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

CHAMPLAIN VALLEY BRACE AND LIMB, L.L.C.

Durable Medical Equipment & Medical Supplies·PLATTSBURGH, NY·NPI: 1447474010Share

Compared to Durable Medical Equipment & Medical Supplies Peers

Total spending distribution among 35 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.0M is at the below 25th percentile among 35 Durable Medical Equipment & Medical Supplies providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$21.0M

$21,024,458

Total Claims

477K

Beneficiaries

469K

1.0 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+41%
2019
$2.0M
+34%
2020
$2.6M
-5%
2021
$2.5M
+4%
2022
$2.6M
+49%
2023
$3.9M
+53%
2024
$6.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T4523 (Adult-sized disposable incontinence product, brief/diaper, small)) accounts for 13% of total spending.

T4523Normal range

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

$2.7M

32K claims · 12.8%

Your Cost: $84.92/claim|Median: $96.13
0.9× median
T4522Normal range

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

$2.5M

36K claims · 11.8%

Your Cost: $69.00/claim|Median: $84.50
0.8× median
A4554Normal range

Disposable underpads, all sizes

$2.5M

73K claims · 11.8%

Your Cost: $33.85/claim|Median: $37.02
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$2.3M

72K claims · 11.1%

Your Cost: $32.45/claim|Median: $42.03
0.8× median
T4524Normal range

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

$1.7M

19K claims · 8.2%

Your Cost: $89.87/claim|Median: $108.31
0.8× median
T4533Normal range

Adult disposable incontinence product, youth or small

$1.6M

24K claims · 7.6%

Your Cost: $66.66/claim|Median: $87.25
0.8× median
T4537Normal range

$1.6M

55K claims · 7.6%

Your Cost: $28.79/claim|Median: $31.50
0.9× median
T4521Normal range

$1.2M

15K claims · 5.6%

Your Cost: $76.23/claim|Median: $81.60
0.9× median
T4530Normal range

$993K

14K claims · 4.7%

Your Cost: $71.59/claim|Median: $83.90
0.9× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$863K

5,688 claims · 4.1%

Your Cost: $151.69/claim|Median: $177.75
0.9× median
T4540Normal range

$509K

31K claims · 2.4%

Your Cost: $16.41/claim|Median: $17.85
0.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$499K

5,506 claims · 2.4%

Your Cost: $90.68/claim|Median: $105.14
0.9× median
T4527Normal range

Adult-sized disposable incontinence product, large

$419K

6,065 claims · 2.0%

Your Cost: $69.07/claim|Median: $99.53
0.7× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$369K

3,584 claims · 1.8%

Your Cost: $103.00/claim|Median: $110.54
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$331K

5,570 claims · 1.6%

Your Cost: $59.41/claim|Median: $88.94
0.7× median
A4927Normal range

Gloves, non-sterile, per 100

$237K

55K claims · 1.1%

Your Cost: $4.31/claim|Median: $12.90
0.3× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$155K

10K claims · 0.7%

Your Cost: $15.27/claim|Median: $41.28
0.4× median
T4529Normal range

Pediatric disposable incontinence product, pull-on, large

$153K

2,608 claims · 0.7%

Your Cost: $58.74/claim|Median: $71.73
0.8× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$126K

1,078 claims · 0.6%

Your Cost: $116.59/claim|Median: $116.15
1.0× median
T4525Normal range

$101K

1,543 claims · 0.5%

Your Cost: $65.61/claim|Median: $79.46
0.8× median
A6212Normal range

$24K

320 claims · 0.1%

Your Cost: $76.07/claim|Median: $76.51
1.0× median
A6252Normal range

$24K

394 claims · 0.1%

Your Cost: $59.87/claim|Median: $46.15
1.3× median
A6402Top 25%

$23K

1,245 claims · 0.1%

Your Cost: $18.20/claim|Median: $7.69
2.4× median
T4532Normal range

$20K

260 claims · 0.1%

Your Cost: $76.81/claim|Median: $116.50
0.7× median
A6197Normal range

$18K

179 claims · 0.1%

Your Cost: $103.03/claim|Median: $156.22
0.7× median
A6253Normal range

$18K

179 claims · 0.1%

Your Cost: $98.79/claim|Median: $93.50
1.1× median
A4385Normal range

$11K

190 claims · 0.1%

Your Cost: $58.77/claim|Median: $49.51
1.2× median
A4452Top 25%

$9K

473 claims · 0.0%

Your Cost: $18.83/claim|Median: $9.98
1.9× median
A4409Normal range

$9K

157 claims · 0.0%

Your Cost: $55.07/claim|Median: $61.38
0.9× median
A6223Normal range

$8K

182 claims · 0.0%

Your Cost: $44.56/claim|Median: $35.60
1.3× median
A6446Normal range

$6K

613 claims · 0.0%

Your Cost: $9.63/claim|Median: $14.64
0.7× median
A4216Top 25%

$5K

192 claims · 0.0%

Your Cost: $28.13/claim|Median: $8.45
3.3× median
A4357Top 25%

Bedside drainage bag, day or night

$5K

378 claims · 0.0%

Your Cost: $14.09/claim|Median: $7.46
1.9× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$4K

13 claims · 0.0%

Your Cost: $295.33/claim|Median: $508.29
0.6× median
E0603Top 25%

Breast pump, electric, any type

$3K

17 claims · 0.0%

Your Cost: $175.20/claim|Median: $131.70
1.3× median
A5120Normal range

$2K

339 claims · 0.0%

Your Cost: $7.06/claim|Median: $6.35
1.1× median
A4425Top 25%

$2K

41 claims · 0.0%

Your Cost: $58.16/claim|Median: $38.79
1.5× median
A4349Normal range

$2K

118 claims · 0.0%

Your Cost: $19.22/claim|Median: $28.92
0.7× median
A6213Normal range

$2K

13 claims · 0.0%

Your Cost: $163.29/claim|Median: $95.60
1.7× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$2K

435 claims · 0.0%

Your Cost: $4.71/claim|Median: $13.14
0.4× median
A4450Top 25%

$2K

300 claims · 0.0%

Your Cost: $5.37/claim|Median: $3.14
1.7× median
A4358Normal range

$1K

214 claims · 0.0%

Your Cost: $6.39/claim|Median: $6.27
1.0× median
A5063Top 25%

$1K

30 claims · 0.0%

Your Cost: $41.84/claim|Median: $27.93
1.5× median
A4456Top 25%

$1K

115 claims · 0.0%

Your Cost: $10.46/claim|Median: $6.74
1.6× median
A4419Top 5%

$1K

12 claims · 0.0%

Your Cost: $99.77/claim|Median: $42.19
2.4× median
A4520Normal range

$1K

2,246 claims · 0.0%

Your Cost: $0.49/claim|Median: $39.60
0.0× median
A4362Top 25%

$918

13 claims · 0.0%

Your Cost: $70.58/claim|Median: $36.03
2.0× median
A4414Top 25%

$895

12 claims · 0.0%

Your Cost: $74.59/claim|Median: $48.85
1.5× median
A6454Normal range

$820

60 claims · 0.0%

Your Cost: $13.67/claim|Median: $15.74
0.9× median
A4402Normal range

$446

206 claims · 0.0%

Your Cost: $2.16/claim|Median: $4.15
0.5× median