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Provider 1245265420

NPI: 1245265420Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,149,914

Total Claims

215K

Beneficiaries

197K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-5%
2019
$1.5M
-16%
2020
$1.2M
-5%
2021
$1.2M
+26%
2022
$1.5M
+5%
2023
$1.6M
-2%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4554 (Disposable underpads, all sizes)) accounts for 18% of total spending.

A4554Normal range

Disposable underpads, all sizes

$1.9M

50K claims · 18.4%

Your Cost: $36.96/claim|Median: $37.02
1.0× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.2M

11K claims · 11.5%

Your Cost: $102.88/claim|Median: $99.53
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.0M

9,898 claims · 10.2%

Your Cost: $104.75/claim|Median: $105.14
1.0× median
T4523Normal range

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

$862K

8,779 claims · 8.5%

Your Cost: $98.14/claim|Median: $96.13
1.0× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$764K

4,220 claims · 7.5%

Your Cost: $181.07/claim|Median: $177.75
1.0× median
T4524Normal range

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

$697K

6,870 claims · 6.9%

Your Cost: $101.40/claim|Median: $108.31
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$654K

8,306 claims · 6.4%

Your Cost: $78.74/claim|Median: $88.94
0.9× median
A4351Top 10%

Intermittent urinary catheter, straight tip, each

$586K

2,535 claims · 5.8%

Your Cost: $231.24/claim|Median: $116.15
2.0× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$575K

58K claims · 5.7%

Your Cost: $9.88/claim|Median: $9.88
1.0× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$499K

4,659 claims · 4.9%

Your Cost: $107.05/claim|Median: $171.64
0.6× median
A4927Top 10%

Gloves, non-sterile, per 100

$407K

14K claims · 4.0%

Your Cost: $28.88/claim|Median: $12.90
2.2× median
A9999Normal range

$392K

14K claims · 3.9%

Your Cost: $28.98/claim|Median: $39.73
0.7× median
T4522Normal range

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

$328K

4,125 claims · 3.2%

Your Cost: $79.47/claim|Median: $84.50
0.9× median
A4349Normal range

$110K

2,973 claims · 1.1%

Your Cost: $36.92/claim|Median: $28.92
1.3× median
T4525Normal range

$65K

906 claims · 0.6%

Your Cost: $72.24/claim|Median: $79.46
0.9× median
A4357Normal range

Bedside drainage bag, day or night

$43K

4,181 claims · 0.4%

Your Cost: $10.27/claim|Median: $7.46
1.4× median
A6219Top 5%

$34K

582 claims · 0.3%

Your Cost: $57.84/claim|Median: $9.59
6.0× median
A4358Normal range

$33K

3,913 claims · 0.3%

Your Cost: $8.41/claim|Median: $6.27
1.3× median
A4456Top 25%

$8K

653 claims · 0.1%

Your Cost: $11.86/claim|Median: $6.74
1.8× median
A4331Normal range

$7K

2,336 claims · 0.1%

Your Cost: $2.96/claim|Median: $3.49
0.8× median
A4335Top 25%

Incontinence supply, miscellaneous

$6K

301 claims · 0.1%

Your Cost: $21.16/claim|Median: $5.54
3.8× median
A6216Top 25%

Gauze, non-impregnated, sterile

$5K

647 claims · 0.0%

Your Cost: $7.83/claim|Median: $4.91
1.6× median
A4450Top 25%

$5K

618 claims · 0.0%

Your Cost: $7.70/claim|Median: $3.14
2.5× median
A4660Normal range

$3K

140 claims · 0.0%

Your Cost: $20.39/claim|Median: $20.21
1.0× median
A4244Top 25%

Alcohol or peroxide swabs, per box

$3K

493 claims · 0.0%

Your Cost: $5.25/claim|Median: $1.73
3.0× median
A4402Top 10%

$633

58 claims · 0.0%

Your Cost: $10.91/claim|Median: $4.15
2.6× median
A4338Normal range

$376

62 claims · 0.0%

Your Cost: $6.07/claim|Median: $7.20
0.8× median
A4253Normal range

Blood glucose test strips

$309

14 claims · 0.0%

Your Cost: $22.10/claim|Median: $6.92
3.2× median
A5120Top 25%

$288

25 claims · 0.0%

Your Cost: $11.52/claim|Median: $6.35
1.8× median
A4245Normal range

$30

13 claims · 0.0%

Your Cost: $2.27/claim|Median: $2.33
1.0× median
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