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Provider 1457884678

NPI: 1457884678Share
Active Billing Period:2018-05→2024-12(80 months)

Total Paid

$15.4M

$15,412,224

Total Claims

329K

Beneficiaries

241K

1.4 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$206K
+257%
2019
$734K
+52%
2020
$1.1M
+64%
2021
$1.8M
+94%
2022
$3.6M
+13%
2023
$4.0M
-3%
2024
$3.9M

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 17% of total spending.

A4554Normal range

Disposable underpads, all sizes

$2.7M

70K claims · 17.2%

Your Cost: $37.94/claim|Median: $37.02
1.0× median
T4527Normal range

Adult-sized disposable incontinence product, large

$2.3M

28K claims · 15.1%

Your Cost: $82.76/claim|Median: $99.53
0.8× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.9M

25K claims · 12.4%

Your Cost: $76.29/claim|Median: $88.94
0.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.6M

21K claims · 10.4%

Your Cost: $77.52/claim|Median: $105.14
0.7× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$1.2M

11K claims · 7.7%

Your Cost: $109.67/claim|Median: $171.64
0.6× median
T4522Normal range

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

$813K

8,064 claims · 5.3%

Your Cost: $100.78/claim|Median: $84.50
1.2× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$622K

6,242 claims · 4.0%

Your Cost: $99.59/claim|Median: $110.54
0.9× median
A4253Top 25%

Blood glucose test strips

$601K

15K claims · 3.9%

Your Cost: $40.83/claim|Median: $6.92
5.9× median
T4523Normal range

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

$539K

5,600 claims · 3.5%

Your Cost: $96.28/claim|Median: $96.13
1.0× median
T4525Normal range

$534K

6,969 claims · 3.5%

Your Cost: $76.67/claim|Median: $79.46
1.0× median
A4927Normal range

Gloves, non-sterile, per 100

$524K

42K claims · 3.4%

Your Cost: $12.62/claim|Median: $12.90
1.0× median
T4532Normal range

$383K

3,996 claims · 2.5%

Your Cost: $95.94/claim|Median: $116.50
0.8× median
T4530Normal range

$260K

3,442 claims · 1.7%

Your Cost: $75.48/claim|Median: $83.90
0.9× median
T4521Normal range

$250K

2,555 claims · 1.6%

Your Cost: $97.76/claim|Median: $81.60
1.2× median
T4524Normal range

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

$203K

2,168 claims · 1.3%

Your Cost: $93.55/claim|Median: $108.31
0.9× median
A4335Normal range

Incontinence supply, miscellaneous

$195K

41K claims · 1.3%

Your Cost: $4.71/claim|Median: $5.54
0.9× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$164K

1,813 claims · 1.1%

Your Cost: $90.39/claim|Median: $177.75
0.5× median
A4670Normal range

$148K

4,873 claims · 1.0%

Your Cost: $30.31/claim|Median: $50.23
0.6× median
A4259Top 25%

Lancets for blood glucose testing

$138K

14K claims · 0.9%

Your Cost: $9.74/claim|Median: $2.27
4.3× median
B4160Normal range

Enteral formula, per 100 calories

$96K

777 claims · 0.6%

Your Cost: $123.31/claim|Median: $157.30
0.8× median
E0607Normal range

$53K

1,853 claims · 0.3%

Your Cost: $28.70/claim|Median: $23.10
1.2× median
A4256Top 25%

$35K

5,553 claims · 0.2%

Your Cost: $6.37/claim|Median: $2.85
2.2× median
E0445Normal range

$25K

708 claims · 0.2%

Your Cost: $35.69/claim|Median: $118.11
0.3× median
A4258Top 25%

$23K

2,743 claims · 0.1%

Your Cost: $8.22/claim|Median: $1.39
5.9× median
E1639Normal range

$21K

602 claims · 0.1%

Your Cost: $35.34/claim|Median: $38.57
0.9× median
A6402Normal range

$13K

1,332 claims · 0.1%

Your Cost: $9.86/claim|Median: $7.69
1.3× median
A4353Top 5%

Intermittent urinary catheter, with insertion supplies

$13K

12 claims · 0.1%

Your Cost: $1,074.00/claim|Median: $508.29
2.1× median
A4409Normal range

$10K

125 claims · 0.1%

Your Cost: $81.16/claim|Median: $61.38
1.3× median
A4385Normal range

$9K

175 claims · 0.1%

Your Cost: $50.37/claim|Median: $49.51
1.0× median
A6259Normal range

$8K

105 claims · 0.0%

Your Cost: $72.74/claim|Median: $72.74
1.0× median
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