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Provider 1528070992

NPI: 1528070992Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,748,163

Total Claims

79K

Beneficiaries

30K

2.7 claims/patient

Avg Cost/Claim

$98

Monthly Spending Trend

Yearly Spending

2018
$932K
+27%
2019
$1.2M
+15%
2020
$1.4M
-10%
2021
$1.2M
-12%
2022
$1.1M
+9%
2023
$1.2M
-33%
2024
$792K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (S9500) accounts for 16% of total spending.

S9500Normal range

$1.3M

8,984 claims · 16.3%

Your Cost: $140.30/claim|Median: $144.40
1.0× median
S9342Top 10%

Home infusion therapy, continuous or intermittent, per diem

$1.2M

2,482 claims · 16.1%

Your Cost: $502.14/claim|Median: $176.25
2.8× median
99601Normal range

$772K

8,996 claims · 10.0%

Your Cost: $85.82/claim|Median: $82.41
1.0× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$724K

24K claims · 9.4%

Your Cost: $30.27/claim|Median: $117.24
0.3× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$687K

1,404 claims · 8.9%

Your Cost: $489.09/claim|Median: $465.86
1.0× median
B4185Normal range

$638K

5,747 claims · 8.2%

Your Cost: $111.01/claim|Median: $134.70
0.8× median
99602Top 25%

$356K

2,882 claims · 4.6%

Your Cost: $123.36/claim|Median: $84.91
1.5× median
B4160Top 25%

Enteral formula, per 100 calories

$350K

1,391 claims · 4.5%

Your Cost: $251.34/claim|Median: $157.30
1.6× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$316K

2,943 claims · 4.1%

Your Cost: $107.45/claim|Median: $92.20
1.2× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$189K

1,958 claims · 2.4%

Your Cost: $96.65/claim|Median: $89.79
1.1× median
B9002Top 25%

$180K

2,185 claims · 2.3%

Your Cost: $82.40/claim|Median: $54.41
1.5× median
S5502Top 25%

$165K

1,928 claims · 2.1%

Your Cost: $85.56/claim|Median: $25.28
3.4× median
J3490Top 5%

Unclassified drugs

$125K

461 claims · 1.6%

Your Cost: $271.76/claim|Median: $5.70
47.7× median
S9366Normal range

$102K

259 claims · 1.3%

Your Cost: $394.05/claim|Median: $394.05
1.0× median
S9374Normal range

$96K

1,906 claims · 1.2%

Your Cost: $50.11/claim|Median: $136.10
0.4× median
J0696Top 1%

$92K

316 claims · 1.2%

Your Cost: $291.77/claim|Median: $1.34
217.7× median
B4034Normal range

$88K

6,874 claims · 1.1%

Your Cost: $12.74/claim|Median: $46.28
0.3× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$76K

186 claims · 1.0%

Your Cost: $408.42/claim|Median: $300.16
1.4× median
S9338Normal range

$68K

1,262 claims · 0.9%

Your Cost: $54.16/claim|Median: $60.83
0.9× median
B4153Normal range

$67K

188 claims · 0.9%

Your Cost: $355.03/claim|Median: $410.73
0.9× median
S9502Normal range

$42K

226 claims · 0.5%

Your Cost: $184.66/claim|Median: $165.71
1.1× median
S9379Normal range

$39K

321 claims · 0.5%

Your Cost: $121.88/claim|Median: $70.89
1.7× median
B4088Normal range

$37K

1,547 claims · 0.5%

Your Cost: $23.94/claim|Median: $73.20
0.3× median
B4155Normal range

$21K

467 claims · 0.3%

Your Cost: $45.53/claim|Median: $46.72
1.0× median
S9501Normal range

$10K

41 claims · 0.1%

Your Cost: $250.41/claim|Median: $160.52
1.6× median
S9542Normal range

$2K

76 claims · 0.0%

Your Cost: $20.00/claim|Median: $43.71
0.5× median
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