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Provider 1225023922

NPI: 1225023922Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,452,705

Total Claims

220K

Beneficiaries

215K

1.0 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$466K
-35%
2019
$304K
+40%
2020
$425K
+332%
2021
$1.8M
+10%
2022
$2.0M
+11%
2023
$2.3M
-6%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (T4535 (Adult-sized disposable underpads/pads, large)) accounts for 17% of total spending.

T4535Normal range

Adult-sized disposable underpads/pads, large

$1.6M

41K claims · 16.7%

Your Cost: $38.15/claim|Median: $42.03
0.9× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.5M

19K claims · 15.7%

Your Cost: $76.24/claim|Median: $99.53
0.8× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.1M

13K claims · 11.3%

Your Cost: $81.52/claim|Median: $105.14
0.8× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$896K

15K claims · 9.5%

Your Cost: $61.20/claim|Median: $88.94
0.7× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$779K

39K claims · 8.2%

Your Cost: $20.01/claim|Median: $41.28
0.5× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$692K

5,069 claims · 7.3%

Your Cost: $136.59/claim|Median: $171.64
0.8× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$503K

4,783 claims · 5.3%

Your Cost: $105.10/claim|Median: $110.54
1.0× median
T4537Normal range

$445K

15K claims · 4.7%

Your Cost: $29.84/claim|Median: $31.50
0.9× median
A4927Normal range

Gloves, non-sterile, per 100

$332K

31K claims · 3.5%

Your Cost: $10.82/claim|Median: $12.90
0.8× median
T4525Normal range

$245K

3,214 claims · 2.6%

Your Cost: $76.29/claim|Median: $79.46
1.0× median
T4540Normal range

$227K

9,188 claims · 2.4%

Your Cost: $24.72/claim|Median: $17.85
1.4× median
T4524Normal range

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

$223K

2,618 claims · 2.4%

Your Cost: $85.01/claim|Median: $108.31
0.8× median
T4523Normal range

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

$217K

2,638 claims · 2.3%

Your Cost: $82.21/claim|Median: $96.13
0.9× median
T4522Normal range

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

$204K

2,904 claims · 2.2%

Your Cost: $70.23/claim|Median: $84.50
0.8× median
A4554Normal range

Disposable underpads, all sizes

$192K

8,974 claims · 2.0%

Your Cost: $21.38/claim|Median: $37.02
0.6× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$180K

1,111 claims · 1.9%

Your Cost: $161.77/claim|Median: $177.75
0.9× median
T4530Normal range

$141K

1,572 claims · 1.5%

Your Cost: $89.93/claim|Median: $83.90
1.1× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$14K

250 claims · 0.1%

Your Cost: $54.55/claim|Median: $116.15
0.5× median
A4357Normal range

Bedside drainage bag, day or night

$9K

1,093 claims · 0.1%

Your Cost: $7.94/claim|Median: $7.46
1.1× median
A4520Normal range

$8K

2,142 claims · 0.1%

Your Cost: $3.51/claim|Median: $39.60
0.1× median
T4532Normal range

$6K

63 claims · 0.1%

Your Cost: $93.73/claim|Median: $116.50
0.8× median
A4358Normal range

$4K

577 claims · 0.0%

Your Cost: $6.10/claim|Median: $6.27
1.0× median
A4349Normal range

$3K

300 claims · 0.0%

Your Cost: $8.44/claim|Median: $28.92
0.3× median
A4335Normal range

Incontinence supply, miscellaneous

$2K

596 claims · 0.0%

Your Cost: $3.92/claim|Median: $5.54
0.7× median
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