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Provider 1497703516

NPI: 1497703516Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,113,327

Total Claims

156K

Beneficiaries

120K

1.3 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$554K
+22%
2019
$675K
+25%
2020
$845K
+71%
2021
$1.4M
+24%
2022
$1.8M
+38%
2023
$2.5M
-5%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4353 (Intermittent urinary catheter, with insertion supplies)) accounts for 10% of total spending.

A4353Top 25%

Intermittent urinary catheter, with insertion supplies

$990K

1,513 claims · 9.8%

Your Cost: $654.40/claim|Median: $508.29
1.3× median
T4534Top 5%

Adult-sized disposable underpads/pads, small

$801K

3,684 claims · 7.9%

Your Cost: $217.43/claim|Median: $110.54
2.0× median
E0973Top 10%

$764K

5,376 claims · 7.6%

Your Cost: $142.16/claim|Median: $42.75
3.3× median
E1236Normal range

$725K

4,687 claims · 7.2%

Your Cost: $154.71/claim|Median: $389.45
0.4× median
E2611Top 1%

General wheelchair seat cushion, width less than twenty-two inches

$511K

2,042 claims · 5.1%

Your Cost: $250.26/claim|Median: $61.71
4.1× median
A4554Top 25%

Disposable underpads, all sizes

$474K

9,047 claims · 4.7%

Your Cost: $52.42/claim|Median: $37.02
1.4× median
T4527Top 5%

Adult-sized disposable incontinence product, large

$380K

2,016 claims · 3.8%

Your Cost: $188.35/claim|Median: $99.53
1.9× median
E1399Normal range

Durable medical equipment, miscellaneous

$347K

2,077 claims · 3.4%

Your Cost: $167.31/claim|Median: $104.06
1.6× median
B4160Top 5%

Enteral formula, per 100 calories

$346K

873 claims · 3.4%

Your Cost: $396.03/claim|Median: $157.30
2.5× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$320K

8,924 claims · 3.2%

Your Cost: $35.84/claim|Median: $31.59
1.1× median
K0001Top 10%

Standard wheelchair

$317K

9,233 claims · 3.1%

Your Cost: $34.35/claim|Median: $12.27
2.8× median
A6250Top 25%

Skin sealant protectant, moisturizer, each ounce

$283K

10K claims · 2.8%

Your Cost: $27.83/claim|Median: $9.88
2.8× median
E0990Normal range

$277K

13K claims · 2.7%

Your Cost: $20.64/claim|Median: $19.31
1.1× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$238K

2,030 claims · 2.4%

Your Cost: $117.27/claim|Median: $116.15
1.0× median
K0003Top 5%

$238K

3,478 claims · 2.4%

Your Cost: $68.44/claim|Median: $18.14
3.8× median
A4927Normal range

Gloves, non-sterile, per 100

$231K

12K claims · 2.3%

Your Cost: $18.83/claim|Median: $12.90
1.5× median
E0247Normal range

$221K

2,567 claims · 2.2%

Your Cost: $86.01/claim|Median: $75.27
1.1× median
E2601Top 1%

General wheelchair back cushion, width less than twenty-two inches

$209K

2,937 claims · 2.1%

Your Cost: $71.03/claim|Median: $17.73
4.0× median
K0004Top 25%

$193K

3,175 claims · 1.9%

Your Cost: $60.82/claim|Median: $34.32
1.8× median
E0261Top 5%

$174K

1,927 claims · 1.7%

Your Cost: $90.36/claim|Median: $19.15
4.7× median
T4526Top 5%

Adult-sized disposable incontinence product, medium

$166K

1,110 claims · 1.6%

Your Cost: $149.46/claim|Median: $88.94
1.7× median
E0240Normal range

$157K

3,604 claims · 1.6%

Your Cost: $43.55/claim|Median: $62.75
0.7× median
E0971Top 25%

$155K

3,553 claims · 1.5%

Your Cost: $43.56/claim|Median: $13.46
3.2× median
A9900Normal range

$130K

3,565 claims · 1.3%

Your Cost: $36.38/claim|Median: $58.14
0.6× median
E0118Normal range

$122K

2,993 claims · 1.2%

Your Cost: $40.77/claim|Median: $40.16
1.0× median
E0570Normal range

Nebulizer, with compressor

$98K

2,956 claims · 1.0%

Your Cost: $33.16/claim|Median: $16.16
2.1× median
E1226Normal range

$95K

2,334 claims · 0.9%

Your Cost: $40.64/claim|Median: $29.99
1.4× median
E0978Top 5%

$90K

2,508 claims · 0.9%

Your Cost: $36.00/claim|Median: $14.50
2.5× median
E0163Top 25%

$85K

2,020 claims · 0.8%

Your Cost: $41.87/claim|Median: $27.98
1.5× median
T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$76K

443 claims · 0.8%

Your Cost: $172.52/claim|Median: $105.14
1.6× median
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