Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1316018070

NPI: 1316018070Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,247,808

Total Claims

133K

Beneficiaries

110K

1.2 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-22%
2019
$1.5M
-1%
2020
$1.5M
-14%
2021
$1.3M
+6%
2022
$1.4M
+12%
2023
$1.5M
-34%
2024
$1.0M

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 21% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.2M

4,154 claims · 21.2%

Your Cost: $523.74/claim|Median: $465.86
1.1× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.7M

10K claims · 16.7%

Your Cost: $167.91/claim|Median: $117.24
1.4× median
B4160Normal range

Enteral formula, per 100 calories

$999K

6,095 claims · 9.7%

Your Cost: $163.83/claim|Median: $157.30
1.0× median
E1390Normal range

Oxygen concentrator, single delivery port

$546K

10K claims · 5.3%

Your Cost: $52.83/claim|Median: $45.11
1.2× median
E0329Normal range

$501K

90 claims · 4.9%

Your Cost: $5,564.33/claim|Median: $5,394.67
1.0× median
B4162Normal range

$485K

1,168 claims · 4.7%

Your Cost: $415.28/claim|Median: $412.82
1.0× median
E0445Normal range

$466K

4,687 claims · 4.5%

Your Cost: $99.40/claim|Median: $118.11
0.8× median
B4158Top 10%

$326K

1,283 claims · 3.2%

Your Cost: $254.40/claim|Median: $145.71
1.7× median
B9002Normal range

$231K

4,083 claims · 2.3%

Your Cost: $56.59/claim|Median: $54.41
1.0× median
E0619Top 25%

$201K

987 claims · 2.0%

Your Cost: $203.59/claim|Median: $163.70
1.2× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$191K

6,099 claims · 1.9%

Your Cost: $31.31/claim|Median: $41.28
0.8× median
B4034Normal range

$186K

2,613 claims · 1.8%

Your Cost: $71.22/claim|Median: $46.28
1.5× median
B4088Normal range

$161K

2,963 claims · 1.6%

Your Cost: $54.17/claim|Median: $73.20
0.7× median
T4527Normal range

Adult-sized disposable incontinence product, large

$148K

2,207 claims · 1.4%

Your Cost: $67.22/claim|Median: $99.53
0.7× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$139K

1,674 claims · 1.4%

Your Cost: $83.07/claim|Median: $116.15
0.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$134K

1,699 claims · 1.3%

Your Cost: $78.96/claim|Median: $105.14
0.8× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$129K

1,790 claims · 1.3%

Your Cost: $71.91/claim|Median: $88.94
0.8× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$105K

1,098 claims · 1.0%

Your Cost: $95.37/claim|Median: $89.79
1.1× median
A4624Normal range

$103K

1,214 claims · 1.0%

Your Cost: $84.87/claim|Median: $107.53
0.8× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$103K

936 claims · 1.0%

Your Cost: $109.98/claim|Median: $171.64
0.6× median
B4155Normal range

$97K

1,384 claims · 0.9%

Your Cost: $69.87/claim|Median: $46.72
1.5× median
E1399Top 25%

Durable medical equipment, miscellaneous

$95K

99 claims · 0.9%

Your Cost: $962.67/claim|Median: $104.06
9.3× median
K0001Normal range

Standard wheelchair

$92K

6,215 claims · 0.9%

Your Cost: $14.78/claim|Median: $12.27
1.2× median
E0431Normal range

Portable gaseous oxygen system, rental

$90K

7,038 claims · 0.9%

Your Cost: $12.76/claim|Median: $10.37
1.2× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$57K

223 claims · 0.6%

Your Cost: $254.43/claim|Median: $300.16
0.8× median
E1236Normal range

$56K

538 claims · 0.5%

Your Cost: $104.26/claim|Median: $389.45
0.3× median
E0600Normal range

$52K

2,782 claims · 0.5%

Your Cost: $18.63/claim|Median: $25.31
0.7× median
K0195Normal range

$46K

5,856 claims · 0.5%

Your Cost: $7.88/claim|Median: $4.65
1.7× median
A4606Normal range

$46K

4,032 claims · 0.4%

Your Cost: $11.43/claim|Median: $50.63
0.2× median
T4523Normal range

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

$42K

592 claims · 0.4%

Your Cost: $71.59/claim|Median: $96.13
0.7× median
← All providersHow we detect fraud →