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SHIELD CALIFORNIA HEALTH CARE CENTER INC

Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition·ONTARIO, CA·NPI: 1275647299Share
Active Billing Period:2018-04→2024-01(70 months)
Billing appears to have stoppedLast active: 2024-01

Total Paid

$65.9M

$65,881,991

Total Claims

1.3M

Beneficiaries

1.3M

1.0 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+467%
2019
$9.5M
+25%
2020
$11.9M
+8%
2021
$12.7M
+10%
2022
$14.1M
+13%
2023
$15.9M
-99%
2024
$105K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T4541 (Pediatric-sized disposable incontinence product, large)) accounts for 22% of total spending.

T4541Top 25%

Pediatric-sized disposable incontinence product, large

$14.3M

257K claims · 21.7%

Your Cost: $55.72/claim|Median: $41.28
1.3× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$9.0M

162K claims · 13.6%

Your Cost: $55.46/claim|Median: $42.03
1.3× median
T4527Normal range

Adult-sized disposable incontinence product, large

$5.6M

88K claims · 8.5%

Your Cost: $63.86/claim|Median: $99.53
0.6× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$4.4M

84K claims · 6.7%

Your Cost: $52.75/claim|Median: $88.94
0.6× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$3.6M

55K claims · 5.5%

Your Cost: $65.77/claim|Median: $105.14
0.6× median
T4523Normal range

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

$3.3M

34K claims · 5.0%

Your Cost: $96.16/claim|Median: $96.13
1.0× median
T4534Top 5%

Adult-sized disposable underpads/pads, small

$2.8M

13K claims · 4.2%

Your Cost: $211.04/claim|Median: $110.54
1.9× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$2.7M

189K claims · 4.0%

Your Cost: $14.09/claim|Median: $9.88
1.4× median
A4351Top 5%

Intermittent urinary catheter, straight tip, each

$2.5M

5,656 claims · 3.8%

Your Cost: $442.71/claim|Median: $116.15
3.8× median
T4524Normal range

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

$2.2M

25K claims · 3.4%

Your Cost: $89.97/claim|Median: $108.31
0.8× median
A4335Top 25%

Incontinence supply, miscellaneous

$1.9M

182K claims · 2.8%

Your Cost: $10.28/claim|Median: $5.54
1.9× median
T4522Normal range

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

$1.7M

23K claims · 2.6%

Your Cost: $76.13/claim|Median: $84.50
0.9× median
A6197Top 1%

$1.0M

1,158 claims · 1.5%

Your Cost: $881.35/claim|Median: $156.22
5.6× median
A6213Top 1%

$868K

1,208 claims · 1.3%

Your Cost: $718.18/claim|Median: $95.60
7.5× median
A4927Top 25%

Gloves, non-sterile, per 100

$785K

39K claims · 1.2%

Your Cost: $19.90/claim|Median: $12.90
1.5× median
A4409Top 5%

$706K

3,132 claims · 1.1%

Your Cost: $225.50/claim|Median: $61.38
3.7× median
T4530Top 25%

$692K

6,288 claims · 1.1%

Your Cost: $110.07/claim|Median: $83.90
1.3× median
T4537Normal range

$661K

23K claims · 1.0%

Your Cost: $29.19/claim|Median: $31.50
0.9× median
T4525Normal range

$646K

13K claims · 1.0%

Your Cost: $49.67/claim|Median: $79.46
0.6× median
A4385Top 5%

$623K

3,750 claims · 0.9%

Your Cost: $166.10/claim|Median: $49.51
3.4× median
A6212Top 1%

$465K

1,179 claims · 0.7%

Your Cost: $394.22/claim|Median: $76.51
5.2× median
A4425Top 5%

$451K

4,094 claims · 0.7%

Your Cost: $110.08/claim|Median: $38.79
2.8× median
A6446Top 5%

$444K

5,187 claims · 0.7%

Your Cost: $85.51/claim|Median: $14.64
5.8× median
A4407Top 5%

$395K

1,288 claims · 0.6%

Your Cost: $306.58/claim|Median: $73.73
4.2× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$275K

1,666 claims · 0.4%

Your Cost: $165.08/claim|Median: $117.24
1.4× median
T4532Top 10%

$220K

1,195 claims · 0.3%

Your Cost: $184.16/claim|Median: $116.50
1.6× median
A4410Top 1%

$195K

770 claims · 0.3%

Your Cost: $253.35/claim|Median: $84.40
3.0× median
T4521Normal range

$170K

2,571 claims · 0.3%

Your Cost: $66.23/claim|Median: $81.60
0.8× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$169K

1,882 claims · 0.3%

Your Cost: $89.59/claim|Median: $55.51
1.6× median
A6454Top 5%

$168K

1,157 claims · 0.3%

Your Cost: $145.20/claim|Median: $15.74
9.2× median
A4357Top 5%

Bedside drainage bag, day or night

$160K

4,509 claims · 0.2%

Your Cost: $35.56/claim|Median: $7.46
4.8× median
B4088Top 10%

$153K

1,015 claims · 0.2%

Your Cost: $150.26/claim|Median: $73.20
2.1× median
A4362Top 5%

$150K

1,592 claims · 0.2%

Your Cost: $94.52/claim|Median: $36.03
2.6× median
A4414Top 5%

$150K

922 claims · 0.2%

Your Cost: $163.14/claim|Median: $48.85
3.3× median
A4322Top 10%

$140K

2,278 claims · 0.2%

Your Cost: $61.34/claim|Median: $14.10
4.4× median
A6223Top 5%

$137K

1,173 claims · 0.2%

Your Cost: $116.90/claim|Median: $35.60
3.3× median
A5063Top 1%

$135K

1,404 claims · 0.2%

Your Cost: $96.10/claim|Median: $27.93
3.4× median
A6216Top 10%

Gauze, non-impregnated, sterile

$134K

8,078 claims · 0.2%

Your Cost: $16.56/claim|Median: $4.91
3.4× median
A6196Top 1%

$121K

281 claims · 0.2%

Your Cost: $432.25/claim|Median: $71.68
6.0× median
A6252Normal range

$106K

2,346 claims · 0.2%

Your Cost: $45.02/claim|Median: $46.15
1.0× median
A6402Top 10%

$95K

4,955 claims · 0.1%

Your Cost: $19.19/claim|Median: $7.69
2.5× median
A4358Top 5%

$94K

2,862 claims · 0.1%

Your Cost: $32.83/claim|Median: $6.27
5.2× median
A4406Top 5%

$94K

2,828 claims · 0.1%

Your Cost: $33.17/claim|Median: $10.23
3.2× median
A4349Top 10%

$91K

1,378 claims · 0.1%

Your Cost: $65.79/claim|Median: $28.92
2.3× median
A4338Top 5%

$89K

2,282 claims · 0.1%

Your Cost: $38.81/claim|Median: $7.20
5.4× median
A6222Top 5%

$88K

854 claims · 0.1%

Your Cost: $103.48/claim|Median: $23.17
4.5× median
A4394Top 25%

$88K

3,780 claims · 0.1%

Your Cost: $23.24/claim|Median: $12.65
1.8× median
A5056Top 5%

Ostomy skin barrier, without flange, each

$86K

494 claims · 0.1%

Your Cost: $173.70/claim|Median: $54.88
3.2× median
A4456Top 10%

$81K

6,482 claims · 0.1%

Your Cost: $12.42/claim|Median: $6.74
1.8× median
A5120Top 25%

$72K

7,247 claims · 0.1%

Your Cost: $9.90/claim|Median: $6.35
1.6× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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