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Provider 1225316052

NPI: 1225316052Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.2M

$12,158,539

Total Claims

85K

Beneficiaries

44K

1.9 claims/patient

Avg Cost/Claim

$143

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+5%
2019
$1.7M
+21%
2020
$2.0M
-13%
2021
$1.7M
+8%
2022
$1.9M
+6%
2023
$2.0M
-36%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 29% of total spending.

B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$3.5M

4,719 claims · 29.1%

Your Cost: $749.68/claim|Median: $465.86
1.6× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$2.7M

17K claims · 22.4%

Your Cost: $161.06/claim|Median: $117.24
1.4× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$2.1M

5,793 claims · 17.6%

Your Cost: $369.12/claim|Median: $300.16
1.2× median
B4160Top 25%

Enteral formula, per 100 calories

$942K

3,939 claims · 7.7%

Your Cost: $239.16/claim|Median: $157.30
1.5× median
B4088Top 5%

$811K

4,980 claims · 6.7%

Your Cost: $162.77/claim|Median: $73.20
2.2× median
A4223Normal range

$546K

28K claims · 4.5%

Your Cost: $19.62/claim|Median: $60.92
0.3× median
B4034Normal range

$428K

5,858 claims · 3.5%

Your Cost: $73.00/claim|Median: $46.28
1.6× median
B4162Normal range

$235K

473 claims · 1.9%

Your Cost: $496.86/claim|Median: $412.82
1.2× median
A4222Normal range

$229K

3,456 claims · 1.9%

Your Cost: $66.24/claim|Median: $62.70
1.1× median
A4221Top 25%

Supplies for maintenance of drug infusion catheter

$201K

8,505 claims · 1.7%

Your Cost: $23.66/claim|Median: $16.19
1.5× median
B4158Top 10%

$184K

731 claims · 1.5%

Your Cost: $251.44/claim|Median: $145.71
1.7× median
B4155Normal range

$45K

653 claims · 0.4%

Your Cost: $68.55/claim|Median: $46.72
1.5× median
B9002Top 10%

$39K

254 claims · 0.3%

Your Cost: $155.19/claim|Median: $54.41
2.9× median
B4224Top 25%

$37K

324 claims · 0.3%

Your Cost: $113.36/claim|Median: $78.83
1.4× median
E0776Top 1%

$25K

156 claims · 0.2%

Your Cost: $157.36/claim|Median: $8.13
19.4× median
A4305Top 25%

$13K

86 claims · 0.1%

Your Cost: $147.24/claim|Median: $76.95
1.9× median
B4220Normal range

$12K

323 claims · 0.1%

Your Cost: $36.26/claim|Median: $27.49
1.3× median
A4306Top 1%

$6K

61 claims · 0.1%

Your Cost: $103.48/claim|Median: $21.29
4.9× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$2K

13 claims · 0.0%

Your Cost: $155.30/claim|Median: $92.20
1.7× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$93

18 claims · 0.0%

Your Cost: $5.15/claim|Median: $508.29
0.0× median
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