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Provider 1427153626

NPI: 1427153626Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,062,708

Total Claims

312K

Beneficiaries

285K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-1%
2019
$1.4M
+3%
2020
$1.5M
-3%
2021
$1.4M
-16%
2022
$1.2M
+26%
2023
$1.5M
+2%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4150 (Enteral formula, nutritionally complete with fiber, per 100 calories)) accounts for 8% of total spending.

B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$853K

8,926 claims · 8.5%

Your Cost: $95.58/claim|Median: $89.79
1.1× median
E0260Normal range

Hospital bed, semi-electric

$590K

24K claims · 5.9%

Your Cost: $24.89/claim|Median: $23.07
1.1× median
T4527Normal range

Adult-sized disposable incontinence product, large

$538K

7,590 claims · 5.3%

Your Cost: $70.89/claim|Median: $99.53
0.7× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$531K

16K claims · 5.3%

Your Cost: $33.06/claim|Median: $41.28
0.8× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$462K

7,087 claims · 4.6%

Your Cost: $65.23/claim|Median: $88.94
0.7× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$460K

1,325 claims · 4.6%

Your Cost: $346.82/claim|Median: $508.29
0.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$448K

5,388 claims · 4.5%

Your Cost: $83.14/claim|Median: $105.14
0.8× median
K0001Normal range

Standard wheelchair

$424K

27K claims · 4.2%

Your Cost: $15.51/claim|Median: $12.27
1.3× median
T4523Normal range

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

$361K

4,543 claims · 3.6%

Your Cost: $79.46/claim|Median: $96.13
0.8× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$327K

8,083 claims · 3.2%

Your Cost: $40.44/claim|Median: $42.03
1.0× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$327K

2,457 claims · 3.2%

Your Cost: $132.95/claim|Median: $116.15
1.1× median
A4670Normal range

$321K

6,348 claims · 3.2%

Your Cost: $50.60/claim|Median: $50.23
1.0× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$283K

12K claims · 2.8%

Your Cost: $24.26/claim|Median: $31.59
0.8× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$261K

2,714 claims · 2.6%

Your Cost: $96.22/claim|Median: $92.20
1.0× median
B4154Normal range

$240K

4,059 claims · 2.4%

Your Cost: $59.24/claim|Median: $132.96
0.4× median
A4927Normal range

Gloves, non-sterile, per 100

$237K

15K claims · 2.4%

Your Cost: $15.88/claim|Median: $12.90
1.2× median
E0245Normal range

$217K

5,788 claims · 2.2%

Your Cost: $37.44/claim|Median: $42.10
0.9× median
T4522Normal range

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

$215K

2,943 claims · 2.1%

Your Cost: $73.09/claim|Median: $84.50
0.9× median
T4524Normal range

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

$207K

2,241 claims · 2.1%

Your Cost: $92.37/claim|Median: $108.31
0.9× median
T4525Normal range

$170K

1,855 claims · 1.7%

Your Cost: $91.47/claim|Median: $79.46
1.2× median
E0630Normal range

$164K

6,369 claims · 1.6%

Your Cost: $25.75/claim|Median: $23.70
1.1× median
A6212Normal range

$152K

1,474 claims · 1.5%

Your Cost: $103.27/claim|Median: $76.51
1.3× median
E0265Normal range

$142K

2,109 claims · 1.4%

Your Cost: $67.23/claim|Median: $41.12
1.6× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$127K

1,094 claims · 1.3%

Your Cost: $115.68/claim|Median: $110.54
1.0× median
A4349Top 25%

$112K

2,544 claims · 1.1%

Your Cost: $44.17/claim|Median: $28.92
1.5× median
E0277Normal range

$110K

1,009 claims · 1.1%

Your Cost: $108.74/claim|Median: $92.82
1.2× median
E0163Normal range

$99K

3,327 claims · 1.0%

Your Cost: $29.69/claim|Median: $27.98
1.1× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$93K

550 claims · 0.9%

Your Cost: $169.28/claim|Median: $171.64
1.0× median
E0570Normal range

Nebulizer, with compressor

$92K

9,084 claims · 0.9%

Your Cost: $10.09/claim|Median: $16.16
0.6× median
T4530Top 25%

$83K

759 claims · 0.8%

Your Cost: $108.91/claim|Median: $83.90
1.3× median
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