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Provider 1417998345

NPI: 1417998345Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$7,996,031

Total Claims

118K

Beneficiaries

113K

1.0 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-7%
2019
$1.1M
+4%
2020
$1.2M
-3%
2021
$1.1M
-7%
2022
$1.1M
+6%
2023
$1.1M
+0%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 24% of total spending.

T4527Top 10%

Adult-sized disposable incontinence product, large

$1.9M

11K claims · 24.0%

Your Cost: $169.40/claim|Median: $99.53
1.7× median
T4526Top 5%

Adult-sized disposable incontinence product, medium

$1.3M

7,595 claims · 16.1%

Your Cost: $169.02/claim|Median: $88.94
1.9× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$1.1M

16K claims · 14.0%

Your Cost: $68.48/claim|Median: $42.03
1.6× median
A4554Normal range

Disposable underpads, all sizes

$955K

21K claims · 11.9%

Your Cost: $44.83/claim|Median: $37.02
1.2× median
A6533Top 1%

$710K

1,847 claims · 8.9%

Your Cost: $384.56/claim|Median: $74.92
5.1× median
A5120Top 5%

$644K

14K claims · 8.1%

Your Cost: $44.69/claim|Median: $6.35
7.0× median
A4927Top 10%

Gloves, non-sterile, per 100

$633K

21K claims · 7.9%

Your Cost: $29.59/claim|Median: $12.90
2.3× median
T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$397K

2,340 claims · 5.0%

Your Cost: $169.59/claim|Median: $105.14
1.6× median
A4553Normal range

$287K

19K claims · 3.6%

Your Cost: $15.06/claim|Median: $15.13
1.0× median
T4537Normal range

$36K

2,097 claims · 0.5%

Your Cost: $17.30/claim|Median: $31.50
0.5× median
A6530Top 1%

$14K

56 claims · 0.2%

Your Cost: $258.24/claim|Median: $49.70
5.2× median
A4245Top 25%

$1K

97 claims · 0.0%

Your Cost: $10.35/claim|Median: $2.33
4.4× median
A4259Normal range

Lancets for blood glucose testing

$299

127 claims · 0.0%

Your Cost: $2.36/claim|Median: $2.27
1.0× median
A4253Normal range

Blood glucose test strips

$16

127 claims · 0.0%

Your Cost: $0.12/claim|Median: $6.92
0.0× median
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