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Provider 1417267634

NPI: 1417267634Share
Active Billing Period:2018-01→2024-12(80 months)

Total Paid

$14.9M

$14,900,088

Total Claims

482K

Beneficiaries

464K

1.0 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$163K
+1282%
2019
$2.2M
-11%
2020
$2.0M
-1%
2021
$2.0M
+25%
2022
$2.5M
+13%
2023
$2.8M
+17%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 21% of total spending.

T4527Normal range

Adult-sized disposable incontinence product, large

$3.1M

51K claims · 20.8%

Your Cost: $61.04/claim|Median: $99.53
0.6× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$2.6M

45K claims · 17.6%

Your Cost: $57.70/claim|Median: $88.94
0.6× median
A4554Normal range

Disposable underpads, all sizes

$1.4M

87K claims · 9.5%

Your Cost: $16.32/claim|Median: $37.02
0.4× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.4M

21K claims · 9.3%

Your Cost: $66.46/claim|Median: $105.14
0.6× median
A4335Top 10%

Incontinence supply, miscellaneous

$992K

34K claims · 6.7%

Your Cost: $29.02/claim|Median: $5.54
5.2× median
A4245Top 10%

$858K

34K claims · 5.8%

Your Cost: $25.37/claim|Median: $2.33
10.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$720K

20K claims · 4.8%

Your Cost: $36.88/claim|Median: $42.03
0.9× median
A5120Top 25%

$557K

54K claims · 3.7%

Your Cost: $10.40/claim|Median: $6.35
1.6× median
S5199Normal range

Personal care item, NOS, each

$534K

17K claims · 3.6%

Your Cost: $31.73/claim|Median: $10.82
2.9× median
T4523Normal range

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

$513K

7,953 claims · 3.4%

Your Cost: $64.49/claim|Median: $96.13
0.7× median
T4524Normal range

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

$480K

6,826 claims · 3.2%

Your Cost: $70.35/claim|Median: $108.31
0.6× median
T4525Normal range

$415K

7,430 claims · 2.8%

Your Cost: $55.90/claim|Median: $79.46
0.7× median
T4522Normal range

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

$234K

4,228 claims · 1.6%

Your Cost: $55.26/claim|Median: $84.50
0.7× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$225K

2,366 claims · 1.5%

Your Cost: $94.89/claim|Median: $177.75
0.5× median
A4927Normal range

Gloves, non-sterile, per 100

$218K

66K claims · 1.5%

Your Cost: $3.30/claim|Median: $12.90
0.3× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$194K

3,113 claims · 1.3%

Your Cost: $62.40/claim|Median: $89.79
0.7× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$179K

1,934 claims · 1.2%

Your Cost: $92.40/claim|Median: $171.64
0.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$74K

1,333 claims · 0.5%

Your Cost: $55.43/claim|Median: $92.20
0.6× median
B4154Normal range

$68K

1,600 claims · 0.5%

Your Cost: $42.76/claim|Median: $132.96
0.3× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$52K

1,163 claims · 0.4%

Your Cost: $45.00/claim|Median: $41.28
1.1× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$41K

15K claims · 0.3%

Your Cost: $2.73/claim|Median: $9.88
0.3× median
T4542Normal range

$14K

371 claims · 0.1%

Your Cost: $38.23/claim|Median: $33.31
1.1× median
T4537Normal range

$13K

626 claims · 0.1%

Your Cost: $20.08/claim|Median: $31.50
0.6× median
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