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Provider 1215096318

NPI: 1215096318Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,599,207

Total Claims

199K

Beneficiaries

189K

1.1 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+11%
2019
$1.4M
+19%
2020
$1.7M
+6%
2021
$1.8M
-1%
2022
$1.8M
+6%
2023
$1.9M
-8%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 31% of total spending.

T4527Top 25%

Adult-sized disposable incontinence product, large

$3.6M

28K claims · 31.2%

Your Cost: $130.27/claim|Median: $99.53
1.3× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$1.7M

32K claims · 14.8%

Your Cost: $54.49/claim|Median: $42.03
1.3× median
A4554Top 25%

Disposable underpads, all sizes

$1.6M

29K claims · 13.6%

Your Cost: $54.73/claim|Median: $37.02
1.5× median
A6530Top 25%

$1.4M

21K claims · 12.5%

Your Cost: $70.00/claim|Median: $49.70
1.4× median
A6533Normal range

$1.4M

19K claims · 12.1%

Your Cost: $74.55/claim|Median: $74.92
1.0× median
A4927Top 25%

Gloves, non-sterile, per 100

$737K

29K claims · 6.4%

Your Cost: $25.33/claim|Median: $12.90
2.0× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$297K

22K claims · 2.6%

Your Cost: $13.64/claim|Median: $9.88
1.4× median
A6539Normal range

$161K

2,513 claims · 1.4%

Your Cost: $64.10/claim|Median: $107.32
0.6× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$158K

1,143 claims · 1.4%

Your Cost: $138.28/claim|Median: $105.14
1.3× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$117K

1,251 claims · 1.0%

Your Cost: $93.64/claim|Median: $89.79
1.0× median
A4215Top 25%

Sterile needle, each

$71K

1,622 claims · 0.6%

Your Cost: $43.77/claim|Median: $20.71
2.1× median
L3216Top 1%

$46K

257 claims · 0.4%

Your Cost: $179.39/claim|Median: $56.74
3.2× median
L3060Normal range

Foot insert, removable, soft foam, longitudinal arch support

$37K

1,252 claims · 0.3%

Your Cost: $29.70/claim|Median: $50.97
0.6× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$35K

273 claims · 0.3%

Your Cost: $129.27/claim|Median: $88.94
1.5× median
E0190Top 5%

$34K

145 claims · 0.3%

Your Cost: $237.73/claim|Median: $22.04
10.8× median
A4245Top 25%

$29K

3,378 claims · 0.2%

Your Cost: $8.58/claim|Median: $2.33
3.7× median
A4253Normal range

Blood glucose test strips

$28K

2,466 claims · 0.2%

Your Cost: $11.32/claim|Median: $6.92
1.6× median
A5131Normal range

$24K

3,009 claims · 0.2%

Your Cost: $7.88/claim|Median: $7.99
1.0× median
T4523Normal range

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

$23K

332 claims · 0.2%

Your Cost: $69.72/claim|Median: $96.13
0.7× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$15K

74 claims · 0.1%

Your Cost: $199.87/claim|Median: $171.64
1.2× median
A4259Normal range

Lancets for blood glucose testing

$6K

2,361 claims · 0.1%

Your Cost: $2.51/claim|Median: $2.27
1.1× median
A4670Top 25%

$5K

85 claims · 0.0%

Your Cost: $64.03/claim|Median: $50.23
1.3× median
E0607Top 25%

$3K

88 claims · 0.0%

Your Cost: $39.28/claim|Median: $23.10
1.7× median
S8490Top 25%

$3K

81 claims · 0.0%

Your Cost: $34.93/claim|Median: $22.06
1.6× median
A5500Top 25%

Diabetic therapeutic shoe, depth, each

$2K

36 claims · 0.0%

Your Cost: $58.13/claim|Median: $33.21
1.8× median
A5512Normal range

Diabetic shoe insert, custom molded, each

$1K

79 claims · 0.0%

Your Cost: $17.90/claim|Median: $24.01
0.7× median
K0001Normal range

Standard wheelchair

$1K

104 claims · 0.0%

Your Cost: $12.32/claim|Median: $12.27
1.0× median
A4258Normal range

$338

90 claims · 0.0%

Your Cost: $3.75/claim|Median: $1.39
2.7× median
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