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Provider 1265498760

NPI: 1265498760Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.5M

$15,470,865

Total Claims

362K

Beneficiaries

347K

1.0 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+6%
2019
$2.6M
-4%
2020
$2.4M
-11%
2021
$2.2M
-5%
2022
$2.1M
-1%
2023
$2.0M
-12%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (T4541 (Pediatric-sized disposable incontinence product, large)) accounts for 18% of total spending.

T4541Normal range

Pediatric-sized disposable incontinence product, large

$2.8M

55K claims · 17.9%

Your Cost: $50.39/claim|Median: $41.28
1.2× median
B4154Normal range

$2.1M

25K claims · 13.4%

Your Cost: $83.27/claim|Median: $132.96
0.6× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.5M

57K claims · 9.8%

Your Cost: $26.58/claim|Median: $117.24
0.2× median
T4523Normal range

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

$1.5M

13K claims · 9.6%

Your Cost: $112.64/claim|Median: $96.13
1.2× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.2M

24K claims · 8.0%

Your Cost: $51.02/claim|Median: $42.03
1.2× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.0M

15K claims · 6.7%

Your Cost: $69.75/claim|Median: $99.53
0.7× median
T4524Normal range

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

$897K

8,323 claims · 5.8%

Your Cost: $107.74/claim|Median: $108.31
1.0× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$873K

16K claims · 5.6%

Your Cost: $54.19/claim|Median: $88.94
0.6× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$863K

18K claims · 5.6%

Your Cost: $47.10/claim|Median: $89.79
0.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$635K

14K claims · 4.1%

Your Cost: $43.97/claim|Median: $92.20
0.5× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$426K

6,215 claims · 2.8%

Your Cost: $68.60/claim|Median: $105.14
0.7× median
T4522Normal range

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

$413K

5,119 claims · 2.7%

Your Cost: $80.74/claim|Median: $84.50
1.0× median
B4153Normal range

$257K

1,802 claims · 1.7%

Your Cost: $142.72/claim|Median: $410.73
0.3× median
E0776Normal range

$251K

57K claims · 1.6%

Your Cost: $4.43/claim|Median: $8.13
0.5× median
B9002Normal range

$219K

19K claims · 1.4%

Your Cost: $11.75/claim|Median: $54.41
0.2× median
T4525Normal range

$197K

3,821 claims · 1.3%

Your Cost: $51.54/claim|Median: $79.46
0.6× median
A4335Top 25%

Incontinence supply, miscellaneous

$103K

9,258 claims · 0.7%

Your Cost: $11.16/claim|Median: $5.54
2.0× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$98K

8,396 claims · 0.6%

Your Cost: $11.71/claim|Median: $9.88
1.2× median
B4034Normal range

$89K

4,131 claims · 0.6%

Your Cost: $21.60/claim|Median: $46.28
0.5× median
T4536Normal range

Adult disposable incontinence product, pull-on, large

$19K

1,898 claims · 0.1%

Your Cost: $10.08/claim|Median: $11.57
0.9× median
B4036Normal range

$2K

79 claims · 0.0%

Your Cost: $22.60/claim|Median: $74.87
0.3× median
T4537Normal range

$337

13 claims · 0.0%

Your Cost: $25.90/claim|Median: $31.50
0.8× median
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