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

⚖️ Compare🖨️ Print Report

Provider 1356370555

NPI: 1356370555Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.0M

$11,008,810

Total Claims

274K

Beneficiaries

263K

1.0 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+35%
2019
$1.6M
+12%
2020
$1.8M
+7%
2021
$1.9M
-6%
2022
$1.8M
-18%
2023
$1.5M
-26%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4523 (Adult-sized disposable incontinence product, brief/diaper, small)) accounts for 21% of total spending.

T4523Normal range

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

$2.3M

31K claims · 20.6%

Your Cost: $72.59/claim|Median: $96.13
0.8× median
A4554Normal range

Disposable underpads, all sizes

$2.2M

60K claims · 20.4%

Your Cost: $37.54/claim|Median: $37.02
1.0× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.9M

60K claims · 16.9%

Your Cost: $31.02/claim|Median: $42.03
0.7× median
T4524Normal range

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

$1.0M

13K claims · 9.1%

Your Cost: $75.13/claim|Median: $108.31
0.7× median
T4539Normal range

$868K

32K claims · 7.9%

Your Cost: $27.26/claim|Median: $27.96
1.0× median
L3030Normal range

Foot insert, removable, UCB-type, Berkeley shell, each

$528K

8,700 claims · 4.8%

Your Cost: $60.68/claim|Median: $61.03
1.0× median
T4522Normal range

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

$488K

8,815 claims · 4.4%

Your Cost: $55.30/claim|Median: $84.50
0.7× median
T4537Normal range

$408K

14K claims · 3.7%

Your Cost: $29.01/claim|Median: $31.50
0.9× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$334K

2,502 claims · 3.0%

Your Cost: $133.45/claim|Median: $177.75
0.8× median
L3216Normal range

$258K

6,336 claims · 2.3%

Your Cost: $40.65/claim|Median: $56.74
0.7× median
L3221Normal range

$156K

3,278 claims · 1.4%

Your Cost: $47.58/claim|Median: $60.92
0.8× median
A6539Normal range

$144K

1,473 claims · 1.3%

Your Cost: $97.74/claim|Median: $107.32
0.9× median
T4540Normal range

$97K

5,714 claims · 0.9%

Your Cost: $16.94/claim|Median: $17.85
0.9× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$87K

3,325 claims · 0.8%

Your Cost: $26.22/claim|Median: $33.21
0.8× median
A4927Normal range

Gloves, non-sterile, per 100

$76K

15K claims · 0.7%

Your Cost: $5.13/claim|Median: $12.90
0.4× median
A5512Normal range

Diabetic shoe insert, custom molded, each

$68K

3,271 claims · 0.6%

Your Cost: $20.93/claim|Median: $24.01
0.9× median
A6530Normal range

$60K

2,220 claims · 0.5%

Your Cost: $26.95/claim|Median: $49.70
0.5× median
E0240Normal range

$12K

311 claims · 0.1%

Your Cost: $39.08/claim|Median: $62.75
0.6× median
L3215Normal range

$9K

125 claims · 0.1%

Your Cost: $73.61/claim|Median: $69.20
1.1× median
E0156Top 1%

$7K

327 claims · 0.1%

Your Cost: $21.62/claim|Median: $7.15
3.0× median
A4670Normal range

$7K

169 claims · 0.1%

Your Cost: $41.64/claim|Median: $50.23
0.8× median
A5120Top 10%

$5K

236 claims · 0.0%

Your Cost: $23.14/claim|Median: $6.35
3.6× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$4K

298 claims · 0.0%

Your Cost: $13.31/claim|Median: $31.59
0.4× median
K0001Normal range

Standard wheelchair

$4K

995 claims · 0.0%

Your Cost: $3.58/claim|Median: $12.27
0.3× median
L3002Normal range

$3K

33 claims · 0.0%

Your Cost: $102.74/claim|Median: $102.74
1.0× median
A4335Normal range

Incontinence supply, miscellaneous

$2K

345 claims · 0.0%

Your Cost: $6.65/claim|Median: $5.54
1.2× median
E1399Normal range

Durable medical equipment, miscellaneous

$2K

224 claims · 0.0%

Your Cost: $7.56/claim|Median: $104.06
0.1× median
K0739Normal range

$943

25 claims · 0.0%

Your Cost: $37.72/claim|Median: $34.09
1.1× median
K0195Normal range

$730

520 claims · 0.0%

Your Cost: $1.40/claim|Median: $4.65
0.3× median
B4160Normal range

Enteral formula, per 100 calories

$655

12 claims · 0.0%

Your Cost: $54.60/claim|Median: $157.30
0.3× median
← All providersHow we detect fraud →