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Provider 1205976438

NPI: 1205976438Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.3M

$11,348,656

Total Claims

320K

Beneficiaries

315K

1.0 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-1%
2019
$1.4M
+6%
2020
$1.5M
+8%
2021
$1.6M
+6%
2022
$1.7M
+10%
2023
$1.9M
+4%
2024
$1.9M

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 33% of total spending.

T4541Normal range

Pediatric-sized disposable incontinence product, large

$3.7M

71K claims · 32.6%

Your Cost: $52.39/claim|Median: $41.28
1.3× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$2.9M

56K claims · 25.2%

Your Cost: $50.84/claim|Median: $42.03
1.2× median
T4527Normal range

Adult-sized disposable incontinence product, large

$785K

13K claims · 6.9%

Your Cost: $58.22/claim|Median: $99.53
0.6× median
V5298Normal range

$577K

417 claims · 5.1%

Your Cost: $1,382.50/claim|Median: $1,373.37
1.0× median
T4536Normal range

Adult disposable incontinence product, pull-on, large

$454K

39K claims · 4.0%

Your Cost: $11.71/claim|Median: $11.57
1.0× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$410K

8,740 claims · 3.6%

Your Cost: $46.94/claim|Median: $88.94
0.5× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$409K

52K claims · 3.6%

Your Cost: $7.85/claim|Median: $9.88
0.8× median
T4523Normal range

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

$362K

5,288 claims · 3.2%

Your Cost: $68.45/claim|Median: $96.13
0.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$235K

4,260 claims · 2.1%

Your Cost: $55.21/claim|Median: $105.14
0.5× median
T4524Normal range

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

$157K

2,385 claims · 1.4%

Your Cost: $65.80/claim|Median: $108.31
0.6× median
T4537Normal range

$116K

3,664 claims · 1.0%

Your Cost: $31.66/claim|Median: $31.50
1.0× median
K0001Top 25%

Standard wheelchair

$98K

3,956 claims · 0.9%

Your Cost: $24.87/claim|Median: $12.27
2.0× median
E0245Top 25%

$93K

1,621 claims · 0.8%

Your Cost: $57.18/claim|Median: $42.10
1.4× median
A4335Normal range

Incontinence supply, miscellaneous

$90K

27K claims · 0.8%

Your Cost: $3.34/claim|Median: $5.54
0.6× median
A6446Top 5%

$90K

1,371 claims · 0.8%

Your Cost: $65.88/claim|Median: $14.64
4.5× median
E0601Top 10%

Continuous positive airway pressure (CPAP) device

$88K

1,299 claims · 0.8%

Your Cost: $67.52/claim|Median: $35.30
1.9× median
A6252Top 5%

$80K

434 claims · 0.7%

Your Cost: $183.42/claim|Median: $46.15
4.0× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$58K

1,847 claims · 0.5%

Your Cost: $31.25/claim|Median: $31.59
1.0× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$51K

2,145 claims · 0.4%

Your Cost: $23.55/claim|Median: $13.14
1.8× median
T4525Normal range

$47K

901 claims · 0.4%

Your Cost: $51.66/claim|Median: $79.46
0.7× median
K0003Normal range

$46K

1,501 claims · 0.4%

Your Cost: $30.78/claim|Median: $18.14
1.7× median
A6216Top 5%

Gauze, non-impregnated, sterile

$43K

2,588 claims · 0.4%

Your Cost: $16.80/claim|Median: $4.91
3.4× median
E0260Normal range

Hospital bed, semi-electric

$32K

1,092 claims · 0.3%

Your Cost: $29.43/claim|Median: $23.07
1.3× median
A6196Top 5%

$29K

140 claims · 0.3%

Your Cost: $205.49/claim|Median: $71.68
2.9× median
A5513Normal range

Diabetic therapeutic shoe, each, custom molded

$28K

749 claims · 0.2%

Your Cost: $37.63/claim|Median: $40.80
0.9× median
E0295Normal range

$28K

345 claims · 0.2%

Your Cost: $81.62/claim|Median: $41.43
2.0× median
E0570Normal range

Nebulizer, with compressor

$27K

994 claims · 0.2%

Your Cost: $27.45/claim|Median: $16.16
1.7× median
V5014Normal range

$26K

582 claims · 0.2%

Your Cost: $44.60/claim|Median: $42.29
1.1× median
T4522Normal range

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

$25K

494 claims · 0.2%

Your Cost: $51.38/claim|Median: $84.50
0.6× median
A6223Top 25%

$25K

360 claims · 0.2%

Your Cost: $70.48/claim|Median: $35.60
2.0× median
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