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Provider 1326279746

NPI: 1326279746Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$8.9M

$8,926,175

Total Claims

143K

Beneficiaries

42K

3.4 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$506K
+20%
2019
$610K
+68%
2020
$1.0M
+21%
2021
$1.2M
+16%
2022
$1.4M
+35%
2023
$1.9M
+10%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S9379) accounts for 15% of total spending.

S9379Normal range

$1.3M

32K claims · 14.6%

Your Cost: $40.10/claim|Median: $70.89
0.6× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$1.2M

15K claims · 13.3%

Your Cost: $80.72/claim|Median: $176.25
0.5× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.1M

5,535 claims · 12.0%

Your Cost: $193.57/claim|Median: $465.86
0.4× median
B4185Normal range

$848K

6,615 claims · 9.5%

Your Cost: $128.12/claim|Median: $134.70
1.0× median
S9500Normal range

$821K

14K claims · 9.2%

Your Cost: $59.69/claim|Median: $144.40
0.4× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$443K

7,798 claims · 5.0%

Your Cost: $56.86/claim|Median: $117.24
0.5× median
B4105Normal range

$410K

166 claims · 4.6%

Your Cost: $2,469.93/claim|Median: $4,164.23
0.6× median
B4160Normal range

Enteral formula, per 100 calories

$360K

5,445 claims · 4.0%

Your Cost: $66.14/claim|Median: $157.30
0.4× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$266K

3,364 claims · 3.0%

Your Cost: $79.02/claim|Median: $300.16
0.3× median
B4189Normal range

$241K

899 claims · 2.7%

Your Cost: $268.38/claim|Median: $743.70
0.4× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$215K

14K claims · 2.4%

Your Cost: $15.42/claim|Median: $92.20
0.2× median
A4223Normal range

$194K

3,295 claims · 2.2%

Your Cost: $58.85/claim|Median: $60.92
1.0× median
S9343Normal range

$186K

4,860 claims · 2.1%

Your Cost: $38.28/claim|Median: $99.47
0.4× median
S9501Normal range

$159K

2,535 claims · 1.8%

Your Cost: $62.88/claim|Median: $160.52
0.4× median
99601Normal range

$132K

1,991 claims · 1.5%

Your Cost: $66.37/claim|Median: $82.41
0.8× median
B4197Normal range

$128K

433 claims · 1.4%

Your Cost: $294.90/claim|Median: $687.38
0.4× median
B4158Normal range

$114K

1,097 claims · 1.3%

Your Cost: $103.49/claim|Median: $145.71
0.7× median
J3370Top 5%

$101K

1,558 claims · 1.1%

Your Cost: $64.86/claim|Median: $2.40
27.0× median
S9338Normal range

$86K

1,183 claims · 1.0%

Your Cost: $72.35/claim|Median: $60.83
1.2× median
S9502Normal range

$79K

1,179 claims · 0.9%

Your Cost: $66.74/claim|Median: $165.71
0.4× median
S9340Normal range

$68K

373 claims · 0.8%

Your Cost: $181.96/claim|Median: $196.46
0.9× median
B4154Normal range

$66K

1,022 claims · 0.7%

Your Cost: $64.57/claim|Median: $132.96
0.5× median
B4162Normal range

$65K

243 claims · 0.7%

Your Cost: $268.72/claim|Median: $412.82
0.7× median
B4153Normal range

$57K

671 claims · 0.6%

Your Cost: $85.69/claim|Median: $410.73
0.2× median
B4224Normal range

$57K

1,108 claims · 0.6%

Your Cost: $51.17/claim|Median: $78.83
0.6× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$54K

4,477 claims · 0.6%

Your Cost: $12.16/claim|Median: $89.79
0.1× median
B4034Normal range

$52K

3,213 claims · 0.6%

Your Cost: $16.22/claim|Median: $46.28
0.4× median
B4155Normal range

$35K

1,073 claims · 0.4%

Your Cost: $33.08/claim|Median: $46.72
0.7× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$35K

4,961 claims · 0.4%

Your Cost: $7.13/claim|Median: $16.19
0.4× median
99602Normal range

$19K

261 claims · 0.2%

Your Cost: $74.70/claim|Median: $84.91
0.9× median