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Provider 1437154713

NPI: 1437154713Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,261,010

Total Claims

340K

Beneficiaries

339K

1.0 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+6%
2019
$1.1M
+26%
2020
$1.4M
+26%
2021
$1.8M
+8%
2022
$1.9M
+114%
2023
$4.2M
+14%
2024
$4.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4535 (Adult-sized disposable underpads/pads, large)) accounts for 30% of total spending.

T4535Top 5%

Adult-sized disposable underpads/pads, large

$4.9M

60K claims · 30.1%

Your Cost: $81.19/claim|Median: $42.03
1.9× median
T4541Top 25%

Pediatric-sized disposable incontinence product, large

$4.1M

62K claims · 25.2%

Your Cost: $66.35/claim|Median: $41.28
1.6× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.2M

17K claims · 7.2%

Your Cost: $69.19/claim|Median: $99.53
0.7× median
A6250Top 25%

Skin sealant protectant, moisturizer, each ounce

$864K

36K claims · 5.3%

Your Cost: $24.22/claim|Median: $9.88
2.5× median
A4927Top 5%

Gloves, non-sterile, per 100

$673K

19K claims · 4.1%

Your Cost: $35.26/claim|Median: $12.90
2.7× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$647K

11K claims · 4.0%

Your Cost: $57.28/claim|Median: $88.94
0.6× median
A4335Top 25%

Incontinence supply, miscellaneous

$474K

31K claims · 2.9%

Your Cost: $15.19/claim|Median: $5.54
2.7× median
T4536Top 25%

Adult disposable incontinence product, pull-on, large

$449K

27K claims · 2.8%

Your Cost: $16.69/claim|Median: $11.57
1.4× median
T4523Normal range

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

$428K

6,454 claims · 2.6%

Your Cost: $66.26/claim|Median: $96.13
0.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$414K

6,830 claims · 2.5%

Your Cost: $60.56/claim|Median: $105.14
0.6× median
E0295Normal range

$392K

8,435 claims · 2.4%

Your Cost: $46.47/claim|Median: $41.43
1.1× median
T4537Normal range

$297K

9,333 claims · 1.8%

Your Cost: $31.86/claim|Median: $31.50
1.0× median
T4522Normal range

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

$226K

3,385 claims · 1.4%

Your Cost: $66.66/claim|Median: $84.50
0.8× median
K0001Normal range

Standard wheelchair

$204K

9,910 claims · 1.3%

Your Cost: $20.63/claim|Median: $12.27
1.7× median
T4524Normal range

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

$160K

2,901 claims · 1.0%

Your Cost: $55.08/claim|Median: $108.31
0.5× median
K0823Top 10%

Power wheelchair, Group 2

$140K

349 claims · 0.9%

Your Cost: $401.39/claim|Median: $95.35
4.2× median
K0003Normal range

$114K

3,825 claims · 0.7%

Your Cost: $29.78/claim|Median: $18.14
1.6× median
E0305Top 25%

$105K

6,559 claims · 0.6%

Your Cost: $16.08/claim|Median: $8.35
1.9× median
T4525Normal range

$67K

884 claims · 0.4%

Your Cost: $75.59/claim|Median: $79.46
1.0× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$61K

1,326 claims · 0.4%

Your Cost: $46.28/claim|Median: $31.59
1.5× median
E0630Top 25%

$48K

1,144 claims · 0.3%

Your Cost: $41.91/claim|Median: $23.70
1.8× median
E2611Normal range

General wheelchair seat cushion, width less than twenty-two inches

$38K

386 claims · 0.2%

Your Cost: $98.44/claim|Median: $61.71
1.6× median
E0247Top 10%

$35K

283 claims · 0.2%

Your Cost: $123.47/claim|Median: $75.27
1.6× median
A9900Normal range

$34K

4,758 claims · 0.2%

Your Cost: $7.12/claim|Median: $58.14
0.1× median
K0002Normal range

$32K

1,242 claims · 0.2%

Your Cost: $25.39/claim|Median: $16.01
1.6× median
E0163Top 25%

$30K

651 claims · 0.2%

Your Cost: $45.55/claim|Median: $27.98
1.6× median
E0272Top 10%

$27K

287 claims · 0.2%

Your Cost: $94.76/claim|Median: $15.40
6.2× median
E0245Top 5%

$24K

275 claims · 0.1%

Your Cost: $86.06/claim|Median: $42.10
2.0× median
K0195Normal range

$22K

2,781 claims · 0.1%

Your Cost: $7.84/claim|Median: $4.65
1.7× median
E1038Top 25%

$20K

1,927 claims · 0.1%

Your Cost: $10.58/claim|Median: $4.70
2.3× median
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