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Provider 1285621193

NPI: 1285621193Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,471,413

Total Claims

146K

Beneficiaries

136K

1.1 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+42%
2019
$1.5M
+1%
2020
$1.5M
-20%
2021
$1.2M
+12%
2022
$1.4M
+10%
2023
$1.5M
-17%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4523 (Adult-sized disposable incontinence product, brief/diaper, small)) accounts for 17% of total spending.

T4523Top 25%

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

$1.6M

12K claims · 17.2%

Your Cost: $138.55/claim|Median: $96.13
1.4× median
T4522Top 10%

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

$1.3M

11K claims · 13.7%

Your Cost: $122.02/claim|Median: $84.50
1.4× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.2M

13K claims · 12.3%

Your Cost: $86.71/claim|Median: $99.53
0.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$909K

9,447 claims · 9.6%

Your Cost: $96.22/claim|Median: $105.14
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$907K

11K claims · 9.6%

Your Cost: $83.31/claim|Median: $88.94
0.9× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$806K

19K claims · 8.5%

Your Cost: $42.33/claim|Median: $41.28
1.0× median
A4927Top 25%

Gloves, non-sterile, per 100

$602K

22K claims · 6.4%

Your Cost: $27.73/claim|Median: $12.90
2.1× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$359K

1,867 claims · 3.8%

Your Cost: $192.54/claim|Median: $177.75
1.1× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$350K

6,275 claims · 3.7%

Your Cost: $55.73/claim|Median: $42.03
1.3× median
T4524Normal range

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

$280K

2,197 claims · 3.0%

Your Cost: $127.63/claim|Median: $108.31
1.2× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$223K

1,725 claims · 2.4%

Your Cost: $129.45/claim|Median: $171.64
0.8× median
G9012Normal range

Other specified case management service, per 15 minutes

$193K

10K claims · 2.0%

Your Cost: $18.90/claim|Median: $137.85
0.1× median
B4100Normal range

$142K

3,556 claims · 1.5%

Your Cost: $40.04/claim|Median: $67.58
0.6× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$112K

827 claims · 1.2%

Your Cost: $135.26/claim|Median: $92.20
1.5× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$90K

547 claims · 1.0%

Your Cost: $164.95/claim|Median: $89.79
1.8× median
A4320Top 1%

$83K

376 claims · 0.9%

Your Cost: $220.67/claim|Median: $9.59
23.0× median
T4525Normal range

$60K

833 claims · 0.6%

Your Cost: $72.39/claim|Median: $79.46
0.9× median
A4351Top 25%

Intermittent urinary catheter, straight tip, each

$43K

257 claims · 0.5%

Your Cost: $165.87/claim|Median: $116.15
1.4× median
A4357Normal range

Bedside drainage bag, day or night

$42K

4,027 claims · 0.4%

Your Cost: $10.52/claim|Median: $7.46
1.4× median
A4211Normal range

$34K

989 claims · 0.4%

Your Cost: $34.66/claim|Median: $9.60
3.6× median
99605Normal range

$23K

599 claims · 0.2%

Your Cost: $38.25/claim|Median: $50.00
0.8× median
J7626Normal range

$20K

1,178 claims · 0.2%

Your Cost: $17.07/claim|Median: $9.81
1.7× median
A4253Normal range

Blood glucose test strips

$17K

1,632 claims · 0.2%

Your Cost: $10.43/claim|Median: $6.92
1.5× median
A4217Top 25%

Sterile water or saline for nebulizer, per unit

$13K

273 claims · 0.1%

Your Cost: $46.50/claim|Median: $13.14
3.5× median
Q0513Normal range

$12K

2,040 claims · 0.1%

Your Cost: $5.96/claim|Median: $5.61
1.1× median
99607Normal range

$11K

414 claims · 0.1%

Your Cost: $26.21/claim|Median: $50.77
0.5× median
A4358Normal range

$9K

1,222 claims · 0.1%

Your Cost: $7.39/claim|Median: $6.27
1.2× median
A4349Normal range

$8K

211 claims · 0.1%

Your Cost: $39.52/claim|Median: $28.92
1.4× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$7K

397 claims · 0.1%

Your Cost: $17.92/claim|Median: $141.34
0.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$5K

1,681 claims · 0.1%

Your Cost: $2.84/claim|Median: $33.85
0.1× median
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