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Provider 1275170938

NPI: 1275170938Share
Active Billing Period:2021-09→2024-12(40 months)

Total Paid

$8.2M

$8,240,274

Total Claims

167K

Beneficiaries

122K

1.4 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2021
$262K
+773%
2022
$2.3M
+31%
2023
$3.0M
-10%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4543 (Pediatric-sized disposable incontinence product, above XL)) accounts for 14% of total spending.

T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$1.2M

6,659 claims · 14.1%

Your Cost: $174.04/claim|Median: $177.75
1.0× median
T4524Top 25%

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

$1.1M

7,680 claims · 13.1%

Your Cost: $140.55/claim|Median: $108.31
1.3× median
A4554Top 25%

Disposable underpads, all sizes

$862K

17K claims · 10.5%

Your Cost: $51.67/claim|Median: $37.02
1.4× median
L3410Normal range

$834K

19K claims · 10.1%

Your Cost: $42.93/claim|Median: $57.70
0.7× median
L3217Normal range

$689K

14K claims · 8.4%

Your Cost: $49.72/claim|Median: $74.76
0.7× median
L3030Normal range

Foot insert, removable, UCB-type, Berkeley shell, each

$671K

16K claims · 8.1%

Your Cost: $41.49/claim|Median: $61.03
0.7× median
L3222Normal range

$367K

6,177 claims · 4.5%

Your Cost: $59.37/claim|Median: $85.13
0.7× median
L3001Normal range

$346K

4,820 claims · 4.2%

Your Cost: $71.86/claim|Median: $83.05
0.9× median
A6540Normal range

$345K

2,660 claims · 4.2%

Your Cost: $129.59/claim|Median: $160.99
0.8× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$332K

9,540 claims · 4.0%

Your Cost: $34.76/claim|Median: $42.03
0.8× median
T4539Normal range

$329K

12K claims · 4.0%

Your Cost: $28.47/claim|Median: $27.96
1.0× median
L3340Normal range

$322K

10K claims · 3.9%

Your Cost: $30.70/claim|Median: $34.38
0.9× median
L3485Normal range

$210K

8,967 claims · 2.5%

Your Cost: $23.37/claim|Median: $23.92
1.0× median
T4537Normal range

$178K

7,186 claims · 2.2%

Your Cost: $24.81/claim|Median: $31.50
0.8× median
L1971Normal range

$144K

755 claims · 1.7%

Your Cost: $190.42/claim|Median: $81.09
2.3× median
T4540Normal range

$59K

4,637 claims · 0.7%

Your Cost: $12.71/claim|Median: $17.85
0.7× median
A4927Normal range

Gloves, non-sterile, per 100

$44K

12K claims · 0.5%

Your Cost: $3.66/claim|Median: $12.90
0.3× median
T4523Normal range

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

$41K

405 claims · 0.5%

Your Cost: $101.47/claim|Median: $96.13
1.1× median
L3206Normal range

$32K

1,411 claims · 0.4%

Your Cost: $22.85/claim|Median: $34.71
0.7× median
L0642Normal range

$22K

125 claims · 0.3%

Your Cost: $176.04/claim|Median: $181.03
1.0× median
A6539Normal range

$22K

311 claims · 0.3%

Your Cost: $69.54/claim|Median: $107.32
0.6× median
L1820Normal range

$19K

382 claims · 0.2%

Your Cost: $48.78/claim|Median: $73.16
0.7× median
A4670Normal range

$18K

446 claims · 0.2%

Your Cost: $41.03/claim|Median: $50.23
0.8× median
A6530Normal range

$18K

875 claims · 0.2%

Your Cost: $20.37/claim|Median: $49.70
0.4× median
A6533Normal range

$14K

619 claims · 0.2%

Your Cost: $22.32/claim|Median: $74.92
0.3× median
L3390Normal range

$13K

573 claims · 0.2%

Your Cost: $23.53/claim|Median: $26.14
0.9× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$13K

874 claims · 0.2%

Your Cost: $14.56/claim|Median: $33.21
0.4× median
L0627Normal range

$12K

78 claims · 0.1%

Your Cost: $154.52/claim|Median: $165.39
0.9× median
A5512Normal range

Diabetic shoe insert, custom molded, each

$12K

791 claims · 0.1%

Your Cost: $15.06/claim|Median: $24.01
0.6× median
L3310Normal range

$7K

150 claims · 0.1%

Your Cost: $48.07/claim|Median: $57.60
0.8× median
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