
-6%
2023
$10.1M
-14%
2024
$8.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 28% of total spending.

S9342Top 25%

Home infusion therapy, continuous or intermittent, per diem

$16.6M

44K claims · 27.7%

Your Cost: $377.48/claim|Median: $176.25
2.1× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$8.8M

18K claims · 14.6%

Your Cost: $493.84/claim|Median: $465.86
1.1× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$4.0M

12K claims · 6.6%

Your Cost: $342.74/claim|Median: $300.16
1.1× median
B4160Normal range

Enteral formula, per 100 calories

$3.0M

20K claims · 4.9%

Your Cost: $150.24/claim|Median: $157.30
1.0× median
J1559Normal range

$2.4M

3,219 claims · 4.0%

Your Cost: $746.49/claim|Median: $811.35
0.9× median
S9343Top 25%

$2.3M

8,371 claims · 3.8%

Your Cost: $270.60/claim|Median: $99.47
2.7× median
B4153Normal range

$2.2M

5,079 claims · 3.6%

Your Cost: $423.32/claim|Median: $410.73
1.0× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$2.0M

17K claims · 3.3%

Your Cost: $117.67/claim|Median: $92.20
1.3× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$1.7M

16K claims · 2.8%

Your Cost: $107.29/claim|Median: $89.79
1.2× median
S9500Normal range

$1.7M

8,509 claims · 2.8%

Your Cost: $199.21/claim|Median: $144.40
1.4× median
B4185Top 25%

$1.5M

7,987 claims · 2.5%

Your Cost: $188.47/claim|Median: $134.70
1.4× median
J1745Top 5%

Injection, infliximab, excludes biosimilar, 10 mg

$1.5M

223 claims · 2.5%

Your Cost: $6,732.76/claim|Median: $1,587.53
4.2× median
S9366Normal range

$1.3M

5,960 claims · 2.2%

Your Cost: $222.47/claim|Median: $394.05
0.6× median
B4088Normal range

$873K

11K claims · 1.5%

Your Cost: $78.34/claim|Median: $73.20
1.1× median
99601Normal range

$867K

9,892 claims · 1.4%

Your Cost: $87.60/claim|Median: $82.41
1.1× median
B4162Top 25%

$844K

1,182 claims · 1.4%

Your Cost: $713.84/claim|Median: $412.82
1.7× median
S9502Normal range

$823K

3,418 claims · 1.4%

Your Cost: $240.90/claim|Median: $165.71
1.5× median
B4154Normal range

$732K

3,799 claims · 1.2%

Your Cost: $192.64/claim|Median: $132.96
1.4× median
S9338Top 25%

$665K

6,904 claims · 1.1%

Your Cost: $96.37/claim|Median: $60.83
1.6× median
B4155Normal range

$621K

6,833 claims · 1.0%

Your Cost: $90.90/claim|Median: $46.72
1.9× median
B4157Normal range

$603K

676 claims · 1.0%

Your Cost: $892.69/claim|Median: $693.97
1.3× median
B4197Top 25%

$540K

542 claims · 0.9%

Your Cost: $996.43/claim|Median: $687.38
1.4× median
B4158Top 25%

$509K

2,265 claims · 0.8%

Your Cost: $224.93/claim|Median: $145.71
1.5× median
S9501Normal range

$502K

2,631 claims · 0.8%

Your Cost: $190.62/claim|Median: $160.52
1.2× median
S9373Normal range

$463K

4,445 claims · 0.8%

Your Cost: $104.15/claim|Median: $104.15
1.0× median
99602Normal range

$459K

4,496 claims · 0.8%

Your Cost: $102.03/claim|Median: $84.91
1.2× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$402K

9,974 claims · 0.7%

Your Cost: $40.27/claim|Median: $117.24
0.3× median
S9374Normal range

$383K

2,387 claims · 0.6%

Your Cost: $160.55/claim|Median: $136.10
1.2× median
S9341Top 10%

$367K

947 claims · 0.6%

Your Cost: $387.08/claim|Median: $142.63
2.7× median
J1569Top 5%

$338K

67 claims · 0.6%

Your Cost: $5,044.12/claim|Median: $1,387.65
3.6× median
B4103Normal range

$163K

1,510 claims · 0.3%

Your Cost: $107.90/claim|Median: $82.54
1.3× median
Q5103Top 10%

$160K

63 claims · 0.3%

Your Cost: $2,539.97/claim|Median: $1,075.28
2.4× median
S9379Top 5%

$137K

356 claims · 0.2%

Your Cost: $384.98/claim|Median: $70.89
5.4× median
B4034Normal range

$96K

4,021 claims · 0.2%

Your Cost: $23.90/claim|Median: $46.28
0.5× median
B4189Normal range

$95K

128 claims · 0.2%

Your Cost: $743.70/claim|Median: $743.70
1.0× median
B4100Normal range

$93K

1,008 claims · 0.2%

Your Cost: $92.66/claim|Median: $67.58
1.4× median
S9367Normal range

$92K

432 claims · 0.2%

Your Cost: $212.83/claim|Median: $270.91
0.8× median
S9359Normal range

$66K

819 claims · 0.1%

Your Cost: $80.29/claim|Median: $62.59
1.3× median
J3490Top 5%

Unclassified drugs

$65K

200 claims · 0.1%

Your Cost: $326.46/claim|Median: $5.70
57.3× median
B9002Normal range

$60K

2,916 claims · 0.1%

Your Cost: $20.45/claim|Median: $54.41
0.4× median
B4193Top 1%

$43K

58 claims · 0.1%

Your Cost: $740.70/claim|Median: $569.75
1.3× median
S5502Normal range

$40K

1,253 claims · 0.1%

Your Cost: $32.00/claim|Median: $25.28
1.3× median
S9365Top 25%

$32K

80 claims · 0.1%

Your Cost: $397.28/claim|Median: $188.23
2.1× median
S5501Normal range

$16K

251 claims · 0.0%

Your Cost: $62.98/claim|Median: $43.74
1.4× median
B4036Normal range

$16K

458 claims · 0.0%

Your Cost: $34.11/claim|Median: $74.87
0.5× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$13K

2,187 claims · 0.0%

Your Cost: $6.12/claim|Median: $16.19
0.4× median
J1955Normal range

$10K

121 claims · 0.0%

Your Cost: $84.23/claim|Median: $45.31
1.9× median
B4224Normal range

$9K

441 claims · 0.0%

Your Cost: $19.67/claim|Median: $78.83
0.2× median
A4222Normal range

$8K

65 claims · 0.0%

Your Cost: $127.26/claim|Median: $62.70
2.0× median
B4087Normal range

$8K

549 claims · 0.0%

Your Cost: $13.95/claim|Median: $25.27
0.6× median
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