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Provider 1245215714

NPI: 1245215714Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,480,589

Total Claims

277K

Beneficiaries

210K

1.3 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+13%
2019
$1.2M
+9%
2020
$1.3M
+9%
2021
$1.4M
+25%
2022
$1.7M
+5%
2023
$1.8M
+14%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (A4554 (Disposable underpads, all sizes)) accounts for 13% of total spending.

A4554Normal range

Disposable underpads, all sizes

$1.4M

41K claims · 13.3%

Your Cost: $34.37/claim|Median: $37.02
0.9× median
T5999Normal range

Transportation service, not otherwise classified

$1.3M

97K claims · 12.8%

Your Cost: $13.83/claim|Median: $8.13
1.7× median
T2028Normal range

Specialized supply, NOS; per unit

$907K

5,938 claims · 8.7%

Your Cost: $152.78/claim|Median: $79.30
1.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$839K

11K claims · 8.0%

Your Cost: $75.37/claim|Median: $105.14
0.7× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$774K

8,073 claims · 7.4%

Your Cost: $95.84/claim|Median: $110.54
0.9× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$715K

4,917 claims · 6.8%

Your Cost: $145.50/claim|Median: $177.75
0.8× median
T4527Normal range

Adult-sized disposable incontinence product, large

$710K

12K claims · 6.8%

Your Cost: $57.44/claim|Median: $99.53
0.6× median
T4522Normal range

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

$700K

11K claims · 6.7%

Your Cost: $63.07/claim|Median: $84.50
0.7× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$525K

9,516 claims · 5.0%

Your Cost: $55.15/claim|Median: $88.94
0.6× median
T4523Normal range

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

$514K

6,381 claims · 4.9%

Your Cost: $80.49/claim|Median: $96.13
0.8× median
A4927Normal range

Gloves, non-sterile, per 100

$479K

42K claims · 4.6%

Your Cost: $11.47/claim|Median: $12.90
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$435K

14K claims · 4.1%

Your Cost: $31.61/claim|Median: $42.03
0.8× median
T4525Normal range

$290K

4,638 claims · 2.8%

Your Cost: $62.48/claim|Median: $79.46
0.8× median
T4524Normal range

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

$278K

2,931 claims · 2.7%

Your Cost: $94.81/claim|Median: $108.31
0.9× median
X1915Normal range

$270K

2,715 claims · 2.6%

Your Cost: $99.40/claim|Median: $85.40
1.2× median
X1939Normal range

$234K

3,587 claims · 2.2%

Your Cost: $65.10/claim|Median: $63.12
1.0× median
X1922Normal range

$41K

471 claims · 0.4%

Your Cost: $86.61/claim|Median: $139.77
0.6× median
T4521Normal range

$13K

190 claims · 0.1%

Your Cost: $67.44/claim|Median: $81.60
0.8× median
T4530Normal range

$12K

126 claims · 0.1%

Your Cost: $94.97/claim|Median: $83.90
1.1× median
B9998Top 5%

Enteral/parenteral nutritional supplies, NOS

$5K

16 claims · 0.1%

Your Cost: $334.42/claim|Median: $55.51
6.0× median
T4533Top 25%

Adult disposable incontinence product, youth or small

$5K

45 claims · 0.0%

Your Cost: $113.50/claim|Median: $87.25
1.3× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$2K

12 claims · 0.0%

Your Cost: $165.08/claim|Median: $141.34
1.2× median
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