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ENTRAMED, INC

Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition·TOMBALL, TX·NPI: 1194859629Share
Active Billing Period:2018-11→2024-12(74 months)

Total Paid

$36.9M

$36,867,022

Total Claims

294K

Beneficiaries

273K

1.1 claims/patient

Avg Cost/Claim

$125

Monthly Spending Trend

Yearly Spending

2018
$9K
+3977%
2019
$353K
+445%
2020
$1.9M
+260%
2021
$6.9M
+22%
2022
$8.5M
+26%
2023
$10.7M
-21%
2024
$8.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 26% of total spending.

B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$9.7M

15K claims · 26.2%

Your Cost: $659.24/claim|Median: $465.86
1.4× median
B4035Top 5%

Enteral feeding supply kit, pump fed, per day

$6.1M

23K claims · 16.4%

Your Cost: $266.17/claim|Median: $117.24
2.3× median
B4160Top 25%

Enteral formula, per 100 calories

$5.4M

23K claims · 14.5%

Your Cost: $228.25/claim|Median: $157.30
1.5× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$2.2M

33K claims · 5.9%

Your Cost: $66.78/claim|Median: $55.51
1.2× median
B4155Top 5%

$2.2M

6,739 claims · 5.9%

Your Cost: $321.11/claim|Median: $46.72
6.9× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$1.5M

3,749 claims · 4.1%

Your Cost: $398.31/claim|Median: $300.16
1.3× median
B4153Top 10%

$881K

746 claims · 2.4%

Your Cost: $1,180.86/claim|Median: $410.73
2.9× median
B4154Top 5%

$865K

1,693 claims · 2.3%

Your Cost: $510.95/claim|Median: $132.96
3.8× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$782K

8,454 claims · 2.1%

Your Cost: $92.55/claim|Median: $110.54
0.8× median
B4152Top 5%

Enteral formula, calorically dense, per 100 calories

$709K

2,564 claims · 1.9%

Your Cost: $276.59/claim|Median: $92.20
3.0× median
B4150Top 5%

Enteral formula, nutritionally complete with fiber, per 100 calories

$604K

2,755 claims · 1.6%

Your Cost: $219.36/claim|Median: $89.79
2.4× median
A4554Normal range

Disposable underpads, all sizes

$601K

20K claims · 1.6%

Your Cost: $29.56/claim|Median: $37.02
0.8× median
B4162Top 25%

$574K

804 claims · 1.6%

Your Cost: $713.38/claim|Median: $412.82
1.7× median
B9002Normal range

$512K

6,770 claims · 1.4%

Your Cost: $75.56/claim|Median: $54.41
1.4× median
T4530Normal range

$508K

6,558 claims · 1.4%

Your Cost: $77.51/claim|Median: $83.90
0.9× median
B4158Normal range

$496K

2,819 claims · 1.3%

Your Cost: $175.82/claim|Median: $145.71
1.2× median
B4034Top 10%

$322K

2,549 claims · 0.9%

Your Cost: $126.13/claim|Median: $46.28
2.7× median
T4532Normal range

$263K

2,145 claims · 0.7%

Your Cost: $122.49/claim|Median: $116.50
1.1× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$214K

1,446 claims · 0.6%

Your Cost: $148.34/claim|Median: $116.15
1.3× median
T4522Normal range

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

$199K

2,288 claims · 0.5%

Your Cost: $87.07/claim|Median: $84.50
1.0× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$196K

2,001 claims · 0.5%

Your Cost: $98.10/claim|Median: $88.94
1.1× median
T4527Normal range

Adult-sized disposable incontinence product, large

$162K

1,313 claims · 0.4%

Your Cost: $123.28/claim|Median: $99.53
1.2× median
A6209Top 25%

$154K

1,441 claims · 0.4%

Your Cost: $107.04/claim|Median: $55.36
1.9× median
B4103Normal range

$153K

2,145 claims · 0.4%

Your Cost: $71.51/claim|Median: $82.54
0.9× median
A4322Normal range

$151K

20K claims · 0.4%

Your Cost: $7.70/claim|Median: $14.10
0.5× median
B4036Top 25%

$134K

950 claims · 0.4%

Your Cost: $141.24/claim|Median: $74.87
1.9× median
A4335Normal range

Incontinence supply, miscellaneous

$122K

25K claims · 0.3%

Your Cost: $4.80/claim|Median: $5.54
0.9× median
A6234Normal range

$120K

2,266 claims · 0.3%

Your Cost: $53.04/claim|Median: $42.35
1.3× median
T4523Normal range

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

$112K

1,250 claims · 0.3%

Your Cost: $89.64/claim|Median: $96.13
0.9× median
T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$101K

677 claims · 0.3%

Your Cost: $148.55/claim|Median: $105.14
1.4× median
A6212Top 25%

$82K

399 claims · 0.2%

Your Cost: $205.14/claim|Median: $76.51
2.7× median
A4452Normal range

$82K

9,775 claims · 0.2%

Your Cost: $8.35/claim|Median: $9.98
0.8× median
A7000Top 25%

$78K

3,265 claims · 0.2%

Your Cost: $23.84/claim|Median: $11.83
2.0× median
A6402Normal range

$77K

15K claims · 0.2%

Your Cost: $5.05/claim|Median: $7.69
0.7× median
B4104Normal range

$74K

1,305 claims · 0.2%

Your Cost: $56.78/claim|Median: $72.05
0.8× median
B4088Normal range

$71K

1,044 claims · 0.2%

Your Cost: $67.99/claim|Median: $73.20
0.9× median
T4521Normal range

$66K

904 claims · 0.2%

Your Cost: $73.26/claim|Median: $81.60
0.9× median
B4100Normal range

$48K

1,476 claims · 0.1%

Your Cost: $32.25/claim|Median: $67.58
0.5× median
B4082Top 25%

$46K

1,071 claims · 0.1%

Your Cost: $43.30/claim|Median: $28.33
1.5× median
E0776Normal range

$35K

5,244 claims · 0.1%

Your Cost: $6.75/claim|Median: $8.13
0.8× median
A7002Top 25%

$35K

3,087 claims · 0.1%

Your Cost: $11.38/claim|Median: $4.97
2.3× median
A4927Normal range

Gloves, non-sterile, per 100

$32K

4,226 claims · 0.1%

Your Cost: $7.66/claim|Median: $12.90
0.6× median
A6257Normal range

$31K

2,282 claims · 0.1%

Your Cost: $13.49/claim|Median: $10.48
1.3× median
T4533Normal range

Adult disposable incontinence product, youth or small

$28K

359 claims · 0.1%

Your Cost: $78.27/claim|Median: $87.25
0.9× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$27K

977 claims · 0.1%

Your Cost: $27.98/claim|Median: $28.63
1.0× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$25K

1,195 claims · 0.1%

Your Cost: $21.18/claim|Median: $42.03
0.5× median
A4402Top 25%

$21K

3,190 claims · 0.1%

Your Cost: $6.47/claim|Median: $4.15
1.6× median
A4628Normal range

$19K

3,203 claims · 0.1%

Your Cost: $5.84/claim|Median: $7.48
0.8× median
B4081Normal range

$16K

356 claims · 0.0%

Your Cost: $45.52/claim|Median: $36.64
1.2× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$13K

2,948 claims · 0.0%

Your Cost: $4.28/claim|Median: $9.88
0.4× median

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