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Provider 1508882143

NPI: 1508882143Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$13.9M

$13,927,047

Total Claims

184K

Beneficiaries

177K

1.0 claims/patient

Avg Cost/Claim

$76

Monthly Spending Trend

Yearly Spending

2018
$304K
+89%
2019
$574K
+88%
2020
$1.1M
+18%
2021
$1.3M
+84%
2022
$2.4M
+52%
2023
$3.6M
+32%
2024
$4.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (T4535 (Adult-sized disposable underpads/pads, large)) accounts for 20% of total spending.

T4535Top 25%

Adult-sized disposable underpads/pads, large

$2.7M

48K claims · 19.5%

Your Cost: $56.93/claim|Median: $42.03
1.4× median
T4527Normal range

Adult-sized disposable incontinence product, large

$2.0M

19K claims · 14.0%

Your Cost: $100.26/claim|Median: $99.53
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.6M

14K claims · 11.7%

Your Cost: $115.60/claim|Median: $105.14
1.1× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.5M

16K claims · 10.5%

Your Cost: $88.71/claim|Median: $88.94
1.0× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.4M

38K claims · 9.8%

Your Cost: $36.07/claim|Median: $41.28
0.9× median
T4537Top 1%

$725K

6,429 claims · 5.2%

Your Cost: $112.85/claim|Median: $31.50
3.6× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$639K

4,204 claims · 4.6%

Your Cost: $152.04/claim|Median: $177.75
0.9× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$537K

2,867 claims · 3.9%

Your Cost: $187.22/claim|Median: $171.64
1.1× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$471K

3,290 claims · 3.4%

Your Cost: $143.01/claim|Median: $89.79
1.6× median
S5165Normal range

Home modifications, per service

$438K

2,748 claims · 3.1%

Your Cost: $159.33/claim|Median: $2,196.32
0.1× median
T4525Normal range

$298K

4,086 claims · 2.1%

Your Cost: $72.88/claim|Median: $79.46
0.9× median
B4152Top 5%

Enteral formula, calorically dense, per 100 calories

$277K

1,182 claims · 2.0%

Your Cost: $234.02/claim|Median: $92.20
2.5× median
T1999Top 25%

Miscellaneous therapeutic items and supplies

$267K

1,556 claims · 1.9%

Your Cost: $171.40/claim|Median: $28.63
6.0× median
B4154Top 25%

$224K

847 claims · 1.6%

Your Cost: $264.55/claim|Median: $132.96
2.0× median
A4927Normal range

Gloves, non-sterile, per 100

$182K

10K claims · 1.3%

Your Cost: $18.14/claim|Median: $12.90
1.4× median
E0240Normal range

$145K

2,228 claims · 1.0%

Your Cost: $64.90/claim|Median: $62.75
1.0× median
T4524Top 25%

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

$117K

871 claims · 0.8%

Your Cost: $133.81/claim|Median: $108.31
1.2× median
T4523Normal range

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

$83K

889 claims · 0.6%

Your Cost: $92.98/claim|Median: $96.13
1.0× median
T4540Top 5%

$73K

696 claims · 0.5%

Your Cost: $105.41/claim|Median: $17.85
5.9× median
E0570Top 5%

Nebulizer, with compressor

$61K

548 claims · 0.4%

Your Cost: $111.29/claim|Median: $16.16
6.9× median
E1399Normal range

Durable medical equipment, miscellaneous

$58K

1,186 claims · 0.4%

Your Cost: $49.30/claim|Median: $104.06
0.5× median
T4522Normal range

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

$55K

573 claims · 0.4%

Your Cost: $95.37/claim|Median: $84.50
1.1× median
A4335Top 25%

Incontinence supply, miscellaneous

$42K

3,134 claims · 0.3%

Your Cost: $13.43/claim|Median: $5.54
2.4× median
E0244Top 1%

$41K

380 claims · 0.3%

Your Cost: $107.88/claim|Median: $32.11
3.4× median
E0247Top 5%

$37K

234 claims · 0.3%

Your Cost: $156.90/claim|Median: $75.27
2.1× median
E0241Top 5%

$19K

127 claims · 0.1%

Your Cost: $149.66/claim|Median: $28.48
5.3× median
A9281Normal range

$7K

238 claims · 0.1%

Your Cost: $31.24/claim|Median: $19.73
1.6× median
E0246Normal range

$7K

141 claims · 0.1%

Your Cost: $51.62/claim|Median: $48.66
1.1× median
A4253Normal range

Blood glucose test strips

$175

67 claims · 0.0%

Your Cost: $2.61/claim|Median: $6.92
0.4× median