Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1275074056

NPI: 1275074056Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$8,996,903

Total Claims

120K

Beneficiaries

117K

1.0 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+7%
2019
$1.3M
-10%
2020
$1.2M
-11%
2021
$1.1M
-0%
2022
$1.1M
+31%
2023
$1.4M
+22%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (A4554 (Disposable underpads, all sizes)) accounts for 28% of total spending.

A4554Top 5%

Disposable underpads, all sizes

$2.5M

31K claims · 28.3%

Your Cost: $82.44/claim|Median: $37.02
2.2× median
T4522Top 25%

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

$1.6M

14K claims · 17.4%

Your Cost: $111.47/claim|Median: $84.50
1.3× median
T4523Top 10%

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

$1.6M

11K claims · 17.3%

Your Cost: $146.07/claim|Median: $96.13
1.5× median
T4537Normal range

$890K

26K claims · 9.9%

Your Cost: $34.79/claim|Median: $31.50
1.1× median
T4524Top 25%

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

$759K

4,970 claims · 8.4%

Your Cost: $152.68/claim|Median: $108.31
1.4× median
T4533Normal range

Adult disposable incontinence product, youth or small

$579K

6,455 claims · 6.4%

Your Cost: $89.77/claim|Median: $87.25
1.0× median
T4521Top 25%

$500K

4,750 claims · 5.6%

Your Cost: $105.31/claim|Median: $81.60
1.3× median
B4160Normal range

Enteral formula, per 100 calories

$158K

877 claims · 1.8%

Your Cost: $179.98/claim|Median: $157.30
1.1× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$134K

6,239 claims · 1.5%

Your Cost: $21.47/claim|Median: $42.03
0.5× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$118K

697 claims · 1.3%

Your Cost: $169.58/claim|Median: $117.24
1.4× median
B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$100K

484 claims · 1.1%

Your Cost: $206.34/claim|Median: $89.79
2.3× median
A4927Normal range

Gloves, non-sterile, per 100

$59K

13K claims · 0.7%

Your Cost: $4.55/claim|Median: $12.90
0.4× median
A6402Top 10%

$15K

709 claims · 0.2%

Your Cost: $21.26/claim|Median: $7.69
2.8× median
A4322Normal range

$8K

622 claims · 0.1%

Your Cost: $13.28/claim|Median: $14.10
0.9× median
T4530Normal range

$5K

55 claims · 0.1%

Your Cost: $83.29/claim|Median: $83.90
1.0× median
B4088Top 25%

$2K

12 claims · 0.0%

Your Cost: $134.58/claim|Median: $73.20
1.8× median
A4209Top 25%

$921

78 claims · 0.0%

Your Cost: $11.81/claim|Median: $1.41
8.4× median
T4539Top 10%

$457

14 claims · 0.0%

Your Cost: $32.64/claim|Median: $27.96
1.2× median
A4452Normal range

$275

48 claims · 0.0%

Your Cost: $5.73/claim|Median: $9.98
0.6× median
← All providersHow we detect fraud →