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Provider 1437348596

NPI: 1437348596Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,813,546

Total Claims

152K

Beneficiaries

147K

1.0 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$660K
+28%
2019
$842K
+16%
2020
$980K
+7%
2021
$1.0M
-10%
2022
$948K
+54%
2023
$1.5M
+28%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4554 (Disposable underpads, all sizes)) accounts for 25% of total spending.

A4554Top 10%

Disposable underpads, all sizes

$2.0M

28K claims · 25.1%

Your Cost: $69.09/claim|Median: $37.02
1.9× median
T4523Top 25%

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

$1.1M

9,110 claims · 13.7%

Your Cost: $117.93/claim|Median: $96.13
1.2× median
T4522Normal range

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

$816K

8,688 claims · 10.4%

Your Cost: $93.90/claim|Median: $84.50
1.1× median
T4524Top 25%

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

$787K

5,871 claims · 10.1%

Your Cost: $133.97/claim|Median: $108.31
1.2× median
T4537Normal range

$645K

20K claims · 8.3%

Your Cost: $32.22/claim|Median: $31.50
1.0× median
E0603Normal range

Breast pump, electric, any type

$450K

2,873 claims · 5.8%

Your Cost: $156.62/claim|Median: $131.70
1.2× median
T4539Top 25%

$346K

11K claims · 4.4%

Your Cost: $31.08/claim|Median: $27.96
1.1× median
T4540Normal range

$308K

18K claims · 3.9%

Your Cost: $17.41/claim|Median: $17.85
1.0× median
T4530Normal range

$300K

3,715 claims · 3.8%

Your Cost: $80.67/claim|Median: $83.90
1.0× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$222K

5,983 claims · 2.8%

Your Cost: $37.04/claim|Median: $42.03
0.9× median
T4521Normal range

$217K

2,237 claims · 2.8%

Your Cost: $97.11/claim|Median: $81.60
1.2× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$181K

844 claims · 2.3%

Your Cost: $214.03/claim|Median: $177.75
1.2× median
L0642Normal range

$118K

654 claims · 1.5%

Your Cost: $181.03/claim|Median: $181.03
1.0× median
A4927Normal range

Gloves, non-sterile, per 100

$110K

25K claims · 1.4%

Your Cost: $4.38/claim|Median: $12.90
0.3× median
A4287Normal range

$100K

2,418 claims · 1.3%

Your Cost: $41.27/claim|Median: $38.21
1.1× median
K1005Normal range

$68K

1,652 claims · 0.9%

Your Cost: $41.22/claim|Median: $37.63
1.1× median
L2630Normal range

$45K

299 claims · 0.6%

Your Cost: $150.93/claim|Median: $165.63
0.9× median
E1390Normal range

Oxygen concentrator, single delivery port

$16K

259 claims · 0.2%

Your Cost: $63.45/claim|Median: $45.11
1.4× median
L0621Normal range

$12K

208 claims · 0.1%

Your Cost: $56.03/claim|Median: $56.03
1.0× median
A4335Normal range

Incontinence supply, miscellaneous

$11K

2,092 claims · 0.1%

Your Cost: $5.07/claim|Median: $5.54
0.9× median
A4402Normal range

$7K

1,621 claims · 0.1%

Your Cost: $4.49/claim|Median: $4.15
1.1× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$7K

614 claims · 0.1%

Your Cost: $10.95/claim|Median: $9.88
1.1× median
A7005Normal range

$3K

204 claims · 0.0%

Your Cost: $16.20/claim|Median: $12.44
1.3× median
E1399Normal range

Durable medical equipment, miscellaneous

$3K

215 claims · 0.0%

Your Cost: $13.60/claim|Median: $104.06
0.1× median
E0144Normal range

$2K

14 claims · 0.0%

Your Cost: $142.26/claim|Median: $169.19
0.8× median
A4670Normal range

$2K

37 claims · 0.0%

Your Cost: $48.29/claim|Median: $50.23
1.0× median
K0001Top 5%

Standard wheelchair

$2K

40 claims · 0.0%

Your Cost: $38.51/claim|Median: $12.27
3.1× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$614

16 claims · 0.0%

Your Cost: $38.39/claim|Median: $31.59
1.2× median
E0240Normal range

$449

13 claims · 0.0%

Your Cost: $34.51/claim|Median: $62.75
0.5× median
E0156Normal range

$164

17 claims · 0.0%

Your Cost: $9.65/claim|Median: $7.15
1.4× median
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