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Provider 1376512194

NPI: 1376512194Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.4M

$16,418,071

Total Claims

216K

Beneficiaries

200K

1.1 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-9%
2019
$1.3M
+3%
2020
$1.4M
+18%
2021
$1.6M
+41%
2022
$2.3M
+65%
2023
$3.7M
+27%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 9% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.5M

3,216 claims · 9.0%

Your Cost: $460.92/claim|Median: $465.86
1.0× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.3M

36K claims · 7.7%

Your Cost: $34.99/claim|Median: $41.28
0.8× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$1.0M

7,813 claims · 6.4%

Your Cost: $134.16/claim|Median: $92.20
1.5× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$936K

8,166 claims · 5.7%

Your Cost: $114.67/claim|Median: $89.79
1.3× median
T4522Normal range

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

$921K

10K claims · 5.6%

Your Cost: $89.42/claim|Median: $84.50
1.1× median
T4527Normal range

Adult-sized disposable incontinence product, large

$891K

10K claims · 5.4%

Your Cost: $85.35/claim|Median: $99.53
0.9× median
B4160Normal range

Enteral formula, per 100 calories

$887K

5,068 claims · 5.4%

Your Cost: $174.97/claim|Median: $157.30
1.1× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$836K

4,974 claims · 5.1%

Your Cost: $168.15/claim|Median: $117.24
1.4× median
T4523Normal range

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

$776K

8,515 claims · 4.7%

Your Cost: $91.15/claim|Median: $96.13
0.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$767K

7,670 claims · 4.7%

Your Cost: $100.04/claim|Median: $105.14
1.0× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$755K

9,874 claims · 4.6%

Your Cost: $76.46/claim|Median: $88.94
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$660K

19K claims · 4.0%

Your Cost: $34.52/claim|Median: $42.03
0.8× median
A4927Normal range

Gloves, non-sterile, per 100

$623K

46K claims · 3.8%

Your Cost: $13.54/claim|Median: $12.90
1.0× median
B4154Normal range

$560K

3,872 claims · 3.4%

Your Cost: $144.51/claim|Median: $132.96
1.1× median
B4149Top 10%

Enteral formula, manufactured blenderized, per 100 calories

$483K

1,070 claims · 2.9%

Your Cost: $451.09/claim|Median: $300.16
1.5× median
T4524Normal range

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

$415K

4,235 claims · 2.5%

Your Cost: $97.90/claim|Median: $108.31
0.9× median
B4153Top 25%

$403K

574 claims · 2.5%

Your Cost: $701.31/claim|Median: $410.73
1.7× median
B4162Normal range

$400K

655 claims · 2.4%

Your Cost: $610.44/claim|Median: $412.82
1.5× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$376K

1,948 claims · 2.3%

Your Cost: $193.11/claim|Median: $171.64
1.1× median
T4525Normal range

$284K

3,785 claims · 1.7%

Your Cost: $75.01/claim|Median: $79.46
0.9× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$283K

5,169 claims · 1.7%

Your Cost: $54.67/claim|Median: $55.51
1.0× median
T4537Top 10%

$279K

3,996 claims · 1.7%

Your Cost: $69.77/claim|Median: $31.50
2.2× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$205K

2,899 claims · 1.2%

Your Cost: $70.57/claim|Median: $110.54
0.6× median
B4088Normal range

$151K

1,568 claims · 0.9%

Your Cost: $96.15/claim|Median: $73.20
1.3× median
T4530Normal range

$148K

2,401 claims · 0.9%

Your Cost: $61.66/claim|Median: $83.90
0.7× median
B4155Top 25%

$98K

863 claims · 0.6%

Your Cost: $113.27/claim|Median: $46.72
2.4× median
B9002Top 10%

$95K

771 claims · 0.6%

Your Cost: $123.27/claim|Median: $54.41
2.3× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$93K

490 claims · 0.6%

Your Cost: $189.53/claim|Median: $177.75
1.1× median
B4034Top 25%

$66K

760 claims · 0.4%

Your Cost: $87.49/claim|Median: $46.28
1.9× median
T4532Normal range

$52K

823 claims · 0.3%

Your Cost: $63.04/claim|Median: $116.50
0.5× median
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