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Provider 1518964469

NPI: 1518964469Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,331,242

Total Claims

141K

Beneficiaries

137K

1.0 claims/patient

Avg Cost/Claim

$73

Monthly Spending Trend

Yearly Spending

2018
$941K
+14%
2019
$1.1M
+27%
2020
$1.4M
+16%
2021
$1.6M
+7%
2022
$1.7M
+10%
2023
$1.9M
-4%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (T4541 (Pediatric-sized disposable incontinence product, large)) accounts for 22% of total spending.

T4541Top 10%

Pediatric-sized disposable incontinence product, large

$2.3M

34K claims · 21.9%

Your Cost: $67.34/claim|Median: $41.28
1.6× median
T4527Top 25%

Adult-sized disposable incontinence product, large

$1.6M

11K claims · 15.3%

Your Cost: $141.65/claim|Median: $99.53
1.4× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.5M

32K claims · 14.7%

Your Cost: $47.71/claim|Median: $42.03
1.1× median
T4526Top 10%

Adult-sized disposable incontinence product, medium

$1.5M

10K claims · 14.1%

Your Cost: $141.66/claim|Median: $88.94
1.6× median
T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$1.4M

8,144 claims · 13.8%

Your Cost: $175.21/claim|Median: $105.14
1.7× median
T4543Top 25%

Pediatric-sized disposable incontinence product, above XL

$1.2M

4,561 claims · 11.8%

Your Cost: $266.54/claim|Median: $177.75
1.5× median
A4927Normal range

Gloves, non-sterile, per 100

$474K

33K claims · 4.6%

Your Cost: $14.27/claim|Median: $12.90
1.1× median
E0240Normal range

$126K

1,313 claims · 1.2%

Your Cost: $96.18/claim|Median: $62.75
1.5× median
A4670Normal range

$70K

1,196 claims · 0.7%

Your Cost: $58.42/claim|Median: $50.23
1.2× median
E0246Normal range

$55K

1,060 claims · 0.5%

Your Cost: $52.09/claim|Median: $48.66
1.1× median
K0003Top 25%

$46K

1,131 claims · 0.4%

Your Cost: $40.60/claim|Median: $18.14
2.2× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$29K

597 claims · 0.3%

Your Cost: $47.81/claim|Median: $31.59
1.5× median
A6530Normal range

$16K

266 claims · 0.2%

Your Cost: $60.90/claim|Median: $49.70
1.2× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$16K

175 claims · 0.2%

Your Cost: $90.46/claim|Median: $89.79
1.0× median
A5120Top 25%

$10K

999 claims · 0.1%

Your Cost: $10.13/claim|Median: $6.35
1.6× median
E0243Normal range

$7K

144 claims · 0.1%

Your Cost: $50.52/claim|Median: $48.72
1.0× median
E0156Top 25%

$6K

580 claims · 0.1%

Your Cost: $9.86/claim|Median: $7.15
1.4× median
T4523Normal range

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

$5K

45 claims · 0.0%

Your Cost: $107.00/claim|Median: $96.13
1.1× median
K0002Normal range

$2K

78 claims · 0.0%

Your Cost: $27.19/claim|Median: $16.01
1.7× median
A4595Top 25%

$2K

57 claims · 0.0%

Your Cost: $32.49/claim|Median: $17.27
1.9× median
E0244Normal range

$2K

94 claims · 0.0%

Your Cost: $19.02/claim|Median: $32.11
0.6× median
E0210Normal range

$2K

117 claims · 0.0%

Your Cost: $13.07/claim|Median: $14.40
0.9× median
E0105Top 5%

$492

12 claims · 0.0%

Your Cost: $40.97/claim|Median: $22.59
1.8× median
K0001Normal range

Standard wheelchair

$251

38 claims · 0.0%

Your Cost: $6.62/claim|Median: $12.27
0.5× median
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