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Provider 1518912344

NPI: 1518912344Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.0M

$10,980,181

Total Claims

113K

Beneficiaries

43K

2.6 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$824K
+10%
2019
$903K
+56%
2020
$1.4M
+28%
2021
$1.8M
+15%
2022
$2.1M
+22%
2023
$2.5M
-42%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S9500) accounts for 19% of total spending.

S9500Normal range

$2.1M

14K claims · 19.0%

Your Cost: $152.48/claim|Median: $144.40
1.1× median
A4223Top 25%

$2.0M

17K claims · 18.3%

Your Cost: $117.92/claim|Median: $60.92
1.9× median
99601Normal range

$1.4M

18K claims · 12.6%

Your Cost: $78.40/claim|Median: $82.41
1.0× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$647K

5,864 claims · 5.9%

Your Cost: $110.30/claim|Median: $117.24
0.9× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$534K

9,162 claims · 4.9%

Your Cost: $58.29/claim|Median: $176.25
0.3× median
S9366Normal range

$451K

1,233 claims · 4.1%

Your Cost: $366.13/claim|Median: $394.05
0.9× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$328K

2,782 claims · 3.0%

Your Cost: $117.74/claim|Median: $51.67
2.3× median
S9501Normal range

$324K

1,500 claims · 3.0%

Your Cost: $216.15/claim|Median: $160.52
1.3× median
S9343Normal range

$324K

9,735 claims · 2.9%

Your Cost: $33.24/claim|Median: $99.47
0.3× median
99602Normal range

$285K

2,829 claims · 2.6%

Your Cost: $100.78/claim|Median: $84.91
1.2× median
A4305Top 25%

$282K

1,776 claims · 2.6%

Your Cost: $158.91/claim|Median: $76.95
2.1× median
S9379Normal range

$268K

3,510 claims · 2.4%

Your Cost: $76.32/claim|Median: $70.89
1.1× median
S9502Normal range

$243K

1,388 claims · 2.2%

Your Cost: $174.80/claim|Median: $165.71
1.1× median
S9494Normal range

$215K

1,828 claims · 2.0%

Your Cost: $117.37/claim|Median: $169.66
0.7× median
B9999Normal range

$208K

6,669 claims · 1.9%

Your Cost: $31.12/claim|Median: $29.84
1.0× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$203K

1,880 claims · 1.8%

Your Cost: $107.72/claim|Median: $89.79
1.2× median
S9374Normal range

$198K

1,235 claims · 1.8%

Your Cost: $160.08/claim|Median: $136.10
1.2× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$177K

2,864 claims · 1.6%

Your Cost: $61.80/claim|Median: $55.51
1.1× median
B4034Normal range

$171K

3,130 claims · 1.6%

Your Cost: $54.54/claim|Median: $46.28
1.2× median
B4185Top 10%

$156K

531 claims · 1.4%

Your Cost: $294.18/claim|Median: $134.70
2.2× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$108K

866 claims · 1.0%

Your Cost: $124.74/claim|Median: $92.20
1.4× median
S9338Normal range

$85K

1,031 claims · 0.8%

Your Cost: $82.60/claim|Median: $60.83
1.4× median
B4088Top 25%

$71K

571 claims · 0.6%

Your Cost: $123.52/claim|Median: $73.20
1.7× median
S1015Top 5%

$50K

2,173 claims · 0.5%

Your Cost: $23.10/claim|Median: $5.10
4.5× median
B4154Normal range

$44K

292 claims · 0.4%

Your Cost: $152.22/claim|Median: $132.96
1.1× median
B9002Normal range

$35K

1,014 claims · 0.3%

Your Cost: $34.95/claim|Median: $54.41
0.6× median
A4222Normal range

$35K

379 claims · 0.3%

Your Cost: $92.21/claim|Median: $62.70
1.5× median
S9340Normal range

$32K

108 claims · 0.3%

Your Cost: $296.79/claim|Median: $196.46
1.5× median
J1642Top 5%

$7K

62 claims · 0.1%

Your Cost: $114.86/claim|Median: $1.11
103.5× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$4K

250 claims · 0.0%

Your Cost: $14.50/claim|Median: $16.19
0.9× median