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Provider 1275851800

NPI: 1275851800Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$10,011,139

Total Claims

249K

Beneficiaries

203K

1.2 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$870K
+34%
2019
$1.2M
+10%
2020
$1.3M
+50%
2021
$1.9M
-14%
2022
$1.7M
+11%
2023
$1.8M
-33%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4351 (Intermittent urinary catheter, straight tip, each)) accounts for 11% of total spending.

A4351Normal range

Intermittent urinary catheter, straight tip, each

$1.1M

15K claims · 11.4%

Your Cost: $74.78/claim|Median: $116.15
0.6× median
T4522Normal range

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

$1.0M

13K claims · 10.1%

Your Cost: $75.70/claim|Median: $84.50
0.9× median
T4521Normal range

$734K

9,691 claims · 7.3%

Your Cost: $75.79/claim|Median: $81.60
0.9× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$687K

2,822 claims · 6.9%

Your Cost: $243.61/claim|Median: $508.29
0.5× median
E0603Top 25%

Breast pump, electric, any type

$662K

3,159 claims · 6.6%

Your Cost: $209.58/claim|Median: $131.70
1.6× median
A4352Normal range

Intermittent urinary catheter, Coude tip, each

$526K

2,641 claims · 5.3%

Your Cost: $199.12/claim|Median: $280.71
0.7× median
T4530Normal range

$518K

9,245 claims · 5.2%

Your Cost: $56.05/claim|Median: $83.90
0.7× median
A4414Normal range

$404K

7,238 claims · 4.0%

Your Cost: $55.85/claim|Median: $48.85
1.1× median
T4523Normal range

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

$291K

4,491 claims · 2.9%

Your Cost: $64.87/claim|Median: $96.13
0.7× median
A5061Normal range

$270K

6,031 claims · 2.7%

Your Cost: $44.80/claim|Median: $43.04
1.0× median
A4927Normal range

Gloves, non-sterile, per 100

$254K

20K claims · 2.5%

Your Cost: $12.54/claim|Median: $12.90
1.0× median
A6212Top 25%

$241K

1,442 claims · 2.4%

Your Cost: $167.07/claim|Median: $76.51
2.2× median
A5063Normal range

$241K

6,877 claims · 2.4%

Your Cost: $35.00/claim|Median: $27.93
1.3× median
A6197Normal range

$219K

933 claims · 2.2%

Your Cost: $234.40/claim|Median: $156.22
1.5× median
A4385Normal range

$215K

5,212 claims · 2.1%

Your Cost: $41.21/claim|Median: $49.51
0.8× median
A4409Normal range

$165K

3,582 claims · 1.6%

Your Cost: $46.08/claim|Median: $61.38
0.8× median
A4407Normal range

$140K

2,098 claims · 1.4%

Your Cost: $66.69/claim|Median: $73.73
0.9× median
A6252Top 25%

$128K

1,606 claims · 1.3%

Your Cost: $79.52/claim|Median: $46.15
1.7× median
A6216Top 5%

Gauze, non-impregnated, sterile

$119K

5,996 claims · 1.2%

Your Cost: $19.88/claim|Median: $4.91
4.0× median
A4362Normal range

$112K

5,917 claims · 1.1%

Your Cost: $18.91/claim|Median: $36.03
0.5× median
A6253Top 25%

$105K

589 claims · 1.1%

Your Cost: $178.75/claim|Median: $93.50
1.9× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$97K

3,492 claims · 1.0%

Your Cost: $27.89/claim|Median: $13.14
2.1× median
A5121Normal range

$93K

1,629 claims · 0.9%

Your Cost: $56.86/claim|Median: $66.46
0.9× median
A5071Top 25%

$87K

928 claims · 0.9%

Your Cost: $94.21/claim|Median: $64.49
1.5× median
A6196Top 25%

$87K

658 claims · 0.9%

Your Cost: $131.65/claim|Median: $71.68
1.8× median
A4349Normal range

$86K

3,313 claims · 0.9%

Your Cost: $26.00/claim|Median: $28.92
0.9× median
A6402Normal range

$82K

7,735 claims · 0.8%

Your Cost: $10.56/claim|Median: $7.69
1.4× median
A4357Normal range

Bedside drainage bag, day or night

$73K

8,554 claims · 0.7%

Your Cost: $8.57/claim|Median: $7.46
1.1× median
A4425Normal range

$72K

3,323 claims · 0.7%

Your Cost: $21.52/claim|Median: $38.79
0.6× median
A4216Normal range

$65K

4,726 claims · 0.6%

Your Cost: $13.67/claim|Median: $8.45
1.6× median
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