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Provider 1316058951

NPI: 1316058951Share
Active Billing Period:2018-01→2024-12(80 months)

Total Paid

$17.6M

$17,604,200

Total Claims

583K

Beneficiaries

565K

1.0 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$135K
+1236%
2019
$1.8M
+12%
2020
$2.0M
+25%
2021
$2.5M
+7%
2022
$2.7M
+31%
2023
$3.6M
+35%
2024
$4.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 22% of total spending.

T4527Normal range

Adult-sized disposable incontinence product, large

$3.8M

61K claims · 21.8%

Your Cost: $62.75/claim|Median: $99.53
0.6× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$3.1M

52K claims · 17.6%

Your Cost: $59.56/claim|Median: $88.94
0.7× median
A4554Normal range

Disposable underpads, all sizes

$2.1M

89K claims · 11.8%

Your Cost: $23.32/claim|Median: $37.02
0.6× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.8M

27K claims · 10.4%

Your Cost: $67.37/claim|Median: $105.14
0.6× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.8M

38K claims · 10.0%

Your Cost: $46.04/claim|Median: $42.03
1.1× median
T4524Normal range

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

$920K

9,983 claims · 5.2%

Your Cost: $92.15/claim|Median: $108.31
0.9× median
T4523Normal range

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

$673K

9,152 claims · 3.8%

Your Cost: $73.56/claim|Median: $96.13
0.8× median
A4335Normal range

Incontinence supply, miscellaneous

$654K

101K claims · 3.7%

Your Cost: $6.47/claim|Median: $5.54
1.2× median
T4525Normal range

$543K

9,146 claims · 3.1%

Your Cost: $59.35/claim|Median: $79.46
0.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$373K

3,652 claims · 2.1%

Your Cost: $102.10/claim|Median: $89.79
1.1× median
A4927Normal range

Gloves, non-sterile, per 100

$321K

75K claims · 1.8%

Your Cost: $4.27/claim|Median: $12.90
0.3× median
T4522Normal range

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

$307K

4,676 claims · 1.7%

Your Cost: $65.61/claim|Median: $84.50
0.8× median
B4154Normal range

$238K

1,703 claims · 1.4%

Your Cost: $139.76/claim|Median: $132.96
1.1× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$235K

49K claims · 1.3%

Your Cost: $4.78/claim|Median: $9.88
0.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$213K

1,825 claims · 1.2%

Your Cost: $116.52/claim|Median: $92.20
1.3× median
A4245Normal range

$182K

34K claims · 1.0%

Your Cost: $5.42/claim|Median: $2.33
2.3× median
S5199Normal range

Personal care item, NOS, each

$97K

2,816 claims · 0.6%

Your Cost: $34.57/claim|Median: $10.82
3.2× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$71K

618 claims · 0.4%

Your Cost: $114.24/claim|Median: $177.75
0.6× median
A5120Normal range

$54K

9,536 claims · 0.3%

Your Cost: $5.69/claim|Median: $6.35
0.9× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$41K

390 claims · 0.2%

Your Cost: $104.83/claim|Median: $171.64
0.6× median
E0570Top 25%

Nebulizer, with compressor

$17K

308 claims · 0.1%

Your Cost: $56.60/claim|Median: $16.16
3.5× median
K0001Top 25%

Standard wheelchair

$12K

493 claims · 0.1%

Your Cost: $25.30/claim|Median: $12.27
2.1× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$11K

521 claims · 0.1%

Your Cost: $21.80/claim|Median: $41.28
0.5× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$8K

159 claims · 0.0%

Your Cost: $51.01/claim|Median: $35.30
1.4× median
E1390Top 5%

Oxygen concentrator, single delivery port

$7K

56 claims · 0.0%

Your Cost: $122.31/claim|Median: $45.11
2.7× median
T4521Normal range

$4K

62 claims · 0.0%

Your Cost: $64.99/claim|Median: $81.60
0.8× median
T4540Normal range

$4K

441 claims · 0.0%

Your Cost: $8.60/claim|Median: $17.85
0.5× median
E0255Top 1%

$1K

13 claims · 0.0%

Your Cost: $91.20/claim|Median: $14.03
6.5× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$954

161 claims · 0.0%

Your Cost: $5.92/claim|Median: $18.68
0.3× median
A4349Top 25%

$659

13 claims · 0.0%

Your Cost: $50.73/claim|Median: $28.92
1.8× median
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