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Provider 1487896957

NPI: 1487896957Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,397,147

Total Claims

53K

Beneficiaries

46K

1.1 claims/patient

Avg Cost/Claim

$197

Monthly Spending Trend

Yearly Spending

2018
$893K
+24%
2019
$1.1M
+18%
2020
$1.3M
+10%
2021
$1.4M
+5%
2022
$1.5M
+37%
2023
$2.1M
-1%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (B4162) accounts for 17% of total spending.

B4162Normal range

$1.7M

2,541 claims · 16.5%

Your Cost: $676.00/claim|Median: $412.82
1.6× median
B4157Normal range

$1.3M

1,911 claims · 12.3%

Your Cost: $667.80/claim|Median: $693.97
1.0× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$1.3M

11K claims · 12.2%

Your Cost: $118.95/claim|Median: $110.54
1.1× median
S9435Normal range

$1.1M

2,315 claims · 10.6%

Your Cost: $474.03/claim|Median: $563.77
0.8× median
B4035Top 10%

Enteral feeding supply kit, pump fed, per day

$954K

3,835 claims · 9.2%

Your Cost: $248.68/claim|Median: $117.24
2.1× median
B4160Normal range

Enteral formula, per 100 calories

$935K

4,821 claims · 9.0%

Your Cost: $193.90/claim|Median: $157.30
1.2× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$739K

1,998 claims · 7.1%

Your Cost: $369.90/claim|Median: $300.16
1.2× median
B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$544K

746 claims · 5.2%

Your Cost: $729.32/claim|Median: $465.86
1.6× median
B9002Top 25%

$428K

4,766 claims · 4.1%

Your Cost: $89.76/claim|Median: $54.41
1.6× median
B4100Top 25%

$353K

2,247 claims · 3.4%

Your Cost: $157.18/claim|Median: $67.58
2.3× median
T4530Normal range

$246K

2,917 claims · 2.4%

Your Cost: $84.44/claim|Median: $83.90
1.0× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$149K

3,964 claims · 1.4%

Your Cost: $37.60/claim|Median: $55.51
0.7× median
T4533Normal range

Adult disposable incontinence product, youth or small

$128K

1,583 claims · 1.2%

Your Cost: $80.73/claim|Median: $87.25
0.9× median
B4088Normal range

$118K

1,129 claims · 1.1%

Your Cost: $104.49/claim|Median: $73.20
1.4× median
A4213Top 25%

$75K

2,695 claims · 0.7%

Your Cost: $27.92/claim|Median: $9.01
3.1× median
T4522Normal range

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

$74K

876 claims · 0.7%

Your Cost: $84.37/claim|Median: $84.50
1.0× median
B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$66K

315 claims · 0.6%

Your Cost: $210.98/claim|Median: $89.79
2.3× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$61K

503 claims · 0.6%

Your Cost: $121.87/claim|Median: $88.94
1.4× median
T4525Top 10%

$46K

384 claims · 0.4%

Your Cost: $119.07/claim|Median: $79.46
1.5× median
T4521Normal range

$25K

339 claims · 0.2%

Your Cost: $75.07/claim|Median: $81.60
0.9× median
B4155Top 25%

$24K

201 claims · 0.2%

Your Cost: $120.65/claim|Median: $46.72
2.6× median
B4152Top 5%

Enteral formula, calorically dense, per 100 calories

$19K

59 claims · 0.2%

Your Cost: $326.55/claim|Median: $92.20
3.5× median
T4527Normal range

Adult-sized disposable incontinence product, large

$19K

154 claims · 0.2%

Your Cost: $122.18/claim|Median: $99.53
1.2× median
A4927Top 25%

Gloves, non-sterile, per 100

$11K

573 claims · 0.1%

Your Cost: $19.75/claim|Median: $12.90
1.5× median
B4103Normal range

$10K

110 claims · 0.1%

Your Cost: $94.07/claim|Median: $82.54
1.1× median
A6209Normal range

$7K

71 claims · 0.1%

Your Cost: $93.96/claim|Median: $55.36
1.7× median
A6402Normal range

$4K

591 claims · 0.0%

Your Cost: $6.95/claim|Median: $7.69
0.9× median
A4657Normal range

Syringe with needle, each

$970

475 claims · 0.0%

Your Cost: $2.04/claim|Median: $2.19
0.9× median
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