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Provider 1487668927

NPI: 1487668927Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.6M

$11,616,955

Total Claims

289K

Beneficiaries

257K

1.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+16%
2019
$1.2M
+16%
2020
$1.3M
+21%
2021
$1.6M
+21%
2022
$2.0M
+16%
2023
$2.3M
-1%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 9% of total spending.

T4527Normal range

Adult-sized disposable incontinence product, large

$1.1M

9,677 claims · 9.3%

Your Cost: $112.12/claim|Median: $99.53
1.1× median
E1390Normal range

Oxygen concentrator, single delivery port

$973K

18K claims · 8.4%

Your Cost: $52.76/claim|Median: $45.11
1.2× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$926K

19K claims · 8.0%

Your Cost: $47.57/claim|Median: $35.30
1.3× median
A7030Normal range

Full face mask for CPAP device

$654K

8,969 claims · 5.6%

Your Cost: $72.91/claim|Median: $56.36
1.3× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$590K

4,445 claims · 5.1%

Your Cost: $132.69/claim|Median: $105.14
1.3× median
A4604Normal range

$503K

18K claims · 4.3%

Your Cost: $28.21/claim|Median: $22.01
1.3× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$468K

4,982 claims · 4.0%

Your Cost: $93.91/claim|Median: $88.94
1.1× median
A7031Normal range

$467K

14K claims · 4.0%

Your Cost: $33.55/claim|Median: $25.17
1.3× median
T4534Top 5%

Adult-sized disposable underpads/pads, small

$386K

1,727 claims · 3.3%

Your Cost: $223.34/claim|Median: $110.54
2.0× median
E0562Top 25%

Humidifier, heated, used with positive airway pressure device

$385K

4,724 claims · 3.3%

Your Cost: $81.47/claim|Median: $18.68
4.4× median
A4222Normal range

$379K

4,667 claims · 3.3%

Your Cost: $81.21/claim|Median: $62.70
1.3× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$378K

6,139 claims · 3.3%

Your Cost: $61.56/claim|Median: $42.03
1.5× median
E0470Normal range

$304K

3,005 claims · 2.6%

Your Cost: $101.21/claim|Median: $81.45
1.2× median
S9999Normal range

$303K

31K claims · 2.6%

Your Cost: $9.68/claim|Median: $5.38
1.8× median
A4351Top 5%

Intermittent urinary catheter, straight tip, each

$290K

1,089 claims · 2.5%

Your Cost: $266.54/claim|Median: $116.15
2.3× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$283K

5,402 claims · 2.4%

Your Cost: $52.35/claim|Median: $41.28
1.3× median
A4927Top 5%

Gloves, non-sterile, per 100

$269K

7,455 claims · 2.3%

Your Cost: $36.08/claim|Median: $12.90
2.8× median
A7034Normal range

$261K

5,887 claims · 2.2%

Your Cost: $44.36/claim|Median: $35.90
1.2× median
T4537Top 25%

$253K

5,744 claims · 2.2%

Your Cost: $44.06/claim|Median: $31.50
1.4× median
A7032Top 25%

$233K

6,200 claims · 2.0%

Your Cost: $37.56/claim|Median: $25.48
1.5× median
E0570Normal range

Nebulizer, with compressor

$205K

8,811 claims · 1.8%

Your Cost: $23.30/claim|Median: $16.16
1.4× median
A7035Normal range

$178K

12K claims · 1.5%

Your Cost: $14.46/claim|Median: $13.01
1.1× median
A4385Top 10%

$157K

1,577 claims · 1.4%

Your Cost: $99.81/claim|Median: $49.51
2.0× median
A7038Normal range

$130K

28K claims · 1.1%

Your Cost: $4.71/claim|Median: $3.53
1.3× median
T4544Top 25%

Pediatric-sized disposable underpads/pads, small

$123K

486 claims · 1.1%

Your Cost: $252.78/claim|Median: $171.64
1.5× median
E0781Normal range

$117K

929 claims · 1.0%

Your Cost: $125.51/claim|Median: $54.38
2.3× median
E0431Normal range

Portable gaseous oxygen system, rental

$107K

8,703 claims · 0.9%

Your Cost: $12.31/claim|Median: $10.37
1.2× median
E0260Normal range

Hospital bed, semi-electric

$102K

3,094 claims · 0.9%

Your Cost: $32.83/claim|Median: $23.07
1.4× median
A4409Normal range

$93K

1,199 claims · 0.8%

Your Cost: $77.88/claim|Median: $61.38
1.3× median
E1161Top 10%

$81K

87 claims · 0.7%

Your Cost: $935.62/claim|Median: $200.27
4.7× median