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Provider 1427132265

NPI: 1427132265Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,792,350

Total Claims

62K

Beneficiaries

29K

2.1 claims/patient

Avg Cost/Claim

$159

Monthly Spending Trend

Yearly Spending

2018
$405K
+47%
2019
$598K
+37%
2020
$821K
+33%
2021
$1.1M
+47%
2022
$1.6M
+70%
2023
$2.7M
-5%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99601) accounts for 30% of total spending.

99601Top 5%

$2.9M

19K claims · 29.7%

Your Cost: $149.02/claim|Median: $82.41
1.8× median
S9379Top 10%

$2.3M

11K claims · 23.6%

Your Cost: $217.44/claim|Median: $70.89
3.1× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$628K

4,693 claims · 6.4%

Your Cost: $133.84/claim|Median: $176.25
0.8× median
B4185Normal range

$514K

3,982 claims · 5.2%

Your Cost: $129.03/claim|Median: $134.70
1.0× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$379K

1,955 claims · 3.9%

Your Cost: $193.89/claim|Median: $117.24
1.7× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$349K

579 claims · 3.6%

Your Cost: $602.37/claim|Median: $465.86
1.3× median
99602Normal range

$322K

3,586 claims · 3.3%

Your Cost: $89.76/claim|Median: $84.91
1.1× median
B4153Normal range

$317K

618 claims · 3.2%

Your Cost: $513.24/claim|Median: $410.73
1.2× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$312K

867 claims · 3.2%

Your Cost: $359.97/claim|Median: $300.16
1.2× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$252K

1,779 claims · 2.6%

Your Cost: $141.71/claim|Median: $89.79
1.6× median
B4160Top 25%

Enteral formula, per 100 calories

$230K

787 claims · 2.4%

Your Cost: $292.58/claim|Median: $157.30
1.9× median
S9500Top 25%

$212K

699 claims · 2.2%

Your Cost: $303.91/claim|Median: $144.40
2.1× median
B4034Normal range

$181K

2,465 claims · 1.8%

Your Cost: $73.49/claim|Median: $46.28
1.6× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$179K

1,224 claims · 1.8%

Your Cost: $146.25/claim|Median: $92.20
1.6× median
S5498Top 10%

$116K

1,067 claims · 1.2%

Your Cost: $108.91/claim|Median: $28.30
3.8× median
B4087Normal range

$113K

2,285 claims · 1.2%

Your Cost: $49.50/claim|Median: $25.27
2.0× median
S9375Normal range

$80K

635 claims · 0.8%

Your Cost: $125.47/claim|Median: $165.98
0.8× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$77K

564 claims · 0.8%

Your Cost: $135.91/claim|Median: $4.58
29.7× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$54K

892 claims · 0.5%

Your Cost: $60.12/claim|Median: $55.51
1.1× median
B4088Top 10%

$44K

305 claims · 0.5%

Your Cost: $144.88/claim|Median: $73.20
2.0× median
B4036Normal range

$42K

390 claims · 0.4%

Your Cost: $108.83/claim|Median: $74.87
1.5× median
B9002Normal range

$35K

445 claims · 0.4%

Your Cost: $78.59/claim|Median: $54.41
1.4× median
S9502Top 5%

$25K

39 claims · 0.3%

Your Cost: $629.47/claim|Median: $165.71
3.8× median
S9359Top 25%

$18K

209 claims · 0.2%

Your Cost: $86.73/claim|Median: $62.59
1.4× median
B4155Normal range

$17K

465 claims · 0.2%

Your Cost: $37.44/claim|Median: $46.72
0.8× median
S9338Normal range

$17K

213 claims · 0.2%

Your Cost: $79.96/claim|Median: $60.83
1.3× median
B4154Top 25%

$16K

61 claims · 0.2%

Your Cost: $260.69/claim|Median: $132.96
2.0× median
S9374Normal range

$13K

110 claims · 0.1%

Your Cost: $122.03/claim|Median: $136.10
0.9× median
S9341Normal range

$11K

123 claims · 0.1%

Your Cost: $89.54/claim|Median: $142.63
0.6× median
J0475Top 25%

Injection, baclofen, ten milligrams

$10K

12 claims · 0.1%

Your Cost: $855.14/claim|Median: $384.42
2.2× median
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