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CAPE MEDICAL, INC.

Durable Medical Equipment & Medical Supplies, Customized Equipment·WILMINGTON, NC·NPI: 1497841704Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$34.4M

$34,426,331

Total Claims

433K

Beneficiaries

414K

1.0 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$4.6M
+5%
2019
$4.8M
+8%
2020
$5.2M
+1%
2021
$5.3M
-5%
2022
$5.0M
+2%
2023
$5.1M
-16%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 20% of total spending.

T4527Top 25%

Adult-sized disposable incontinence product, large

$7.0M

54K claims · 20.3%

Your Cost: $129.49/claim|Median: $99.53
1.3× median
A4554Top 25%

Disposable underpads, all sizes

$6.9M

141K claims · 20.1%

Your Cost: $48.92/claim|Median: $37.02
1.3× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$4.8M

41K claims · 14.0%

Your Cost: $117.77/claim|Median: $88.94
1.3× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$4.2M

33K claims · 12.1%

Your Cost: $124.55/claim|Median: $105.14
1.2× median
A4927Top 5%

Gloves, non-sterile, per 100

$3.6M

99K claims · 10.4%

Your Cost: $36.18/claim|Median: $12.90
2.8× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$2.8M

15K claims · 8.2%

Your Cost: $184.67/claim|Median: $171.64
1.1× median
T4523Top 25%

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

$881K

7,283 claims · 2.6%

Your Cost: $120.93/claim|Median: $96.13
1.3× median
B4154Normal range

$649K

5,227 claims · 1.9%

Your Cost: $124.20/claim|Median: $132.96
0.9× median
T4524Normal range

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

$634K

5,522 claims · 1.8%

Your Cost: $114.75/claim|Median: $108.31
1.1× median
T4522Top 25%

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

$617K

5,521 claims · 1.8%

Your Cost: $111.71/claim|Median: $84.50
1.3× median
A4928Top 5%

$588K

4,286 claims · 1.7%

Your Cost: $137.10/claim|Median: $12.07
11.4× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$580K

3,269 claims · 1.7%

Your Cost: $177.54/claim|Median: $177.75
1.0× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$502K

6,757 claims · 1.5%

Your Cost: $74.26/claim|Median: $89.79
0.8× median
T4525Top 25%

$298K

2,571 claims · 0.9%

Your Cost: $115.81/claim|Median: $79.46
1.5× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$242K

7,902 claims · 0.7%

Your Cost: $30.57/claim|Median: $42.03
0.7× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$98K

976 claims · 0.3%

Your Cost: $100.48/claim|Median: $92.20
1.1× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$46K

372 claims · 0.1%

Your Cost: $124.12/claim|Median: $110.54
1.1× median
A4335Normal range

Incontinence supply, miscellaneous

$488

63 claims · 0.0%

Your Cost: $7.75/claim|Median: $5.54
1.4× median

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