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Provider 1467765073

NPI: 1467765073Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$7.7M

$7,656,151

Total Claims

172K

Beneficiaries

169K

1.0 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$748K
+4%
2019
$779K
+16%
2020
$900K
+34%
2021
$1.2M
-1%
2022
$1.2M
+10%
2023
$1.3M
+16%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 24% of total spending.

T4527Normal range

Adult-sized disposable incontinence product, large

$1.8M

14K claims · 23.8%

Your Cost: $127.56/claim|Median: $99.53
1.3× median
A4554Normal range

Disposable underpads, all sizes

$1.5M

41K claims · 19.1%

Your Cost: $35.60/claim|Median: $37.02
1.0× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.2M

27K claims · 15.3%

Your Cost: $42.67/claim|Median: $42.03
1.0× median
T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$1.0M

6,254 claims · 13.6%

Your Cost: $165.98/claim|Median: $105.14
1.6× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$846K

7,500 claims · 11.1%

Your Cost: $112.84/claim|Median: $88.94
1.3× median
T4544Top 25%

Pediatric-sized disposable underpads/pads, small

$504K

2,051 claims · 6.6%

Your Cost: $245.78/claim|Median: $171.64
1.4× median
T4532Top 25%

$317K

2,091 claims · 4.1%

Your Cost: $151.56/claim|Median: $116.50
1.3× median
A4335Normal range

Incontinence supply, miscellaneous

$262K

52K claims · 3.4%

Your Cost: $5.04/claim|Median: $5.54
0.9× median
A4253Normal range

Blood glucose test strips

$62K

6,364 claims · 0.8%

Your Cost: $9.79/claim|Median: $6.92
1.4× median
E0570Top 25%

Nebulizer, with compressor

$53K

900 claims · 0.7%

Your Cost: $58.94/claim|Median: $16.16
3.6× median
A4670Normal range

$36K

610 claims · 0.5%

Your Cost: $58.94/claim|Median: $50.23
1.2× median
B4150Top 5%

Enteral formula, nutritionally complete with fiber, per 100 calories

$28K

133 claims · 0.4%

Your Cost: $211.39/claim|Median: $89.79
2.4× median
E0240Top 25%

$15K

52 claims · 0.2%

Your Cost: $297.11/claim|Median: $62.75
4.7× median
A4259Normal range

Lancets for blood glucose testing

$10K

5,577 claims · 0.1%

Your Cost: $1.83/claim|Median: $2.27
0.8× median
A7005Normal range

$9K

535 claims · 0.1%

Your Cost: $16.96/claim|Median: $12.44
1.4× median
A4245Normal range

$8K

4,281 claims · 0.1%

Your Cost: $1.85/claim|Median: $2.33
0.8× median
E0260Normal range

Hospital bed, semi-electric

$5K

198 claims · 0.1%

Your Cost: $25.38/claim|Median: $23.07
1.1× median
E1031Normal range

$1K

326 claims · 0.0%

Your Cost: $4.15/claim|Median: $11.45
0.4× median
A4927Normal range

Gloves, non-sterile, per 100

$1K

171 claims · 0.0%

Your Cost: $7.71/claim|Median: $12.90
0.6× median
T4525Normal range

$1K

12 claims · 0.0%

Your Cost: $94.69/claim|Median: $79.46
1.2× median