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Provider 1407839855

NPI: 1407839855Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.8M

$7,805,207

Total Claims

108K

Beneficiaries

92K

1.2 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-6%
2019
$1.4M
-8%
2020
$1.3M
-6%
2021
$1.2M
-3%
2022
$1.2M
-70%
2023
$357K
+116%
2024
$772K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T2029 (Specialized transportation, waiver, per mile, extra)) accounts for 40% of total spending.

T2029Normal range

Specialized transportation, waiver, per mile, extra

$3.1M

28K claims · 39.8%

Your Cost: $109.77/claim|Median: $141.34
0.8× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$609K

16K claims · 7.8%

Your Cost: $37.80/claim|Median: $41.28
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$496K

5,234 claims · 6.4%

Your Cost: $94.81/claim|Median: $88.94
1.1× median
T4527Normal range

Adult-sized disposable incontinence product, large

$493K

5,034 claims · 6.3%

Your Cost: $97.87/claim|Median: $99.53
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$473K

4,189 claims · 6.1%

Your Cost: $112.94/claim|Median: $105.14
1.1× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$430K

9,186 claims · 5.5%

Your Cost: $46.86/claim|Median: $42.03
1.1× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$373K

1,744 claims · 4.8%

Your Cost: $213.95/claim|Median: $177.75
1.2× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$315K

5,195 claims · 4.0%

Your Cost: $60.72/claim|Median: $89.79
0.7× median
T4537Top 5%

$294K

2,842 claims · 3.8%

Your Cost: $103.41/claim|Median: $31.50
3.3× median
T4523Normal range

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

$171K

1,631 claims · 2.2%

Your Cost: $104.62/claim|Median: $96.13
1.1× median
A4927Normal range

Gloves, non-sterile, per 100

$146K

9,053 claims · 1.9%

Your Cost: $16.08/claim|Median: $12.90
1.2× median
T4536Top 5%

Adult disposable incontinence product, pull-on, large

$124K

1,109 claims · 1.6%

Your Cost: $111.49/claim|Median: $11.57
9.6× median
T4522Top 25%

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

$113K

1,060 claims · 1.5%

Your Cost: $106.77/claim|Median: $84.50
1.3× median
B4154Normal range

$96K

966 claims · 1.2%

Your Cost: $99.31/claim|Median: $132.96
0.7× median
T4544Top 25%

Pediatric-sized disposable underpads/pads, small

$92K

399 claims · 1.2%

Your Cost: $230.67/claim|Median: $171.64
1.3× median
T4540Top 25%

$89K

1,859 claims · 1.1%

Your Cost: $48.09/claim|Median: $17.85
2.7× median
E0260Normal range

Hospital bed, semi-electric

$89K

2,741 claims · 1.1%

Your Cost: $32.35/claim|Median: $23.07
1.4× median
T4524Normal range

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

$50K

465 claims · 0.6%

Your Cost: $108.23/claim|Median: $108.31
1.0× median
E1390Normal range

Oxygen concentrator, single delivery port

$50K

1,802 claims · 0.6%

Your Cost: $27.53/claim|Median: $45.11
0.6× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$48K

523 claims · 0.6%

Your Cost: $91.99/claim|Median: $92.20
1.0× median
K0001Top 25%

Standard wheelchair

$38K

1,612 claims · 0.5%

Your Cost: $23.48/claim|Median: $12.27
1.9× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$36K

1,446 claims · 0.5%

Your Cost: $24.79/claim|Median: $35.30
0.7× median
K0738Normal range

$23K

1,299 claims · 0.3%

Your Cost: $17.48/claim|Median: $17.69
1.0× median
E0570Normal range

Nebulizer, with compressor

$13K

2,305 claims · 0.2%

Your Cost: $5.81/claim|Median: $16.16
0.4× median
T4525Normal range

$8K

122 claims · 0.1%

Your Cost: $66.82/claim|Median: $79.46
0.8× median
E0245Normal range

$8K

185 claims · 0.1%

Your Cost: $42.75/claim|Median: $42.10
1.0× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$7K

494 claims · 0.1%

Your Cost: $14.33/claim|Median: $18.68
0.8× median
E0244Normal range

$3K

67 claims · 0.0%

Your Cost: $41.52/claim|Median: $32.11
1.3× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$2K

79 claims · 0.0%

Your Cost: $29.43/claim|Median: $31.59
0.9× median
E1038Top 25%

$2K

170 claims · 0.0%

Your Cost: $10.07/claim|Median: $4.70
2.1× median
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