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Provider 1356410864

NPI: 1356410864Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,021,404

Total Claims

131K

Beneficiaries

121K

1.1 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$875K
+13%
2019
$986K
+21%
2020
$1.2M
+9%
2021
$1.3M
+7%
2022
$1.4M
+8%
2023
$1.5M
+17%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (B4150 (Enteral formula, nutritionally complete with fiber, per 100 calories)) accounts for 26% of total spending.

B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$2.4M

14K claims · 26.4%

Your Cost: $175.35/claim|Median: $89.79
2.0× median
B4160Top 25%

Enteral formula, per 100 calories

$838K

3,149 claims · 9.3%

Your Cost: $266.23/claim|Median: $157.30
1.7× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$813K

12K claims · 9.0%

Your Cost: $67.30/claim|Median: $42.03
1.6× median
A4554Normal range

Disposable underpads, all sizes

$685K

23K claims · 7.6%

Your Cost: $29.90/claim|Median: $37.02
0.8× median
B4100Top 5%

$630K

2,347 claims · 7.0%

Your Cost: $268.30/claim|Median: $67.58
4.0× median
T4527Normal range

Adult-sized disposable incontinence product, large

$608K

6,726 claims · 6.7%

Your Cost: $90.36/claim|Median: $99.53
0.9× median
T4532Normal range

$534K

5,305 claims · 5.9%

Your Cost: $100.71/claim|Median: $116.50
0.9× median
A4253Top 5%

Blood glucose test strips

$530K

8,129 claims · 5.9%

Your Cost: $65.26/claim|Median: $6.92
9.4× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$456K

5,335 claims · 5.1%

Your Cost: $85.43/claim|Median: $88.94
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$416K

4,948 claims · 4.6%

Your Cost: $84.17/claim|Median: $105.14
0.8× median
A4927Normal range

Gloves, non-sterile, per 100

$282K

24K claims · 3.1%

Your Cost: $11.56/claim|Median: $12.90
0.9× median
T4531Normal range

$212K

2,306 claims · 2.3%

Your Cost: $91.87/claim|Median: $100.68
0.9× median
A4259Top 5%

Lancets for blood glucose testing

$120K

7,747 claims · 1.3%

Your Cost: $15.52/claim|Median: $2.27
6.8× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$110K

1,258 claims · 1.2%

Your Cost: $87.54/claim|Median: $177.75
0.5× median
E0570Normal range

Nebulizer, with compressor

$90K

2,261 claims · 1.0%

Your Cost: $39.67/claim|Median: $16.16
2.5× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$78K

871 claims · 0.9%

Your Cost: $89.14/claim|Median: $171.64
0.5× median
K0823Normal range

Power wheelchair, Group 2

$72K

1,923 claims · 0.8%

Your Cost: $37.43/claim|Median: $95.35
0.4× median
T4525Normal range

$58K

941 claims · 0.6%

Your Cost: $61.56/claim|Median: $79.46
0.8× median
E0240Top 25%

$36K

111 claims · 0.4%

Your Cost: $323.13/claim|Median: $62.75
5.1× median
E0261Normal range

$22K

1,453 claims · 0.2%

Your Cost: $15.28/claim|Median: $19.15
0.8× median
E0246Top 25%

$21K

339 claims · 0.2%

Your Cost: $63.03/claim|Median: $48.66
1.3× median
A4256Top 25%

$11K

1,855 claims · 0.1%

Your Cost: $6.10/claim|Median: $2.85
2.1× median
K0001Normal range

Standard wheelchair

$10K

1,359 claims · 0.1%

Your Cost: $7.28/claim|Median: $12.27
0.6× median
E0607Normal range

$3K

90 claims · 0.0%

Your Cost: $37.07/claim|Median: $23.10
1.6× median
E0247Top 25%

$1K

16 claims · 0.0%

Your Cost: $93.08/claim|Median: $75.27
1.2× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$749

19 claims · 0.0%

Your Cost: $39.40/claim|Median: $31.59
1.2× median
E0156Normal range

$186

20 claims · 0.0%

Your Cost: $9.31/claim|Median: $7.15
1.3× median
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