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Provider 1245467240

NPI: 1245467240Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,260,082

Total Claims

183K

Beneficiaries

169K

1.1 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$134K
-3%
2019
$129K
+559%
2020
$852K
+388%
2021
$4.2M
-18%
2022
$3.4M
-2%
2023
$3.3M
-4%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 14% of total spending.

B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$2.1M

2,755 claims · 14.0%

Your Cost: $776.65/claim|Median: $465.86
1.7× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$1.9M

2,932 claims · 12.7%

Your Cost: $659.60/claim|Median: $583.21
1.1× median
B4035Top 5%

Enteral feeding supply kit, pump fed, per day

$1.7M

6,136 claims · 10.9%

Your Cost: $272.01/claim|Median: $117.24
2.3× median
B4160Top 25%

Enteral formula, per 100 calories

$1.4M

6,305 claims · 9.5%

Your Cost: $229.24/claim|Median: $157.30
1.5× median
E0466Normal range

Home ventilator, any type, used with non-invasive interface

$955K

2,528 claims · 6.3%

Your Cost: $377.82/claim|Median: $317.50
1.2× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$718K

8,596 claims · 4.7%

Your Cost: $83.52/claim|Median: $55.51
1.5× median
E1390Top 25%

Oxygen concentrator, single delivery port

$682K

7,597 claims · 4.5%

Your Cost: $89.73/claim|Median: $45.11
2.0× median
A4353Top 25%

Intermittent urinary catheter, with insertion supplies

$653K

1,007 claims · 4.3%

Your Cost: $648.18/claim|Median: $508.29
1.3× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$424K

1,100 claims · 2.8%

Your Cost: $385.79/claim|Median: $300.16
1.3× median
A4554Normal range

Disposable underpads, all sizes

$383K

13K claims · 2.5%

Your Cost: $30.35/claim|Median: $37.02
0.8× median
A4624Normal range

$341K

2,298 claims · 2.2%

Your Cost: $148.24/claim|Median: $107.53
1.4× median
B4150Top 5%

Enteral formula, nutritionally complete with fiber, per 100 calories

$324K

1,230 claims · 2.1%

Your Cost: $263.63/claim|Median: $89.79
2.9× median
A4629Top 25%

$303K

3,573 claims · 2.0%

Your Cost: $84.71/claim|Median: $54.42
1.6× median
B4152Top 1%

Enteral formula, calorically dense, per 100 calories

$295K

768 claims · 1.9%

Your Cost: $383.54/claim|Median: $92.20
4.2× median
A4606Top 25%

$290K

3,134 claims · 1.9%

Your Cost: $92.68/claim|Median: $50.63
1.8× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$212K

2,112 claims · 1.4%

Your Cost: $100.52/claim|Median: $110.54
0.9× median
B4153Top 10%

$207K

151 claims · 1.4%

Your Cost: $1,370.00/claim|Median: $410.73
3.3× median
T4522Top 25%

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

$185K

1,762 claims · 1.2%

Your Cost: $104.97/claim|Median: $84.50
1.2× median
B4034Top 5%

$170K

1,200 claims · 1.1%

Your Cost: $141.79/claim|Median: $46.28
3.1× median
T4530Normal range

$155K

1,926 claims · 1.0%

Your Cost: $80.37/claim|Median: $83.90
1.0× median
A4605Normal range

$148K

1,439 claims · 1.0%

Your Cost: $103.12/claim|Median: $121.51
0.8× median
A7000Top 25%

$139K

7,045 claims · 0.9%

Your Cost: $19.72/claim|Median: $11.83
1.7× median
A7520Normal range

$125K

2,038 claims · 0.8%

Your Cost: $61.34/claim|Median: $49.59
1.2× median
E0431Top 25%

Portable gaseous oxygen system, rental

$116K

7,184 claims · 0.8%

Your Cost: $16.09/claim|Median: $10.37
1.6× median
T4523Normal range

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

$97K

902 claims · 0.6%

Your Cost: $107.23/claim|Median: $96.13
1.1× median
T4524Top 25%

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

$89K

641 claims · 0.6%

Your Cost: $139.46/claim|Median: $108.31
1.3× median
A7002Top 25%

$87K

7,108 claims · 0.6%

Your Cost: $12.22/claim|Median: $4.97
2.5× median
A7526Normal range

$86K

3,943 claims · 0.6%

Your Cost: $21.78/claim|Median: $33.61
0.6× median
E0445Normal range

$71K

467 claims · 0.5%

Your Cost: $152.63/claim|Median: $118.11
1.3× median
A4335Normal range

Incontinence supply, miscellaneous

$70K

14K claims · 0.5%

Your Cost: $5.09/claim|Median: $5.54
0.9× median
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