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Provider 1295259612

NPI: 1295259612Share
Active Billing Period:2019-02→2024-12(67 months)

Total Paid

$10.6M

$10,578,510

Total Claims

203K

Beneficiaries

145K

1.4 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2019
$280K
-39%
2020
$170K
+415%
2021
$875K
+176%
2022
$2.4M
+97%
2023
$4.8M
-56%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4534 (Adult-sized disposable underpads/pads, small)) accounts for 17% of total spending.

T4534Normal range

Adult-sized disposable underpads/pads, small

$1.8M

27K claims · 17.2%

Your Cost: $67.72/claim|Median: $110.54
0.6× median
A4554Normal range

Disposable underpads, all sizes

$1.6M

66K claims · 15.1%

Your Cost: $24.19/claim|Median: $37.02
0.7× median
E0603Normal range

Breast pump, electric, any type

$1.1M

7,732 claims · 10.0%

Your Cost: $137.23/claim|Median: $131.70
1.0× median
T4532Normal range

$1.0M

19K claims · 9.7%

Your Cost: $54.35/claim|Median: $116.50
0.5× median
T4527Normal range

Adult-sized disposable incontinence product, large

$909K

9,731 claims · 8.6%

Your Cost: $93.36/claim|Median: $99.53
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$713K

10K claims · 6.7%

Your Cost: $71.24/claim|Median: $88.94
0.8× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$597K

6,770 claims · 5.6%

Your Cost: $88.16/claim|Median: $105.14
0.8× median
A4927Top 25%

Gloves, non-sterile, per 100

$597K

23K claims · 5.6%

Your Cost: $26.23/claim|Median: $12.90
2.0× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$537K

4,478 claims · 5.1%

Your Cost: $119.86/claim|Median: $171.64
0.7× median
T4533Normal range

Adult disposable incontinence product, youth or small

$428K

7,144 claims · 4.0%

Your Cost: $59.91/claim|Median: $87.25
0.7× median
T4530Normal range

$265K

5,784 claims · 2.5%

Your Cost: $45.88/claim|Median: $83.90
0.5× median
T4525Normal range

$166K

2,334 claims · 1.6%

Your Cost: $71.02/claim|Median: $79.46
0.9× median
L0621Normal range

$161K

2,636 claims · 1.5%

Your Cost: $60.92/claim|Median: $56.03
1.1× median
A4353Top 25%

Intermittent urinary catheter, with insertion supplies

$134K

193 claims · 1.3%

Your Cost: $692.02/claim|Median: $508.29
1.4× median
A6530Normal range

$68K

1,552 claims · 0.6%

Your Cost: $43.93/claim|Median: $49.70
0.9× median
B4154Normal range

$65K

593 claims · 0.6%

Your Cost: $110.32/claim|Median: $132.96
0.8× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$60K

1,947 claims · 0.6%

Your Cost: $30.82/claim|Median: $42.03
0.7× median
A4467Normal range

$59K

1,730 claims · 0.6%

Your Cost: $34.36/claim|Median: $20.21
1.7× median
T4522Normal range

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

$53K

1,066 claims · 0.5%

Your Cost: $50.04/claim|Median: $84.50
0.6× median
T4523Normal range

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

$47K

804 claims · 0.4%

Your Cost: $58.83/claim|Median: $96.13
0.6× median
A6212Normal range

$41K

316 claims · 0.4%

Your Cost: $130.43/claim|Median: $76.51
1.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$37K

490 claims · 0.4%

Your Cost: $76.10/claim|Median: $89.79
0.8× median
A4930Top 5%

$36K

278 claims · 0.3%

Your Cost: $129.94/claim|Median: $3.61
36.0× median
T4521Normal range

$23K

563 claims · 0.2%

Your Cost: $40.84/claim|Median: $81.60
0.5× median
L2630Normal range

$19K

107 claims · 0.2%

Your Cost: $181.45/claim|Median: $165.63
1.1× median
T4524Normal range

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

$17K

280 claims · 0.2%

Your Cost: $62.26/claim|Median: $108.31
0.6× median
T4531Normal range

$14K

130 claims · 0.1%

Your Cost: $108.47/claim|Median: $100.68
1.1× median
A4335Normal range

Incontinence supply, miscellaneous

$8K

1,849 claims · 0.1%

Your Cost: $4.37/claim|Median: $5.54
0.8× median
A4351Top 25%

Intermittent urinary catheter, straight tip, each

$8K

37 claims · 0.1%

Your Cost: $204.15/claim|Median: $116.15
1.8× median
A4520Normal range

$3K

121 claims · 0.0%

Your Cost: $26.78/claim|Median: $39.60
0.7× median
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