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

⚖️ Compare🖨️ Print Report

Provider 1396901047

NPI: 1396901047Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,646,579

Total Claims

87K

Beneficiaries

67K

1.3 claims/patient

Avg Cost/Claim

$110

Monthly Spending Trend

Yearly Spending

2018
$239K
+162%
2019
$626K
+69%
2020
$1.1M
+60%
2021
$1.7M
-2%
2022
$1.6M
+28%
2023
$2.1M
+9%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4353 (Intermittent urinary catheter, with insertion supplies)) accounts for 53% of total spending.

A4353Normal range

Intermittent urinary catheter, with insertion supplies

$5.1M

10K claims · 52.9%

Your Cost: $496.04/claim|Median: $508.29
1.0× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$1.7M

14K claims · 17.1%

Your Cost: $115.10/claim|Median: $116.15
1.0× median
A4352Normal range

Intermittent urinary catheter, Coude tip, each

$895K

3,114 claims · 9.3%

Your Cost: $287.39/claim|Median: $280.71
1.0× median
A6197Top 25%

$419K

1,367 claims · 4.3%

Your Cost: $306.21/claim|Median: $156.22
2.0× median
A6021Top 25%

$207K

890 claims · 2.1%

Your Cost: $233.02/claim|Median: $111.06
2.1× median
A6212Normal range

$202K

1,645 claims · 2.1%

Your Cost: $122.62/claim|Median: $76.51
1.6× median
A6196Normal range

$178K

1,993 claims · 1.8%

Your Cost: $89.39/claim|Median: $71.68
1.2× median
A4357Top 25%

Bedside drainage bag, day or night

$114K

7,406 claims · 1.2%

Your Cost: $15.33/claim|Median: $7.46
2.1× median
A6252Normal range

$110K

2,381 claims · 1.1%

Your Cost: $46.29/claim|Median: $46.15
1.0× median
A6446Normal range

$106K

4,369 claims · 1.1%

Your Cost: $24.37/claim|Median: $14.64
1.7× median
A4344Normal range

$85K

1,949 claims · 0.9%

Your Cost: $43.86/claim|Median: $29.31
1.5× median
A4358Top 25%

$80K

6,377 claims · 0.8%

Your Cost: $12.57/claim|Median: $6.27
2.0× median
A4452Normal range

$70K

5,391 claims · 0.7%

Your Cost: $13.00/claim|Median: $9.98
1.3× median
A4310Top 25%

Insertion tray without drainage bag, with catheter

$57K

2,713 claims · 0.6%

Your Cost: $20.99/claim|Median: $7.44
2.8× median
A6209Top 25%

$57K

490 claims · 0.6%

Your Cost: $116.02/claim|Median: $55.36
2.1× median
A6210Top 25%

$52K

130 claims · 0.5%

Your Cost: $399.21/claim|Median: $163.78
2.4× median
A6253Normal range

$39K

320 claims · 0.4%

Your Cost: $121.61/claim|Median: $93.50
1.3× median
A6402Normal range

$32K

6,104 claims · 0.3%

Your Cost: $5.17/claim|Median: $7.69
0.7× median
A4338Top 25%

$26K

1,164 claims · 0.3%

Your Cost: $22.38/claim|Median: $7.20
3.1× median
A4402Normal range

$25K

6,335 claims · 0.3%

Your Cost: $3.90/claim|Median: $4.15
0.9× median
A4349Normal range

$18K

710 claims · 0.2%

Your Cost: $24.70/claim|Median: $28.92
0.9× median
A6222Normal range

$15K

500 claims · 0.2%

Your Cost: $29.91/claim|Median: $23.17
1.3× median
A4314Top 25%

$12K

641 claims · 0.1%

Your Cost: $19.46/claim|Median: $5.42
3.6× median
A4554Normal range

Disposable underpads, all sizes

$10K

702 claims · 0.1%

Your Cost: $14.26/claim|Median: $37.02
0.4× median
A4927Normal range

Gloves, non-sterile, per 100

$9K

767 claims · 0.1%

Your Cost: $12.33/claim|Median: $12.90
1.0× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$9K

205 claims · 0.1%

Your Cost: $45.21/claim|Median: $88.94
0.5× median
A6223Normal range

$9K

187 claims · 0.1%

Your Cost: $47.67/claim|Median: $35.60
1.3× median
T4525Normal range

$8K

168 claims · 0.1%

Your Cost: $46.07/claim|Median: $79.46
0.6× median
A4216Normal range

$7K

1,190 claims · 0.1%

Your Cost: $5.76/claim|Median: $8.45
0.7× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$6K

183 claims · 0.1%

Your Cost: $30.58/claim|Median: $110.54
0.3× median
← All providersHow we detect fraud →