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

⚖️ Compare🖨️ Print Report

Provider 1396758389

NPI: 1396758389Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,579,444

Total Claims

307K

Beneficiaries

279K

1.1 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$78K
+1100%
2019
$940K
+8%
2020
$1.0M
-3%
2021
$991K
+89%
2022
$1.9M
+39%
2023
$2.6M
+19%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 24% of total spending.

T4527Normal range

Adult-sized disposable incontinence product, large

$2.5M

31K claims · 23.7%

Your Cost: $81.41/claim|Median: $99.53
0.8× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$2.2M

29K claims · 20.7%

Your Cost: $76.22/claim|Median: $88.94
0.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.1M

13K claims · 10.6%

Your Cost: $85.61/claim|Median: $105.14
0.8× median
A4554Normal range

Disposable underpads, all sizes

$1.0M

70K claims · 9.6%

Your Cost: $14.40/claim|Median: $37.02
0.4× median
T4525Normal range

$594K

7,377 claims · 5.6%

Your Cost: $80.49/claim|Median: $79.46
1.0× median
A5120Normal range

$577K

83K claims · 5.5%

Your Cost: $6.97/claim|Median: $6.35
1.1× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$390K

10K claims · 3.7%

Your Cost: $38.82/claim|Median: $42.03
0.9× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$376K

2,817 claims · 3.6%

Your Cost: $133.52/claim|Median: $177.75
0.8× median
S5199Normal range

Personal care item, NOS, each

$280K

10K claims · 2.6%

Your Cost: $27.14/claim|Median: $10.82
2.5× median
B4160Normal range

Enteral formula, per 100 calories

$272K

2,247 claims · 2.6%

Your Cost: $121.20/claim|Median: $157.30
0.8× median
T4523Normal range

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

$270K

3,426 claims · 2.5%

Your Cost: $78.71/claim|Median: $96.13
0.8× median
T4524Normal range

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

$239K

2,536 claims · 2.3%

Your Cost: $94.10/claim|Median: $108.31
0.9× median
A4927Normal range

Gloves, non-sterile, per 100

$225K

37K claims · 2.1%

Your Cost: $6.15/claim|Median: $12.90
0.5× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$219K

1,659 claims · 2.1%

Your Cost: $131.82/claim|Median: $110.54
1.2× median
T4522Normal range

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

$153K

1,922 claims · 1.4%

Your Cost: $79.39/claim|Median: $84.50
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$70K

1,039 claims · 0.7%

Your Cost: $67.48/claim|Median: $89.79
0.8× median
T4532Top 10%

$33K

180 claims · 0.3%

Your Cost: $185.88/claim|Median: $116.50
1.6× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$23K

302 claims · 0.2%

Your Cost: $75.65/claim|Median: $92.20
0.8× median
B4154Normal range

$15K

658 claims · 0.1%

Your Cost: $22.83/claim|Median: $132.96
0.2× median
T4531Normal range

$6K

64 claims · 0.1%

Your Cost: $91.72/claim|Median: $100.68
0.9× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$3K

26 claims · 0.0%

Your Cost: $111.99/claim|Median: $171.64
0.7× median
← All providersHow we detect fraud →