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Provider 1295101533

NPI: 1295101533Share
Active Billing Period:2018-12→2024-12(73 months)

Total Paid

$13.2M

$13,160,205

Total Claims

210K

Beneficiaries

198K

1.1 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$909
+52527%
2019
$478K
+169%
2020
$1.3M
+34%
2021
$1.7M
+1%
2022
$1.7M
+84%
2023
$3.2M
+47%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 10% of total spending.

B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$1.3M

1,893 claims · 10.2%

Your Cost: $712.42/claim|Median: $465.86
1.5× median
A4554Normal range

Disposable underpads, all sizes

$876K

31K claims · 6.7%

Your Cost: $28.26/claim|Median: $37.02
0.8× median
T4527Normal range

Adult-sized disposable incontinence product, large

$833K

9,751 claims · 6.3%

Your Cost: $85.44/claim|Median: $99.53
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$789K

9,702 claims · 6.0%

Your Cost: $81.31/claim|Median: $88.94
0.9× median
A9900Normal range

$722K

9,653 claims · 5.5%

Your Cost: $74.83/claim|Median: $58.14
1.3× median
B4160Normal range

Enteral formula, per 100 calories

$710K

4,449 claims · 5.4%

Your Cost: $159.57/claim|Median: $157.30
1.0× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$690K

5,348 claims · 5.2%

Your Cost: $129.08/claim|Median: $110.54
1.2× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$675K

6,173 claims · 5.1%

Your Cost: $109.27/claim|Median: $105.14
1.0× median
E1399Normal range

Durable medical equipment, miscellaneous

$674K

6,030 claims · 5.1%

Your Cost: $111.71/claim|Median: $104.06
1.1× median
A4353Top 10%

Intermittent urinary catheter, with insertion supplies

$570K

642 claims · 4.3%

Your Cost: $888.11/claim|Median: $508.29
1.7× median
A4927Normal range

Gloves, non-sterile, per 100

$518K

32K claims · 3.9%

Your Cost: $16.09/claim|Median: $12.90
1.2× median
A4245Top 25%

$500K

34K claims · 3.8%

Your Cost: $14.58/claim|Median: $2.33
6.3× median
A4216Top 5%

$410K

3,166 claims · 3.1%

Your Cost: $129.59/claim|Median: $8.45
15.3× median
A4409Top 1%

$308K

1,039 claims · 2.3%

Your Cost: $295.96/claim|Median: $61.38
4.8× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$290K

2,119 claims · 2.2%

Your Cost: $136.96/claim|Median: $89.79
1.5× median
B4152Top 10%

Enteral formula, calorically dense, per 100 calories

$247K

1,277 claims · 1.9%

Your Cost: $193.63/claim|Median: $92.20
2.1× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$219K

5,117 claims · 1.7%

Your Cost: $42.71/claim|Median: $42.03
1.0× median
A4362Top 5%

$219K

2,116 claims · 1.7%

Your Cost: $103.26/claim|Median: $36.03
2.9× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$207K

1,702 claims · 1.6%

Your Cost: $121.85/claim|Median: $171.64
0.7× median
T4523Normal range

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

$201K

2,429 claims · 1.5%

Your Cost: $82.57/claim|Median: $96.13
0.9× median
T4525Normal range

$191K

2,493 claims · 1.4%

Your Cost: $76.43/claim|Median: $79.46
1.0× median
T4524Normal range

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

$188K

2,070 claims · 1.4%

Your Cost: $91.03/claim|Median: $108.31
0.8× median
E0603Normal range

Breast pump, electric, any type

$171K

2,086 claims · 1.3%

Your Cost: $82.00/claim|Median: $131.70
0.6× median
B4034Top 25%

$140K

1,366 claims · 1.1%

Your Cost: $102.66/claim|Median: $46.28
2.2× median
T4530Normal range

$133K

1,583 claims · 1.0%

Your Cost: $83.91/claim|Median: $83.90
1.0× median
T4532Normal range

$121K

1,035 claims · 0.9%

Your Cost: $116.58/claim|Median: $116.50
1.0× median
T4522Normal range

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

$108K

1,374 claims · 0.8%

Your Cost: $78.94/claim|Median: $84.50
0.9× median
A4371Top 1%

$104K

1,697 claims · 0.8%

Your Cost: $61.49/claim|Median: $3.49
17.6× median
A4452Top 10%

$87K

2,494 claims · 0.7%

Your Cost: $35.08/claim|Median: $9.98
3.5× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$80K

791 claims · 0.6%

Your Cost: $100.57/claim|Median: $55.51
1.8× median
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