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Provider 1205128261

NPI: 1205128261Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.2M

$16,239,114

Total Claims

334K

Beneficiaries

299K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+11%
2019
$2.6M
+2%
2020
$2.7M
-8%
2021
$2.5M
-8%
2022
$2.3M
-7%
2023
$2.1M
-20%
2024
$1.7M

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 18% of total spending.

T4541Normal range

Pediatric-sized disposable incontinence product, large

$2.9M

103K claims · 18.1%

Your Cost: $28.66/claim|Median: $41.28
0.7× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$2.2M

32K claims · 13.7%

Your Cost: $69.02/claim|Median: $88.94
0.8× median
T4527Normal range

Adult-sized disposable incontinence product, large

$2.2M

33K claims · 13.6%

Your Cost: $67.17/claim|Median: $99.53
0.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.8M

22K claims · 11.3%

Your Cost: $82.21/claim|Median: $105.14
0.8× median
T4523Normal range

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

$1.2M

18K claims · 7.2%

Your Cost: $66.20/claim|Median: $96.13
0.7× median
T4524Normal range

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

$1.1M

14K claims · 6.9%

Your Cost: $82.22/claim|Median: $108.31
0.8× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.0M

46K claims · 6.2%

Your Cost: $22.05/claim|Median: $42.03
0.5× median
T4522Normal range

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

$931K

18K claims · 5.7%

Your Cost: $51.51/claim|Median: $84.50
0.6× median
T4525Normal range

$806K

12K claims · 5.0%

Your Cost: $68.47/claim|Median: $79.46
0.9× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$524K

3,546 claims · 3.2%

Your Cost: $147.73/claim|Median: $171.64
0.9× median
T4521Normal range

$324K

5,910 claims · 2.0%

Your Cost: $54.82/claim|Median: $81.60
0.7× median
E2361Top 10%

$261K

1,245 claims · 1.6%

Your Cost: $209.25/claim|Median: $99.84
2.1× median
E2366Top 10%

$202K

1,215 claims · 1.2%

Your Cost: $165.86/claim|Median: $86.49
1.9× median
A5120Normal range

$146K

16K claims · 0.9%

Your Cost: $8.94/claim|Median: $6.35
1.4× median
A4612Top 1%

$81K

1,237 claims · 0.5%

Your Cost: $65.14/claim|Median: $64.65
1.0× median
E2387Top 25%

$78K

803 claims · 0.5%

Your Cost: $96.52/claim|Median: $26.97
3.6× median
K0739Top 25%

$73K

1,314 claims · 0.4%

Your Cost: $55.33/claim|Median: $34.09
1.6× median
E0245Top 25%

$69K

1,170 claims · 0.4%

Your Cost: $58.57/claim|Median: $42.10
1.4× median
E2386Top 25%

$55K

275 claims · 0.3%

Your Cost: $201.41/claim|Median: $99.07
2.0× median
A4670Normal range

$44K

1,125 claims · 0.3%

Your Cost: $39.25/claim|Median: $50.23
0.8× median
K0815Top 1%

$43K

13 claims · 0.3%

Your Cost: $3,280.92/claim|Median: $1,649.00
2.0× median
E2365Top 5%

$20K

149 claims · 0.1%

Your Cost: $137.19/claim|Median: $49.65
2.8× median
E0982Normal range

$9K

243 claims · 0.1%

Your Cost: $36.00/claim|Median: $21.84
1.6× median
E0141Top 1%

$8K

106 claims · 0.1%

Your Cost: $76.79/claim|Median: $12.92
5.9× median
E0981Normal range

$8K

219 claims · 0.0%

Your Cost: $35.42/claim|Median: $37.17
1.0× median
E0978Top 25%

$8K

330 claims · 0.0%

Your Cost: $23.01/claim|Median: $14.50
1.6× median
E0244Normal range

$8K

219 claims · 0.0%

Your Cost: $34.59/claim|Median: $32.11
1.1× median
E0994Top 25%

$7K

210 claims · 0.0%

Your Cost: $32.23/claim|Median: $19.93
1.6× median
K0042Normal range

$6K

106 claims · 0.0%

Your Cost: $54.20/claim|Median: $56.22
1.0× median
K0019Top 10%

$5K

201 claims · 0.0%

Your Cost: $24.30/claim|Median: $11.47
2.1× median
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