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Provider 1265768147

NPI: 1265768147Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,626,357

Total Claims

147K

Beneficiaries

123K

1.2 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+17%
2019
$1.4M
+8%
2020
$1.5M
-25%
2021
$1.2M
+0%
2022
$1.2M
+19%
2023
$1.4M
+24%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 22% of total spending.

T4527Top 5%

Adult-sized disposable incontinence product, large

$2.1M

12K claims · 21.9%

Your Cost: $173.71/claim|Median: $99.53
1.7× median
A4554Top 25%

Disposable underpads, all sizes

$1.3M

25K claims · 13.7%

Your Cost: $52.92/claim|Median: $37.02
1.4× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$979K

16K claims · 10.2%

Your Cost: $59.89/claim|Median: $42.03
1.4× median
A4927Top 25%

Gloves, non-sterile, per 100

$749K

29K claims · 7.8%

Your Cost: $26.02/claim|Median: $12.90
2.0× median
A6250Top 25%

Skin sealant protectant, moisturizer, each ounce

$731K

25K claims · 7.6%

Your Cost: $29.76/claim|Median: $9.88
3.0× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$624K

4,738 claims · 6.5%

Your Cost: $131.68/claim|Median: $88.94
1.5× median
T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$499K

3,121 claims · 5.2%

Your Cost: $159.88/claim|Median: $105.14
1.5× median
E0221Top 25%

$431K

209 claims · 4.5%

Your Cost: $2,063.07/claim|Median: $99.97
20.6× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$317K

3,348 claims · 3.3%

Your Cost: $94.58/claim|Median: $89.79
1.1× median
B4154Top 25%

$243K

1,082 claims · 2.5%

Your Cost: $224.93/claim|Median: $132.96
1.7× median
T4523Top 25%

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

$177K

1,485 claims · 1.8%

Your Cost: $119.11/claim|Median: $96.13
1.2× median
T4544Top 25%

Pediatric-sized disposable underpads/pads, small

$168K

699 claims · 1.7%

Your Cost: $239.91/claim|Median: $171.64
1.4× median
L0650Normal range

$133K

248 claims · 1.4%

Your Cost: $534.81/claim|Median: $339.16
1.6× median
E0172Top 1%

$103K

68 claims · 1.1%

Your Cost: $1,509.04/claim|Median: $1,407.15
1.1× median
E1399Top 25%

Durable medical equipment, miscellaneous

$93K

143 claims · 1.0%

Your Cost: $647.94/claim|Median: $104.06
6.2× median
A9900Top 25%

$89K

589 claims · 0.9%

Your Cost: $151.61/claim|Median: $58.14
2.6× median
K0739Top 5%

$76K

612 claims · 0.8%

Your Cost: $124.96/claim|Median: $34.09
3.7× median
E0190Top 25%

$75K

392 claims · 0.8%

Your Cost: $192.10/claim|Median: $22.04
8.7× median
T4522Normal range

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

$60K

591 claims · 0.6%

Your Cost: $101.33/claim|Median: $84.50
1.2× median
T4534Top 10%

Adult-sized disposable underpads/pads, small

$59K

349 claims · 0.6%

Your Cost: $168.33/claim|Median: $110.54
1.5× median
A6530Normal range

$57K

1,450 claims · 0.6%

Your Cost: $39.61/claim|Median: $49.70
0.8× median
K0001Top 5%

Standard wheelchair

$56K

1,309 claims · 0.6%

Your Cost: $42.64/claim|Median: $12.27
3.5× median
E0245Normal range

$44K

1,206 claims · 0.5%

Your Cost: $36.19/claim|Median: $42.10
0.9× median
E0135Normal range

$41K

1,216 claims · 0.4%

Your Cost: $33.44/claim|Median: $30.33
1.1× median
E0260Normal range

Hospital bed, semi-electric

$40K

1,434 claims · 0.4%

Your Cost: $27.77/claim|Median: $23.07
1.2× median
A4215Normal range

Sterile needle, each

$39K

1,338 claims · 0.4%

Your Cost: $29.27/claim|Median: $20.71
1.4× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$34K

254 claims · 0.4%

Your Cost: $135.21/claim|Median: $92.20
1.5× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$34K

1,263 claims · 0.4%

Your Cost: $26.83/claim|Median: $31.59
0.8× median
A4253Normal range

Blood glucose test strips

$24K

2,786 claims · 0.2%

Your Cost: $8.53/claim|Median: $6.92
1.2× median
L1833Normal range

$20K

91 claims · 0.2%

Your Cost: $224.00/claim|Median: $278.90
0.8× median
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