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Provider 1316078199

NPI: 1316078199Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.2M

$9,196,224

Total Claims

166K

Beneficiaries

163K

1.0 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$537K
-1%
2019
$530K
+44%
2020
$765K
+126%
2021
$1.7M
-4%
2022
$1.7M
+26%
2023
$2.1M
-12%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (E1399 (Durable medical equipment, miscellaneous)) accounts for 17% of total spending.

E1399Top 25%

Durable medical equipment, miscellaneous

$1.6M

2,975 claims · 17.1%

Your Cost: $527.48/claim|Median: $104.06
5.1× median
A4554Normal range

Disposable underpads, all sizes

$1.3M

37K claims · 14.2%

Your Cost: $35.27/claim|Median: $37.02
1.0× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.1M

11K claims · 12.1%

Your Cost: $104.00/claim|Median: $99.53
1.0× median
B4154Top 5%

$803K

1,698 claims · 8.7%

Your Cost: $473.10/claim|Median: $132.96
3.6× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$779K

5,768 claims · 8.5%

Your Cost: $135.07/claim|Median: $105.14
1.3× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$773K

24K claims · 8.4%

Your Cost: $32.25/claim|Median: $42.03
0.8× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$757K

8,983 claims · 8.2%

Your Cost: $84.22/claim|Median: $88.94
0.9× median
B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$433K

2,420 claims · 4.7%

Your Cost: $178.92/claim|Median: $89.79
2.0× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$357K

1,693 claims · 3.9%

Your Cost: $211.16/claim|Median: $171.64
1.2× median
A4335Normal range

Incontinence supply, miscellaneous

$244K

43K claims · 2.7%

Your Cost: $5.69/claim|Median: $5.54
1.0× median
E0240Top 25%

$151K

681 claims · 1.6%

Your Cost: $222.28/claim|Median: $62.75
3.5× median
E0260Top 25%

Hospital bed, semi-electric

$129K

3,182 claims · 1.4%

Your Cost: $40.64/claim|Median: $23.07
1.8× median
T4525Normal range

$128K

1,764 claims · 1.4%

Your Cost: $72.74/claim|Median: $79.46
0.9× median
T4523Normal range

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

$96K

1,084 claims · 1.0%

Your Cost: $88.19/claim|Median: $96.13
0.9× median
K0003Normal range

$90K

3,096 claims · 1.0%

Your Cost: $29.16/claim|Median: $18.14
1.6× median
T4524Normal range

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

$86K

673 claims · 0.9%

Your Cost: $127.18/claim|Median: $108.31
1.2× median
T4522Normal range

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

$69K

774 claims · 0.7%

Your Cost: $89.03/claim|Median: $84.50
1.1× median
A4253Top 25%

Blood glucose test strips

$59K

2,346 claims · 0.6%

Your Cost: $25.29/claim|Median: $6.92
3.7× median
T4537Top 1%

$49K

381 claims · 0.5%

Your Cost: $129.03/claim|Median: $31.50
4.1× median
A6533Top 5%

$43K

158 claims · 0.5%

Your Cost: $269.32/claim|Median: $74.92
3.6× median
A4670Normal range

$40K

686 claims · 0.4%

Your Cost: $58.42/claim|Median: $50.23
1.2× median
A4927Normal range

Gloves, non-sterile, per 100

$24K

3,226 claims · 0.3%

Your Cost: $7.40/claim|Median: $12.90
0.6× median
E0630Normal range

$21K

584 claims · 0.2%

Your Cost: $35.11/claim|Median: $23.70
1.5× median
K0195Normal range

$18K

2,355 claims · 0.2%

Your Cost: $7.78/claim|Median: $4.65
1.7× median
E0627Normal range

$12K

145 claims · 0.1%

Your Cost: $83.17/claim|Median: $69.41
1.2× median
E0910Top 25%

$11K

1,725 claims · 0.1%

Your Cost: $6.59/claim|Median: $4.55
1.4× median
A4259Normal range

Lancets for blood glucose testing

$11K

2,064 claims · 0.1%

Your Cost: $5.15/claim|Median: $2.27
2.3× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$10K

267 claims · 0.1%

Your Cost: $36.69/claim|Median: $31.59
1.2× median
B4034Normal range

$8K

206 claims · 0.1%

Your Cost: $36.69/claim|Median: $46.28
0.8× median
E0570Normal range

Nebulizer, with compressor

$5K

563 claims · 0.1%

Your Cost: $8.79/claim|Median: $16.16
0.5× median
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