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Provider 1417955170

NPI: 1417955170Share
Active Billing Period:2018-01→2021-06(42 months)
Billing appears to have stoppedLast active: 2021-06

Total Paid

$17.5M

$17,471,458

Total Claims

116K

Beneficiaries

80K

1.5 claims/patient

Avg Cost/Claim

$150

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+27%
2019
$3.3M
+107%
2020
$6.8M
-28%
2021
$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J7170 (Emicizumab-kxwh (Hemlibra) injection, 0.5 mg)) accounts for 28% of total spending.

J7170Top 25%

Emicizumab-kxwh (Hemlibra) injection, 0.5 mg

$5.0M

164 claims · 28.3%

Your Cost: $30,190.06/claim|Median: $23,418.64
1.3× median
90378Normal range

$3.2M

1,299 claims · 18.0%

Your Cost: $2,427.04/claim|Median: $1,627.19
1.5× median
B4160Normal range

Enteral formula, per 100 calories

$1.3M

14K claims · 7.4%

Your Cost: $92.96/claim|Median: $157.30
0.6× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$1.3M

7,186 claims · 7.3%

Your Cost: $178.64/claim|Median: $117.24
1.5× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.1M

3,568 claims · 6.4%

Your Cost: $311.56/claim|Median: $465.86
0.7× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$537K

13K claims · 3.1%

Your Cost: $41.92/claim|Median: $51.67
0.8× median
G0151Normal range

Physical therapy services, home health, per visit

$490K

7,652 claims · 2.8%

Your Cost: $64.04/claim|Median: $67.94
0.9× median
G0153Normal range

Services of SLP in home health, per 15 min

$482K

7,703 claims · 2.8%

Your Cost: $62.59/claim|Median: $101.43
0.6× median
E0603Top 25%

Breast pump, electric, any type

$451K

2,378 claims · 2.6%

Your Cost: $189.83/claim|Median: $131.70
1.4× median
G0152Normal range

Occupational therapy services, home health, per visit

$429K

6,612 claims · 2.5%

Your Cost: $64.93/claim|Median: $68.93
0.9× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$377K

4,682 claims · 2.2%

Your Cost: $80.55/claim|Median: $110.54
0.7× median
B4034Top 25%

$265K

2,721 claims · 1.5%

Your Cost: $97.56/claim|Median: $46.28
2.1× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$217K

886 claims · 1.2%

Your Cost: $245.06/claim|Median: $300.16
0.8× median
B4088Normal range

$207K

1,938 claims · 1.2%

Your Cost: $106.89/claim|Median: $73.20
1.5× median
T4530Normal range

$199K

2,421 claims · 1.1%

Your Cost: $82.08/claim|Median: $83.90
1.0× median
T4533Normal range

Adult disposable incontinence product, youth or small

$197K

2,181 claims · 1.1%

Your Cost: $90.19/claim|Median: $87.25
1.0× median
T4527Normal range

Adult-sized disposable incontinence product, large

$157K

1,371 claims · 0.9%

Your Cost: $114.36/claim|Median: $99.53
1.1× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$153K

1,985 claims · 0.9%

Your Cost: $77.22/claim|Median: $92.20
0.8× median
B4100Normal range

$136K

1,469 claims · 0.8%

Your Cost: $92.37/claim|Median: $67.58
1.4× median
B9002Normal range

$122K

1,770 claims · 0.7%

Your Cost: $68.96/claim|Median: $54.41
1.3× median
T4522Top 25%

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

$112K

976 claims · 0.6%

Your Cost: $114.80/claim|Median: $84.50
1.4× median
B9998Top 10%

Enteral/parenteral nutritional supplies, NOS

$106K

728 claims · 0.6%

Your Cost: $145.00/claim|Median: $55.51
2.6× median
E0570Top 5%

Nebulizer, with compressor

$100K

784 claims · 0.6%

Your Cost: $128.15/claim|Median: $16.16
7.9× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$93K

2,608 claims · 0.5%

Your Cost: $35.57/claim|Median: $41.28
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$92K

1,136 claims · 0.5%

Your Cost: $81.07/claim|Median: $89.79
0.9× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$90K

806 claims · 0.5%

Your Cost: $111.81/claim|Median: $116.15
1.0× median
E0604Normal range

$82K

2,094 claims · 0.5%

Your Cost: $39.18/claim|Median: $48.56
0.8× median
T4525Normal range

$78K

919 claims · 0.4%

Your Cost: $84.48/claim|Median: $79.46
1.1× median
B4155Normal range

$73K

1,811 claims · 0.4%

Your Cost: $40.29/claim|Median: $46.72
0.9× median
B4158Normal range

$56K

476 claims · 0.3%

Your Cost: $117.16/claim|Median: $145.71
0.8× median
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