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

Provider 1356678478

NPI: 1356678478Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.7M

$15,690,838

Total Claims

70K

Beneficiaries

62K

1.1 claims/patient

Avg Cost/Claim

$225

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+19%
2019
$2.1M
+6%
2020
$2.2M
+5%
2021
$2.3M
+16%
2022
$2.6M
-9%
2023
$2.4M
-1%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (A4353 (Intermittent urinary catheter, with insertion supplies)) accounts for 86% of total spending.

A4353Normal range

Intermittent urinary catheter, with insertion supplies

$13.4M

21K claims · 85.7%

Your Cost: $633.82/claim|Median: $508.29
1.2× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$795K

11K claims · 5.1%

Your Cost: $73.20/claim|Median: $116.15
0.6× median
A4352Normal range

Intermittent urinary catheter, Coude tip, each

$478K

2,173 claims · 3.0%

Your Cost: $220.20/claim|Median: $280.71
0.8× median
A4344Top 25%

$290K

3,506 claims · 1.8%

Your Cost: $82.77/claim|Median: $29.31
2.8× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$85K

826 claims · 0.5%

Your Cost: $103.50/claim|Median: $110.54
0.9× median
A4927Top 25%

Gloves, non-sterile, per 100

$73K

3,760 claims · 0.5%

Your Cost: $19.54/claim|Median: $12.90
1.5× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$69K

774 claims · 0.4%

Your Cost: $89.56/claim|Median: $88.94
1.0× median
A4554Normal range

Disposable underpads, all sizes

$54K

1,567 claims · 0.3%

Your Cost: $34.75/claim|Median: $37.02
0.9× median
A4310Top 25%

Insertion tray without drainage bag, with catheter

$51K

1,466 claims · 0.3%

Your Cost: $34.52/claim|Median: $7.44
4.6× median
A4385Top 25%

$46K

569 claims · 0.3%

Your Cost: $80.53/claim|Median: $49.51
1.6× median
A4213Top 25%

$46K

2,095 claims · 0.3%

Your Cost: $21.75/claim|Median: $9.01
2.4× median
A4357Normal range

Bedside drainage bag, day or night

$44K

3,778 claims · 0.3%

Your Cost: $11.66/claim|Median: $7.46
1.6× median
A4332Normal range

$39K

5,961 claims · 0.2%

Your Cost: $6.47/claim|Median: $6.47
1.0× median
B4036Normal range

$38K

2,318 claims · 0.2%

Your Cost: $16.22/claim|Median: $74.87
0.2× median
A4425Normal range

$27K

672 claims · 0.2%

Your Cost: $40.74/claim|Median: $38.79
1.1× median
A4407Normal range

$24K

225 claims · 0.2%

Your Cost: $108.83/claim|Median: $73.73
1.5× median
A4338Top 25%

$18K

713 claims · 0.1%

Your Cost: $25.19/claim|Median: $7.20
3.5× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$10K

551 claims · 0.1%

Your Cost: $18.32/claim|Median: $13.14
1.4× median
A4358Normal range

$10K

1,610 claims · 0.1%

Your Cost: $6.10/claim|Median: $6.27
1.0× median
A4402Normal range

$9K

1,891 claims · 0.1%

Your Cost: $4.90/claim|Median: $4.15
1.2× median
A4362Top 25%

$9K

155 claims · 0.1%

Your Cost: $57.70/claim|Median: $36.03
1.6× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$6K

159 claims · 0.0%

Your Cost: $38.91/claim|Median: $42.03
0.9× median
A4322Normal range

$6K

339 claims · 0.0%

Your Cost: $17.84/claim|Median: $14.10
1.3× median
A4456Normal range

$6K

1,070 claims · 0.0%

Your Cost: $5.20/claim|Median: $6.74
0.8× median
A4409Normal range

$5K

64 claims · 0.0%

Your Cost: $81.22/claim|Median: $61.38
1.3× median
A5120Normal range

$5K

1,151 claims · 0.0%

Your Cost: $4.18/claim|Median: $6.35
0.7× median
A4394Top 25%

$2K

103 claims · 0.0%

Your Cost: $22.73/claim|Median: $12.65
1.8× median
A4371Normal range

$180

55 claims · 0.0%

Your Cost: $3.27/claim|Median: $3.49
0.9× median
A4333Normal range

$111

13 claims · 0.0%

Your Cost: $8.52/claim|Median: $5.73
1.5× median