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Provider 1356398796

NPI: 1356398796Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,880,675

Total Claims

234K

Beneficiaries

210K

1.1 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+0%
2019
$1.7M
+4%
2020
$1.8M
+1%
2021
$1.8M
-5%
2022
$1.7M
-15%
2023
$1.5M
+2%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4541 (Pediatric-sized disposable incontinence product, large)) accounts for 12% of total spending.

T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.4M

41K claims · 12.2%

Your Cost: $35.41/claim|Median: $41.28
0.9× median
A4927Normal range

Gloves, non-sterile, per 100

$1.3M

89K claims · 11.0%

Your Cost: $14.70/claim|Median: $12.90
1.1× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$968K

11K claims · 8.1%

Your Cost: $88.22/claim|Median: $88.94
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$835K

8,505 claims · 7.0%

Your Cost: $98.22/claim|Median: $105.14
0.9× median
T4527Normal range

Adult-sized disposable incontinence product, large

$825K

9,212 claims · 6.9%

Your Cost: $89.58/claim|Median: $99.53
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$817K

19K claims · 6.9%

Your Cost: $44.07/claim|Median: $42.03
1.0× median
T4544Top 25%

Pediatric-sized disposable underpads/pads, small

$722K

3,180 claims · 6.1%

Your Cost: $227.11/claim|Median: $171.64
1.3× median
T4537Top 5%

$650K

6,542 claims · 5.5%

Your Cost: $99.28/claim|Median: $31.50
3.2× median
T4543Top 25%

Pediatric-sized disposable incontinence product, above XL

$608K

2,629 claims · 5.1%

Your Cost: $231.39/claim|Median: $177.75
1.3× median
T4522Normal range

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

$495K

5,117 claims · 4.2%

Your Cost: $96.77/claim|Median: $84.50
1.1× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$472K

4,890 claims · 4.0%

Your Cost: $96.58/claim|Median: $110.54
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$448K

3,841 claims · 3.8%

Your Cost: $116.71/claim|Median: $89.79
1.3× median
T4525Normal range

$439K

4,867 claims · 3.7%

Your Cost: $90.18/claim|Median: $79.46
1.1× median
T4523Normal range

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

$438K

4,105 claims · 3.7%

Your Cost: $106.65/claim|Median: $96.13
1.1× median
T4540Top 10%

$327K

6,516 claims · 2.7%

Your Cost: $50.13/claim|Median: $17.85
2.8× median
T4524Normal range

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

$295K

2,498 claims · 2.5%

Your Cost: $118.01/claim|Median: $108.31
1.1× median
T4533Normal range

Adult disposable incontinence product, youth or small

$278K

2,845 claims · 2.3%

Your Cost: $97.57/claim|Median: $87.25
1.1× median
B4100Top 10%

$254K

1,374 claims · 2.1%

Your Cost: $185.15/claim|Median: $67.58
2.7× median
T4521Normal range

$209K

2,180 claims · 1.8%

Your Cost: $95.73/claim|Median: $81.60
1.2× median
A4358Normal range

$14K

1,868 claims · 0.1%

Your Cost: $7.75/claim|Median: $6.27
1.2× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$9K

215 claims · 0.1%

Your Cost: $42.17/claim|Median: $141.34
0.3× median
A4357Normal range

Bedside drainage bag, day or night

$8K

1,556 claims · 0.1%

Your Cost: $5.43/claim|Median: $7.46
0.7× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$7K

119 claims · 0.1%

Your Cost: $59.87/claim|Median: $116.15
0.5× median
A4670Normal range

$5K

117 claims · 0.0%

Your Cost: $41.53/claim|Median: $50.23
0.8× median
A4253Normal range

Blood glucose test strips

$3K

692 claims · 0.0%

Your Cost: $4.40/claim|Median: $6.92
0.6× median
A4402Normal range

$2K

748 claims · 0.0%

Your Cost: $2.92/claim|Median: $4.15
0.7× median
E0260Normal range

Hospital bed, semi-electric

$1K

96 claims · 0.0%

Your Cost: $13.41/claim|Median: $23.07
0.6× median
A5120Normal range

$1K

290 claims · 0.0%

Your Cost: $3.75/claim|Median: $6.35
0.6× median
T4530Normal range

$1K

13 claims · 0.0%

Your Cost: $80.84/claim|Median: $83.90
1.0× median
A4331Normal range

$557

209 claims · 0.0%

Your Cost: $2.66/claim|Median: $3.49
0.8× median
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