Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1427187525

NPI: 1427187525Share
Active Billing Period:2018-01→2024-07(79 months)

Total Paid

$8.3M

$8,327,851

Total Claims

53K

Beneficiaries

35K

1.5 claims/patient

Avg Cost/Claim

$157

Monthly Spending Trend

Yearly Spending

2018
$854K
+51%
2019
$1.3M
+30%
2020
$1.7M
-27%
2021
$1.2M
-3%
2022
$1.2M
+63%
2023
$1.9M
-90%
2024
$195K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 40% of total spending.

B4035Normal range

Enteral feeding supply kit, pump fed, per day

$3.3M

23K claims · 39.9%

Your Cost: $143.18/claim|Median: $117.24
1.2× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.6M

4,225 claims · 19.5%

Your Cost: $383.76/claim|Median: $465.86
0.8× median
B4160Normal range

Enteral formula, per 100 calories

$691K

6,408 claims · 8.3%

Your Cost: $107.79/claim|Median: $157.30
0.7× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$635K

1,768 claims · 7.6%

Your Cost: $359.26/claim|Median: $300.16
1.2× median
B4154Top 10%

$416K

1,189 claims · 5.0%

Your Cost: $349.63/claim|Median: $132.96
2.6× median
B4088Normal range

$341K

3,423 claims · 4.1%

Your Cost: $99.61/claim|Median: $73.20
1.4× median
B9002Top 25%

$306K

3,549 claims · 3.7%

Your Cost: $86.27/claim|Median: $54.41
1.6× median
B4155Top 25%

$231K

1,532 claims · 2.8%

Your Cost: $150.72/claim|Median: $46.72
3.2× median
B4034Top 25%

$196K

2,459 claims · 2.3%

Your Cost: $79.57/claim|Median: $46.28
1.7× median
B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$181K

1,023 claims · 2.2%

Your Cost: $176.73/claim|Median: $89.79
2.0× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$180K

1,402 claims · 2.2%

Your Cost: $128.08/claim|Median: $92.20
1.4× median
B4158Normal range

$123K

1,189 claims · 1.5%

Your Cost: $103.06/claim|Median: $145.71
0.7× median
E0781Top 25%

$64K

378 claims · 0.8%

Your Cost: $168.81/claim|Median: $54.38
3.1× median
B4082Normal range

$15K

1,169 claims · 0.2%

Your Cost: $12.73/claim|Median: $28.33
0.4× median
B4153Normal range

$8K

21 claims · 0.1%

Your Cost: $358.82/claim|Median: $410.73
0.9× median
B4103Normal range

$1K

16 claims · 0.0%

Your Cost: $75.26/claim|Median: $82.54
0.9× median
← All providersHow we detect fraud →