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Provider 1336202811

NPI: 1336202811Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,086,393

Total Claims

111K

Beneficiaries

104K

1.1 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+35%
2019
$1.7M
-8%
2020
$1.6M
-24%
2021
$1.2M
-49%
2022
$614K
+34%
2023
$820K
+10%
2024
$904K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4535 (Adult-sized disposable underpads/pads, large)) accounts for 25% of total spending.

T4535Top 10%

Adult-sized disposable underpads/pads, large

$2.0M

27K claims · 24.9%

Your Cost: $74.89/claim|Median: $42.03
1.8× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.3M

14K claims · 16.6%

Your Cost: $94.24/claim|Median: $88.94
1.1× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.3M

28K claims · 16.4%

Your Cost: $46.62/claim|Median: $41.28
1.1× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.2M

13K claims · 15.4%

Your Cost: $94.20/claim|Median: $99.53
0.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$663K

6,690 claims · 8.2%

Your Cost: $99.04/claim|Median: $105.14
0.9× median
T4525Normal range

$323K

3,589 claims · 4.0%

Your Cost: $89.99/claim|Median: $79.46
1.1× median
T4523Normal range

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

$129K

1,161 claims · 1.6%

Your Cost: $111.54/claim|Median: $96.13
1.2× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$126K

744 claims · 1.6%

Your Cost: $169.62/claim|Median: $177.75
1.0× median
K0004Normal range

$114K

2,069 claims · 1.4%

Your Cost: $55.02/claim|Median: $34.32
1.6× median
E0240Normal range

$108K

1,664 claims · 1.3%

Your Cost: $64.80/claim|Median: $62.75
1.0× median
E0260Top 25%

Hospital bed, semi-electric

$87K

1,772 claims · 1.1%

Your Cost: $49.15/claim|Median: $23.07
2.1× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$87K

864 claims · 1.1%

Your Cost: $100.38/claim|Median: $171.64
0.6× median
T4522Normal range

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

$67K

676 claims · 0.8%

Your Cost: $98.86/claim|Median: $84.50
1.2× median
E0570Top 10%

Nebulizer, with compressor

$61K

774 claims · 0.8%

Your Cost: $78.37/claim|Median: $16.16
4.8× median
T4530Top 25%

$60K

515 claims · 0.7%

Your Cost: $115.88/claim|Median: $83.90
1.4× median
E0247Top 10%

$56K

505 claims · 0.7%

Your Cost: $111.49/claim|Median: $75.27
1.5× median
T2028Normal range

Specialized supply, NOS; per unit

$54K

1,314 claims · 0.7%

Your Cost: $41.25/claim|Median: $79.30
0.5× median
T4532Normal range

$39K

292 claims · 0.5%

Your Cost: $133.98/claim|Median: $116.50
1.2× median
E0244Top 25%

$37K

690 claims · 0.5%

Your Cost: $53.49/claim|Median: $32.11
1.7× median
T4524Normal range

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

$27K

265 claims · 0.3%

Your Cost: $102.93/claim|Median: $108.31
1.0× median
E0241Normal range

$26K

899 claims · 0.3%

Your Cost: $29.07/claim|Median: $28.48
1.0× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$26K

233 claims · 0.3%

Your Cost: $111.64/claim|Median: $110.54
1.0× median
K0001Top 25%

Standard wheelchair

$21K

991 claims · 0.3%

Your Cost: $21.49/claim|Median: $12.27
1.8× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$17K

520 claims · 0.2%

Your Cost: $33.36/claim|Median: $31.59
1.1× median
K0195Normal range

$8K

927 claims · 0.1%

Your Cost: $8.32/claim|Median: $4.65
1.8× median
A4927Normal range

Gloves, non-sterile, per 100

$6K

355 claims · 0.1%

Your Cost: $18.04/claim|Median: $12.90
1.4× median
E1399Normal range

Durable medical equipment, miscellaneous

$6K

163 claims · 0.1%

Your Cost: $35.23/claim|Median: $104.06
0.3× median
A7003Top 25%

Administration set for nebulizer, with small volume

$2K

771 claims · 0.0%

Your Cost: $2.76/claim|Median: $1.48
1.9× median
E0156Top 10%

$2K

134 claims · 0.0%

Your Cost: $14.22/claim|Median: $7.15
2.0× median
E0243Top 25%

$716

12 claims · 0.0%

Your Cost: $59.65/claim|Median: $48.72
1.2× median
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