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Provider 1194047613

NPI: 1194047613Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,640,126

Total Claims

187K

Beneficiaries

167K

1.1 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+32%
2019
$1.4M
+5%
2020
$1.5M
+7%
2021
$1.6M
+12%
2022
$1.8M
-4%
2023
$1.7M
-14%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (T4535 (Adult-sized disposable underpads/pads, large)) accounts for 23% of total spending.

T4535Top 25%

Adult-sized disposable underpads/pads, large

$2.5M

45K claims · 23.4%

Your Cost: $54.84/claim|Median: $42.03
1.3× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.6M

45K claims · 15.1%

Your Cost: $35.34/claim|Median: $41.28
0.9× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.3M

16K claims · 12.7%

Your Cost: $82.75/claim|Median: $99.53
0.8× median
A4520Normal range

$1.2M

25K claims · 11.5%

Your Cost: $48.69/claim|Median: $39.60
1.2× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.1M

14K claims · 10.0%

Your Cost: $77.28/claim|Median: $88.94
0.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$921K

9,343 claims · 8.7%

Your Cost: $98.57/claim|Median: $105.14
0.9× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$608K

5,968 claims · 5.7%

Your Cost: $101.88/claim|Median: $110.54
0.9× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$443K

2,826 claims · 4.2%

Your Cost: $156.70/claim|Median: $177.75
0.9× median
T4525Normal range

$331K

4,029 claims · 3.1%

Your Cost: $82.27/claim|Median: $79.46
1.0× median
A4554Normal range

Disposable underpads, all sizes

$196K

15K claims · 1.8%

Your Cost: $13.43/claim|Median: $37.02
0.4× median
T4530Normal range

$115K

1,312 claims · 1.1%

Your Cost: $87.38/claim|Median: $83.90
1.0× median
T4522Normal range

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

$99K

986 claims · 0.9%

Your Cost: $100.47/claim|Median: $84.50
1.2× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$73K

820 claims · 0.7%

Your Cost: $88.53/claim|Median: $89.79
1.0× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$68K

713 claims · 0.6%

Your Cost: $95.86/claim|Median: $116.15
0.8× median
T4523Normal range

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

$43K

544 claims · 0.4%

Your Cost: $79.03/claim|Median: $96.13
0.8× median
T4537Top 25%

$4K

69 claims · 0.0%

Your Cost: $58.43/claim|Median: $31.50
1.9× median
T4532Normal range

$3K

24 claims · 0.0%

Your Cost: $134.34/claim|Median: $116.50
1.2× median
T4524Normal range

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

$3K

27 claims · 0.0%

Your Cost: $105.22/claim|Median: $108.31
1.0× median
T4521Normal range

$1K

16 claims · 0.0%

Your Cost: $81.60/claim|Median: $81.60
1.0× median
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