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Provider 1366501496

NPI: 1366501496Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.3M

$17,315,129

Total Claims

489K

Beneficiaries

34K

14.4 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$2.7M
+27%
2019
$3.4M
+3%
2020
$3.5M
-36%
2021
$2.3M
-11%
2022
$2.0M
-22%
2023
$1.6M
+11%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 50% of total spending.

S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$8.6M

445K claims · 49.5%

Your Cost: $19.26/claim|Median: $176.25
0.1× median
B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$3.7M

5,165 claims · 21.2%

Your Cost: $711.33/claim|Median: $465.86
1.5× median
B4160Top 1%

Enteral formula, per 100 calories

$3.3M

5,422 claims · 19.1%

Your Cost: $611.18/claim|Median: $157.30
3.9× median
B4149Top 10%

Enteral formula, manufactured blenderized, per 100 calories

$527K

1,159 claims · 3.0%

Your Cost: $454.77/claim|Median: $300.16
1.5× median
99601Normal range

$379K

5,129 claims · 2.2%

Your Cost: $73.91/claim|Median: $82.41
0.9× median
S9343Normal range

$268K

21K claims · 1.5%

Your Cost: $13.06/claim|Median: $99.47
0.1× median
B4158Top 5%

$154K

331 claims · 0.9%

Your Cost: $464.56/claim|Median: $145.71
3.2× median
99602Top 25%

$150K

1,151 claims · 0.9%

Your Cost: $130.25/claim|Median: $84.91
1.5× median
B4153Top 25%

$107K

132 claims · 0.6%

Your Cost: $811.61/claim|Median: $410.73
2.0× median
S9338Normal range

$36K

1,316 claims · 0.2%

Your Cost: $27.04/claim|Median: $60.83
0.4× median
B4155Normal range

$28K

324 claims · 0.2%

Your Cost: $87.00/claim|Median: $46.72
1.9× median
B4185Normal range

$28K

861 claims · 0.2%

Your Cost: $32.66/claim|Median: $134.70
0.2× median
A4221Top 25%

Supplies for maintenance of drug infusion catheter

$23K

724 claims · 0.1%

Your Cost: $32.15/claim|Median: $16.19
2.0× median
B4088Top 25%

$22K

184 claims · 0.1%

Your Cost: $122.11/claim|Median: $73.20
1.7× median
S9500Normal range

$9K

102 claims · 0.1%

Your Cost: $90.97/claim|Median: $144.40
0.6× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$9K

113 claims · 0.1%

Your Cost: $78.23/claim|Median: $51.67
1.5× median
S9379Normal range

$5K

418 claims · 0.0%

Your Cost: $10.99/claim|Median: $70.89
0.2× median
B4150Top 5%

Enteral formula, nutritionally complete with fiber, per 100 calories

$3K

13 claims · 0.0%

Your Cost: $259.96/claim|Median: $89.79
2.9× median
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