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Provider 1194807297

NPI: 1194807297Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.3M

$17,258,117

Total Claims

339K

Beneficiaries

309K

1.1 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-2%
2019
$2.7M
-0%
2020
$2.7M
-2%
2021
$2.7M
-37%
2022
$1.7M
+42%
2023
$2.4M
-6%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4541 (Pediatric-sized disposable incontinence product, large)) accounts for 11% of total spending.

T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.8M

59K claims · 10.5%

Your Cost: $30.95/claim|Median: $41.28
0.7× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$1.6M

19K claims · 9.3%

Your Cost: $83.88/claim|Median: $110.54
0.8× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.3M

39K claims · 7.7%

Your Cost: $33.60/claim|Median: $42.03
0.8× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.3M

10K claims · 7.5%

Your Cost: $128.73/claim|Median: $117.24
1.1× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$1.0M

14K claims · 6.0%

Your Cost: $75.89/claim|Median: $55.51
1.4× median
T4522Normal range

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

$963K

15K claims · 5.6%

Your Cost: $62.38/claim|Median: $84.50
0.7× median
B4160Normal range

Enteral formula, per 100 calories

$941K

11K claims · 5.5%

Your Cost: $85.26/claim|Median: $157.30
0.5× median
A4520Normal range

$938K

12K claims · 5.4%

Your Cost: $78.18/claim|Median: $39.60
2.0× median
B4088Top 25%

$887K

6,652 claims · 5.1%

Your Cost: $133.30/claim|Median: $73.20
1.8× median
T4523Normal range

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

$807K

11K claims · 4.7%

Your Cost: $74.99/claim|Median: $96.13
0.8× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$755K

3,554 claims · 4.4%

Your Cost: $212.50/claim|Median: $465.86
0.5× median
T4527Normal range

Adult-sized disposable incontinence product, large

$654K

13K claims · 3.8%

Your Cost: $51.65/claim|Median: $99.53
0.5× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$642K

16K claims · 3.7%

Your Cost: $40.20/claim|Median: $88.94
0.5× median
T4530Normal range

$468K

7,855 claims · 2.7%

Your Cost: $59.53/claim|Median: $83.90
0.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$452K

7,806 claims · 2.6%

Your Cost: $57.85/claim|Median: $105.14
0.6× median
T5999Top 10%

Transportation service, not otherwise classified

$449K

3,808 claims · 2.6%

Your Cost: $117.98/claim|Median: $8.13
14.5× median
A4322Normal range

$317K

23K claims · 1.8%

Your Cost: $13.51/claim|Median: $14.10
1.0× median
T4521Normal range

$237K

4,431 claims · 1.4%

Your Cost: $53.50/claim|Median: $81.60
0.7× median
T4524Normal range

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

$232K

3,728 claims · 1.3%

Your Cost: $62.15/claim|Median: $108.31
0.6× median
T4532Normal range

$179K

2,964 claims · 1.0%

Your Cost: $60.36/claim|Median: $116.50
0.5× median
S9433Top 1%

$168K

436 claims · 1.0%

Your Cost: $384.83/claim|Median: $17.68
21.8× median
A6209Normal range

$141K

2,002 claims · 0.8%

Your Cost: $70.66/claim|Median: $55.36
1.3× median
T4525Normal range

$117K

3,548 claims · 0.7%

Your Cost: $33.02/claim|Median: $79.46
0.4× median
T4537Normal range

$103K

3,559 claims · 0.6%

Your Cost: $28.99/claim|Median: $31.50
0.9× median
A4483Top 5%

$80K

253 claims · 0.5%

Your Cost: $314.25/claim|Median: $91.41
3.4× median
A4927Normal range

Gloves, non-sterile, per 100

$70K

5,879 claims · 0.4%

Your Cost: $11.98/claim|Median: $12.90
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$68K

883 claims · 0.4%

Your Cost: $77.29/claim|Median: $89.79
0.9× median
S9999Normal range

$63K

10K claims · 0.4%

Your Cost: $6.25/claim|Median: $5.38
1.2× median
A7520Top 25%

$62K

552 claims · 0.4%

Your Cost: $111.65/claim|Median: $49.59
2.3× median
B4036Normal range

$58K

816 claims · 0.3%

Your Cost: $71.15/claim|Median: $74.87
1.0× median
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