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Provider 1285600072

NPI: 1285600072Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.7M

$14,694,160

Total Claims

60K

Beneficiaries

31K

2.0 claims/patient

Avg Cost/Claim

$244

Monthly Spending Trend

Yearly Spending

2018
$617K
+409%
2019
$3.1M
+2%
2020
$3.2M
+4%
2021
$3.3M
+3%
2022
$3.5M
-85%
2023
$515K
-23%
2024
$395K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (S9500) accounts for 32% of total spending.

S9500Top 25%

$4.7M

15K claims · 32.0%

Your Cost: $321.03/claim|Median: $144.40
2.2× median
S9502Top 10%

$1.9M

4,913 claims · 13.1%

Your Cost: $391.02/claim|Median: $165.71
2.4× median
S9501Top 5%

$1.8M

4,980 claims · 12.2%

Your Cost: $358.71/claim|Median: $160.52
2.2× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$1.5M

5,957 claims · 10.2%

Your Cost: $251.98/claim|Median: $176.25
1.4× median
S9343Normal range

$1.2M

6,262 claims · 8.2%

Your Cost: $191.79/claim|Median: $99.47
1.9× median
99601Normal range

$1.0M

12K claims · 7.0%

Your Cost: $86.06/claim|Median: $82.41
1.0× median
S9366Top 10%

$881K

1,136 claims · 6.0%

Your Cost: $775.68/claim|Median: $394.05
2.0× median
B9998Top 1%

Enteral/parenteral nutritional supplies, NOS

$367K

726 claims · 2.5%

Your Cost: $505.43/claim|Median: $55.51
9.1× median
S9374Top 25%

$333K

1,559 claims · 2.3%

Your Cost: $213.35/claim|Median: $136.10
1.6× median
S9379Top 25%

$325K

2,049 claims · 2.2%

Your Cost: $158.74/claim|Median: $70.89
2.2× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$274K

2,528 claims · 1.9%

Your Cost: $108.49/claim|Median: $51.67
2.1× median
A4306Top 25%

$130K

1,499 claims · 0.9%

Your Cost: $86.60/claim|Median: $21.29
4.1× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$67K

529 claims · 0.5%

Your Cost: $126.77/claim|Median: $89.79
1.4× median
S9330Normal range

$45K

447 claims · 0.3%

Your Cost: $100.56/claim|Median: $113.82
0.9× median
99602Normal range

$32K

462 claims · 0.2%

Your Cost: $70.27/claim|Median: $84.91
0.8× median
A4305Top 5%

$24K

78 claims · 0.2%

Your Cost: $305.38/claim|Median: $76.95
4.0× median
S9494Normal range

$24K

103 claims · 0.2%

Your Cost: $231.00/claim|Median: $169.66
1.4× median
S9503Top 25%

$14K

52 claims · 0.1%

Your Cost: $262.50/claim|Median: $205.52
1.3× median
S9340Normal range

$14K

75 claims · 0.1%

Your Cost: $181.05/claim|Median: $196.46
0.9× median
J0696Top 1%

$10K

38 claims · 0.1%

Your Cost: $251.25/claim|Median: $1.34
187.5× median
B4088Normal range

$5K

131 claims · 0.0%

Your Cost: $39.37/claim|Median: $73.20
0.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$3K

31 claims · 0.0%

Your Cost: $109.54/claim|Median: $92.20
1.2× median
A4223Normal range

$3K

46 claims · 0.0%

Your Cost: $54.85/claim|Median: $60.92
0.9× median
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