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Provider 1417472812

NPI: 1417472812Share
Active Billing Period:2018-10→2024-11(74 months)

Total Paid

$10.2M

$10,239,498

Total Claims

48K

Beneficiaries

19K

2.5 claims/patient

Avg Cost/Claim

$212

Monthly Spending Trend

Yearly Spending

2018
$36K
+970%
2019
$381K
+306%
2020
$1.5M
+30%
2021
$2.0M
+22%
2022
$2.5M
+10%
2023
$2.7M
-59%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (B4197) accounts for 28% of total spending.

B4197Top 25%

$2.9M

2,377 claims · 28.2%

Your Cost: $1,212.64/claim|Median: $687.38
1.8× median
S9500Top 25%

$1.6M

5,538 claims · 15.2%

Your Cost: $281.57/claim|Median: $144.40
1.9× median
B4185Top 25%

$1.4M

6,628 claims · 13.6%

Your Cost: $209.66/claim|Median: $134.70
1.6× median
S9502Top 10%

$851K

2,258 claims · 8.3%

Your Cost: $376.83/claim|Median: $165.71
2.3× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$840K

4,762 claims · 8.2%

Your Cost: $176.49/claim|Median: $176.25
1.0× median
S9366Normal range

$686K

2,715 claims · 6.7%

Your Cost: $252.75/claim|Median: $394.05
0.6× median
S9374Normal range

$527K

4,237 claims · 5.1%

Your Cost: $124.30/claim|Median: $136.10
0.9× median
S9501Top 10%

$376K

1,051 claims · 3.7%

Your Cost: $357.60/claim|Median: $160.52
2.2× median
S5501Normal range

$265K

2,481 claims · 2.6%

Your Cost: $106.88/claim|Median: $43.74
2.4× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$205K

2,661 claims · 2.0%

Your Cost: $76.93/claim|Median: $92.20
0.8× median
S9343Normal range

$191K

1,417 claims · 1.9%

Your Cost: $134.71/claim|Median: $99.47
1.4× median
99601Normal range

$162K

2,098 claims · 1.6%

Your Cost: $77.27/claim|Median: $82.41
0.9× median
B4224Normal range

$50K

1,531 claims · 0.5%

Your Cost: $32.62/claim|Median: $78.83
0.4× median
B4199Normal range

$49K

49 claims · 0.5%

Your Cost: $992.11/claim|Median: $810.01
1.2× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$48K

650 claims · 0.5%

Your Cost: $73.93/claim|Median: $89.79
0.8× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$45K

1,689 claims · 0.4%

Your Cost: $26.83/claim|Median: $117.24
0.2× median
B4193Normal range

$29K

42 claims · 0.3%

Your Cost: $683.55/claim|Median: $569.75
1.2× median
B9002Normal range

$16K

847 claims · 0.2%

Your Cost: $19.36/claim|Median: $54.41
0.4× median
B4220Normal range

$16K

1,455 claims · 0.2%

Your Cost: $10.71/claim|Median: $27.49
0.4× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$14K

2,685 claims · 0.1%

Your Cost: $5.21/claim|Median: $1.53
3.4× median
99602Normal range

$11K

134 claims · 0.1%

Your Cost: $79.33/claim|Median: $84.91
0.9× median
B4154Normal range

$10K

76 claims · 0.1%

Your Cost: $128.23/claim|Median: $132.96
1.0× median
B4034Normal range

$7K

669 claims · 0.1%

Your Cost: $11.05/claim|Median: $46.28
0.2× median
J1335Normal range

$7K

68 claims · 0.1%

Your Cost: $97.90/claim|Median: $100.54
1.0× median
B4088Top 10%

$2K

12 claims · 0.0%

Your Cost: $144.00/claim|Median: $73.20
2.0× median
J0696Top 10%

$2K

106 claims · 0.0%

Your Cost: $15.22/claim|Median: $1.34
11.4× median
S5502Normal range

$537

26 claims · 0.0%

Your Cost: $20.66/claim|Median: $25.28
0.8× median
S5517Normal range

$169

12 claims · 0.0%

Your Cost: $14.07/claim|Median: $16.78
0.8× median
A9901Normal range

$75

25 claims · 0.0%

Your Cost: $3.00/claim|Median: $5.31
0.6× median
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