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Provider 1487623880

NPI: 1487623880Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,067,417

Total Claims

100K

Beneficiaries

93K

1.1 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+6%
2019
$1.3M
+3%
2020
$1.3M
-14%
2021
$1.1M
+12%
2022
$1.3M
+9%
2023
$1.4M
-2%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (T4523 (Adult-sized disposable incontinence product, brief/diaper, small)) accounts for 14% of total spending.

T4523Top 5%

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

$1.2M

6,768 claims · 13.7%

Your Cost: $184.10/claim|Median: $96.13
1.9× median
T4522Top 5%

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

$768K

4,169 claims · 8.5%

Your Cost: $184.25/claim|Median: $84.50
2.2× median
T4527Top 5%

Adult-sized disposable incontinence product, large

$745K

4,010 claims · 8.2%

Your Cost: $185.82/claim|Median: $99.53
1.9× median
A4927Top 5%

Gloves, non-sterile, per 100

$690K

17K claims · 7.6%

Your Cost: $40.89/claim|Median: $12.90
3.2× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$643K

4,557 claims · 7.1%

Your Cost: $141.00/claim|Median: $89.79
1.6× median
A4335Top 10%

Incontinence supply, miscellaneous

$618K

22K claims · 6.8%

Your Cost: $28.70/claim|Median: $5.54
5.2× median
B4152Top 10%

Enteral formula, calorically dense, per 100 calories

$612K

3,199 claims · 6.7%

Your Cost: $191.28/claim|Median: $92.20
2.1× median
T4528Top 5%

Adult-sized disposable incontinence product, extra-large

$606K

3,031 claims · 6.7%

Your Cost: $199.92/claim|Median: $105.14
1.9× median
B4100Top 10%

$593K

3,145 claims · 6.5%

Your Cost: $188.56/claim|Median: $67.58
2.8× median
T4526Top 5%

Adult-sized disposable incontinence product, medium

$566K

3,147 claims · 6.2%

Your Cost: $179.77/claim|Median: $88.94
2.0× median
T4524Top 5%

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

$490K

2,478 claims · 5.4%

Your Cost: $197.78/claim|Median: $108.31
1.8× median
T4535Top 5%

Adult-sized disposable underpads/pads, large

$454K

4,403 claims · 5.0%

Your Cost: $103.04/claim|Median: $42.03
2.5× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$361K

6,715 claims · 4.0%

Your Cost: $53.69/claim|Median: $41.28
1.3× median
B4155Normal range

$216K

2,393 claims · 2.4%

Your Cost: $90.10/claim|Median: $46.72
1.9× median
T4537Normal range

$196K

6,590 claims · 2.2%

Your Cost: $29.72/claim|Median: $31.50
0.9× median
T4540Normal range

$138K

5,338 claims · 1.5%

Your Cost: $25.81/claim|Median: $17.85
1.4× median
T4542Top 5%

$69K

1,087 claims · 0.8%

Your Cost: $63.18/claim|Median: $33.31
1.9× median
B4035Top 5%

Enteral feeding supply kit, pump fed, per day

$21K

80 claims · 0.2%

Your Cost: $268.29/claim|Median: $117.24
2.3× median
B4034Top 10%

$15K

125 claims · 0.2%

Your Cost: $122.36/claim|Median: $46.28
2.6× median
B4154Top 25%

$15K

71 claims · 0.2%

Your Cost: $213.64/claim|Median: $132.96
1.6× median
A6402Top 25%

$5K

310 claims · 0.1%

Your Cost: $17.21/claim|Median: $7.69
2.2× median
B4088Top 5%

$2K

12 claims · 0.0%

Your Cost: $163.27/claim|Median: $73.20
2.2× median
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