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Provider 1518968668

NPI: 1518968668Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.5M

$15,457,031

Total Claims

236K

Beneficiaries

208K

1.1 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+0%
2019
$2.2M
+13%
2020
$2.4M
+5%
2021
$2.6M
-2%
2022
$2.5M
-58%
2023
$1.1M
+141%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T2029 (Specialized transportation, waiver, per mile, extra)) accounts for 32% of total spending.

T2029Normal range

Specialized transportation, waiver, per mile, extra

$4.9M

53K claims · 31.8%

Your Cost: $92.50/claim|Median: $141.34
0.7× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.3M

37K claims · 8.7%

Your Cost: $36.25/claim|Median: $41.28
0.9× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.3M

13K claims · 8.5%

Your Cost: $102.65/claim|Median: $99.53
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.3M

11K claims · 8.3%

Your Cost: $114.43/claim|Median: $105.14
1.1× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.2M

12K claims · 7.6%

Your Cost: $99.13/claim|Median: $88.94
1.1× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$885K

3,956 claims · 5.7%

Your Cost: $223.79/claim|Median: $177.75
1.3× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$834K

18K claims · 5.4%

Your Cost: $47.39/claim|Median: $42.03
1.1× median
A4927Normal range

Gloves, non-sterile, per 100

$738K

50K claims · 4.8%

Your Cost: $14.86/claim|Median: $12.90
1.2× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$593K

8,049 claims · 3.8%

Your Cost: $73.71/claim|Median: $89.79
0.8× median
T4522Normal range

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

$335K

3,447 claims · 2.2%

Your Cost: $97.29/claim|Median: $84.50
1.2× median
T4521Normal range

$302K

3,657 claims · 2.0%

Your Cost: $82.62/claim|Median: $81.60
1.0× median
T4524Normal range

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

$298K

2,559 claims · 1.9%

Your Cost: $116.43/claim|Median: $108.31
1.1× median
T4537Top 5%

$247K

2,389 claims · 1.6%

Your Cost: $103.38/claim|Median: $31.50
3.3× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$240K

3,896 claims · 1.6%

Your Cost: $61.59/claim|Median: $28.63
2.2× median
T4523Normal range

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

$214K

1,927 claims · 1.4%

Your Cost: $111.03/claim|Median: $96.13
1.2× median
B4154Normal range

$213K

1,889 claims · 1.4%

Your Cost: $112.60/claim|Median: $132.96
0.8× median
T4525Normal range

$112K

1,240 claims · 0.7%

Your Cost: $90.52/claim|Median: $79.46
1.1× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$76K

996 claims · 0.5%

Your Cost: $75.92/claim|Median: $110.54
0.7× median
E0245Normal range

$60K

1,851 claims · 0.4%

Your Cost: $32.57/claim|Median: $42.10
0.8× median
T4540Top 10%

$60K

1,196 claims · 0.4%

Your Cost: $49.99/claim|Median: $17.85
2.8× median
A4670Normal range

$52K

1,353 claims · 0.3%

Your Cost: $38.61/claim|Median: $50.23
0.8× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$40K

361 claims · 0.3%

Your Cost: $110.15/claim|Median: $92.20
1.2× median
E0260Top 5%

Hospital bed, semi-electric

$28K

324 claims · 0.2%

Your Cost: $87.86/claim|Median: $23.07
3.8× median
E0244Normal range

$25K

589 claims · 0.2%

Your Cost: $42.45/claim|Median: $32.11
1.3× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$21K

895 claims · 0.1%

Your Cost: $23.30/claim|Median: $31.59
0.7× median
K0001Top 5%

Standard wheelchair

$20K

426 claims · 0.1%

Your Cost: $46.88/claim|Median: $12.27
3.8× median
E0570Normal range

Nebulizer, with compressor

$11K

358 claims · 0.1%

Your Cost: $30.02/claim|Median: $16.16
1.9× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$7K

112 claims · 0.0%

Your Cost: $59.19/claim|Median: $116.15
0.5× median
E0247Normal range

$6K

73 claims · 0.0%

Your Cost: $76.00/claim|Median: $75.27
1.0× median
A4357Normal range

Bedside drainage bag, day or night

$5K

841 claims · 0.0%

Your Cost: $5.82/claim|Median: $7.46
0.8× median
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