Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1205898541

NPI: 1205898541Share
Active Billing Period:2020-10→2024-12(51 months)

Total Paid

$10.5M

$10,499,331

Total Claims

89K

Beneficiaries

78K

1.1 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2020
$377K
+550%
2021
$2.4M
+5%
2022
$2.6M
+8%
2023
$2.8M
-16%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4160 (Enteral formula, per 100 calories)) accounts for 31% of total spending.

B4160Normal range

Enteral formula, per 100 calories

$3.3M

16K claims · 31.1%

Your Cost: $199.58/claim|Median: $157.30
1.3× median
B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$1.4M

2,182 claims · 13.2%

Your Cost: $634.95/claim|Median: $465.86
1.4× median
B4035Top 5%

Enteral feeding supply kit, pump fed, per day

$1.2M

4,210 claims · 11.4%

Your Cost: $283.26/claim|Median: $117.24
2.4× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$644K

1,819 claims · 6.1%

Your Cost: $354.15/claim|Median: $300.16
1.2× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$640K

5,489 claims · 6.1%

Your Cost: $116.51/claim|Median: $110.54
1.1× median
B4155Top 10%

$545K

2,237 claims · 5.2%

Your Cost: $243.47/claim|Median: $46.72
5.2× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$491K

6,193 claims · 4.7%

Your Cost: $79.20/claim|Median: $55.51
1.4× median
A4554Normal range

Disposable underpads, all sizes

$403K

13K claims · 3.8%

Your Cost: $31.59/claim|Median: $37.02
0.9× median
T4532Normal range

$227K

1,681 claims · 2.2%

Your Cost: $134.94/claim|Median: $116.50
1.2× median
B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$213K

1,163 claims · 2.0%

Your Cost: $183.01/claim|Median: $89.79
2.0× median
T4522Top 25%

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

$189K

1,814 claims · 1.8%

Your Cost: $104.15/claim|Median: $84.50
1.2× median
T4530Normal range

$174K

1,861 claims · 1.7%

Your Cost: $93.28/claim|Median: $83.90
1.1× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$142K

1,215 claims · 1.4%

Your Cost: $117.07/claim|Median: $88.94
1.3× median
B4034Top 5%

$139K

911 claims · 1.3%

Your Cost: $152.32/claim|Median: $46.28
3.3× median
B4158Normal range

$123K

663 claims · 1.2%

Your Cost: $184.81/claim|Median: $145.71
1.3× median
T4521Normal range

$116K

1,243 claims · 1.1%

Your Cost: $92.98/claim|Median: $81.60
1.1× median
B4152Top 5%

Enteral formula, calorically dense, per 100 calories

$114K

422 claims · 1.1%

Your Cost: $269.37/claim|Median: $92.20
2.9× median
T4525Top 25%

$95K

935 claims · 0.9%

Your Cost: $101.68/claim|Median: $79.46
1.3× median
A4335Normal range

Incontinence supply, miscellaneous

$80K

16K claims · 0.8%

Your Cost: $4.90/claim|Median: $5.54
0.9× median
B4103Normal range

$79K

955 claims · 0.8%

Your Cost: $82.74/claim|Median: $82.54
1.0× median
B4104Normal range

$64K

1,197 claims · 0.6%

Your Cost: $53.17/claim|Median: $72.05
0.7× median
T4523Normal range

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

$41K

389 claims · 0.4%

Your Cost: $105.93/claim|Median: $96.13
1.1× median
A7000Top 25%

$33K

1,398 claims · 0.3%

Your Cost: $23.90/claim|Median: $11.83
2.0× median
A4606Normal range

$25K

337 claims · 0.2%

Your Cost: $72.81/claim|Median: $50.63
1.4× median
A4322Top 25%

$19K

614 claims · 0.2%

Your Cost: $30.91/claim|Median: $14.10
2.2× median
B4153Top 5%

$19K

12 claims · 0.2%

Your Cost: $1,569.02/claim|Median: $410.73
3.8× median
A4927Normal range

Gloves, non-sterile, per 100

$13K

2,162 claims · 0.1%

Your Cost: $6.20/claim|Median: $12.90
0.5× median
B9002Top 1%

$12K

13 claims · 0.1%

Your Cost: $930.84/claim|Median: $54.41
17.1× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$6K

760 claims · 0.1%

Your Cost: $8.05/claim|Median: $9.88
0.8× median
A4628Normal range

$5K

954 claims · 0.0%

Your Cost: $4.75/claim|Median: $7.48
0.6× median
← All providersHow we detect fraud →