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Provider 1215262738

NPI: 1215262738Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,466,915

Total Claims

191K

Beneficiaries

174K

1.1 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-7%
2019
$1.5M
-13%
2020
$1.3M
+15%
2021
$1.5M
+6%
2022
$1.6M
-25%
2023
$1.2M
-22%
2024
$916K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 17% of total spending.

T4527Normal range

Adult-sized disposable incontinence product, large

$1.6M

19K claims · 17.4%

Your Cost: $86.19/claim|Median: $99.53
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.3M

17K claims · 13.8%

Your Cost: $77.65/claim|Median: $88.94
0.9× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$1.3M

20K claims · 13.4%

Your Cost: $64.08/claim|Median: $42.03
1.5× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.2M

13K claims · 12.5%

Your Cost: $92.26/claim|Median: $105.14
0.9× median
A4927Normal range

Gloves, non-sterile, per 100

$982K

62K claims · 10.4%

Your Cost: $15.91/claim|Median: $12.90
1.2× median
A6212Top 25%

$673K

3,798 claims · 7.1%

Your Cost: $177.15/claim|Median: $76.51
2.3× median
A6197Normal range

$472K

1,793 claims · 5.0%

Your Cost: $263.51/claim|Median: $156.22
1.7× median
T4542Normal range

$225K

11K claims · 2.4%

Your Cost: $19.65/claim|Median: $33.31
0.6× median
A6253Normal range

$209K

2,075 claims · 2.2%

Your Cost: $100.56/claim|Median: $93.50
1.1× median
T4524Normal range

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

$195K

2,146 claims · 2.1%

Your Cost: $90.92/claim|Median: $108.31
0.8× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$194K

10K claims · 2.1%

Your Cost: $18.69/claim|Median: $41.28
0.5× median
T4523Normal range

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

$191K

2,334 claims · 2.0%

Your Cost: $81.97/claim|Median: $96.13
0.9× median
A6021Normal range

$157K

854 claims · 1.7%

Your Cost: $184.26/claim|Median: $111.06
1.7× median
A6196Normal range

$124K

1,695 claims · 1.3%

Your Cost: $72.92/claim|Median: $71.68
1.0× median
T4537Top 25%

$119K

2,691 claims · 1.3%

Your Cost: $44.18/claim|Median: $31.50
1.4× median
A6210Top 25%

$111K

350 claims · 1.2%

Your Cost: $317.12/claim|Median: $163.78
1.9× median
A6446Normal range

$77K

3,194 claims · 0.8%

Your Cost: $24.06/claim|Median: $14.64
1.6× median
T4525Normal range

$66K

1,186 claims · 0.7%

Your Cost: $55.48/claim|Median: $79.46
0.7× median
A6252Normal range

$62K

1,373 claims · 0.7%

Your Cost: $44.91/claim|Median: $46.15
1.0× median
T4522Normal range

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

$35K

480 claims · 0.4%

Your Cost: $72.78/claim|Median: $84.50
0.9× median
A4452Normal range

$30K

2,613 claims · 0.3%

Your Cost: $11.47/claim|Median: $9.98
1.1× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$27K

245 claims · 0.3%

Your Cost: $110.37/claim|Median: $117.24
0.9× median
A6213Top 25%

$22K

124 claims · 0.2%

Your Cost: $177.25/claim|Median: $95.60
1.9× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$16K

257 claims · 0.2%

Your Cost: $63.46/claim|Median: $171.64
0.4× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$12K

129 claims · 0.1%

Your Cost: $96.85/claim|Median: $92.20
1.1× median
A6209Normal range

$10K

177 claims · 0.1%

Your Cost: $56.91/claim|Median: $55.36
1.0× median
A6222Normal range

$10K

294 claims · 0.1%

Your Cost: $33.25/claim|Median: $23.17
1.4× median
A6223Top 25%

$9K

141 claims · 0.1%

Your Cost: $64.66/claim|Median: $35.60
1.8× median
A6216Normal range

Gauze, non-impregnated, sterile

$7K

2,395 claims · 0.1%

Your Cost: $3.13/claim|Median: $4.91
0.6× median
A6454Top 25%

$5K

108 claims · 0.1%

Your Cost: $46.51/claim|Median: $15.74
3.0× median
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