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

⚖️ Compare🖨️ Print Report

Provider 1477647337

NPI: 1477647337Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.1M

$14,077,280

Total Claims

373K

Beneficiaries

31K

12.0 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+12%
2019
$1.3M
+52%
2020
$2.0M
+18%
2021
$2.4M
+5%
2022
$2.5M
+3%
2023
$2.6M
-16%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 40% of total spending.

S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$5.7M

323K claims · 40.2%

Your Cost: $17.54/claim|Median: $176.25
0.1× median
J1559Normal range

$4.7M

6,393 claims · 33.1%

Your Cost: $729.34/claim|Median: $811.35
0.9× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.6M

3,119 claims · 11.5%

Your Cost: $520.34/claim|Median: $465.86
1.1× median
99601Normal range

$566K

8,826 claims · 4.0%

Your Cost: $64.16/claim|Median: $82.41
0.8× median
B4160Normal range

Enteral formula, per 100 calories

$432K

2,267 claims · 3.1%

Your Cost: $190.71/claim|Median: $157.30
1.2× median
S9338Normal range

$356K

8,098 claims · 2.5%

Your Cost: $43.93/claim|Median: $60.83
0.7× median
99602Normal range

$278K

3,888 claims · 2.0%

Your Cost: $71.54/claim|Median: $84.91
0.8× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$124K

292 claims · 0.9%

Your Cost: $425.33/claim|Median: $300.16
1.4× median
B4088Top 25%

$115K

895 claims · 0.8%

Your Cost: $128.46/claim|Median: $73.20
1.8× median
S9343Normal range

$112K

14K claims · 0.8%

Your Cost: $7.99/claim|Median: $99.47
0.1× median
S9348Normal range

$53K

932 claims · 0.4%

Your Cost: $56.72/claim|Median: $141.48
0.4× median
S9379Normal range

$45K

1,407 claims · 0.3%

Your Cost: $32.11/claim|Median: $70.89
0.5× median
B4158Top 25%

$18K

85 claims · 0.1%

Your Cost: $207.96/claim|Median: $145.71
1.4× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$12K

128 claims · 0.1%

Your Cost: $92.71/claim|Median: $89.79
1.0× median
B4153Normal range

$7K

13 claims · 0.0%

Your Cost: $519.47/claim|Median: $410.73
1.3× median
S9500Normal range

$6K

136 claims · 0.0%

Your Cost: $44.08/claim|Median: $144.40
0.3× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$5K

64 claims · 0.0%

Your Cost: $83.80/claim|Median: $92.20
0.9× median
B4155Normal range

$959

22 claims · 0.0%

Your Cost: $43.57/claim|Median: $46.72
0.9× median
← All providersHow we detect fraud →