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Provider 1457658486

NPI: 1457658486Share
Active Billing Period:2018-01→2021-06(38 months)
Billing appears to have stoppedLast active: 2021-06

Total Paid

$12.5M

$12,459,340

Total Claims

313K

Beneficiaries

29K

10.8 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$143K
+4522%
2019
$6.6M
-15%
2020
$5.6M
-99%
2021
$37K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 42% of total spending.

S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$5.2M

110K claims · 42.0%

Your Cost: $47.76/claim|Median: $176.25
0.3× median
S9340Normal range

$1.2M

100K claims · 9.7%

Your Cost: $12.03/claim|Median: $196.46
0.1× median
B4160Top 25%

Enteral formula, per 100 calories

$898K

3,653 claims · 7.2%

Your Cost: $245.71/claim|Median: $157.30
1.6× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$622K

2,018 claims · 5.0%

Your Cost: $308.36/claim|Median: $465.86
0.7× median
E0781Normal range

$535K

15K claims · 4.3%

Your Cost: $34.95/claim|Median: $54.38
0.6× median
S9343Normal range

$503K

41K claims · 4.0%

Your Cost: $12.34/claim|Median: $99.47
0.1× median
99601Top 10%

$441K

3,437 claims · 3.5%

Your Cost: $128.17/claim|Median: $82.41
1.6× median
B4152Top 10%

Enteral formula, calorically dense, per 100 calories

$365K

2,007 claims · 2.9%

Your Cost: $181.75/claim|Median: $92.20
2.0× median
S9366Normal range

$330K

4,453 claims · 2.6%

Your Cost: $74.12/claim|Median: $394.05
0.2× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$302K

3,397 claims · 2.4%

Your Cost: $88.79/claim|Median: $117.24
0.8× median
B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$278K

1,609 claims · 2.2%

Your Cost: $172.51/claim|Median: $89.79
1.9× median
B4149Top 5%

Enteral formula, manufactured blenderized, per 100 calories

$252K

467 claims · 2.0%

Your Cost: $539.29/claim|Median: $300.16
1.8× median
B4155Top 25%

$225K

1,082 claims · 1.8%

Your Cost: $207.86/claim|Median: $46.72
4.4× median
S9500Normal range

$223K

3,653 claims · 1.8%

Your Cost: $60.93/claim|Median: $144.40
0.4× median
B4153Top 25%

$196K

285 claims · 1.6%

Your Cost: $686.90/claim|Median: $410.73
1.7× median
S9502Normal range

$120K

1,861 claims · 1.0%

Your Cost: $64.65/claim|Median: $165.71
0.4× median
A4223Normal range

$118K

2,978 claims · 0.9%

Your Cost: $39.73/claim|Median: $60.92
0.7× median
S9374Normal range

$117K

4,120 claims · 0.9%

Your Cost: $28.36/claim|Median: $136.10
0.2× median
B4034Normal range

$91K

1,840 claims · 0.7%

Your Cost: $49.45/claim|Median: $46.28
1.1× median
B4154Top 25%

$76K

327 claims · 0.6%

Your Cost: $232.02/claim|Median: $132.96
1.7× median
S9365Normal range

$58K

757 claims · 0.5%

Your Cost: $76.75/claim|Median: $188.23
0.4× median
S9501Normal range

$48K

685 claims · 0.4%

Your Cost: $69.83/claim|Median: $160.52
0.4× median
B9002Normal range

$41K

766 claims · 0.3%

Your Cost: $53.69/claim|Median: $54.41
1.0× median
A4222Normal range

$38K

1,254 claims · 0.3%

Your Cost: $30.21/claim|Median: $62.70
0.5× median
S9348Normal range

$33K

744 claims · 0.3%

Your Cost: $44.95/claim|Median: $141.48
0.3× median
S9379Normal range

$30K

520 claims · 0.2%

Your Cost: $57.31/claim|Median: $70.89
0.8× median
B4162Normal range

$25K

60 claims · 0.2%

Your Cost: $412.82/claim|Median: $412.82
1.0× median
B4088Normal range

$23K

403 claims · 0.2%

Your Cost: $56.00/claim|Median: $73.20
0.8× median
S9338Normal range

$15K

342 claims · 0.1%

Your Cost: $42.92/claim|Median: $60.83
0.7× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$8K

1,103 claims · 0.1%

Your Cost: $7.46/claim|Median: $16.19
0.5× median
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