Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1528222957

NPI: 1528222957Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,236,574

Total Claims

53K

Beneficiaries

47K

1.1 claims/patient

Avg Cost/Claim

$156

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+9%
2019
$1.2M
+35%
2020
$1.6M
-1%
2021
$1.5M
-28%
2022
$1.1M
-19%
2023
$892K
+6%
2024
$942K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T1023 (Screening to determine appropriateness of consideration for program)) accounts for 86% of total spending.

T1023Top 25%

Screening to determine appropriateness of consideration for program

$7.1M

30K claims · 86.5%

Your Cost: $234.78/claim|Median: $106.70
2.2× median
A6250Top 10%

Skin sealant protectant, moisturizer, each ounce

$398K

4,850 claims · 4.8%

Your Cost: $82.02/claim|Median: $9.88
8.3× median
A4554Top 25%

Disposable underpads, all sizes

$192K

3,051 claims · 2.3%

Your Cost: $63.08/claim|Median: $37.02
1.7× median
A6260Top 10%

$145K

3,358 claims · 1.8%

Your Cost: $43.12/claim|Median: $10.03
4.3× median
T4524Top 25%

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

$87K

649 claims · 1.1%

Your Cost: $133.30/claim|Median: $108.31
1.2× median
A4927Normal range

Gloves, non-sterile, per 100

$80K

4,504 claims · 1.0%

Your Cost: $17.84/claim|Median: $12.90
1.4× median
T4522Normal range

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

$63K

694 claims · 0.8%

Your Cost: $91.08/claim|Median: $84.50
1.1× median
T4523Top 25%

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

$50K

415 claims · 0.6%

Your Cost: $120.67/claim|Median: $96.13
1.3× median
A5120Top 25%

$42K

4,259 claims · 0.5%

Your Cost: $9.92/claim|Median: $6.35
1.6× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$38K

694 claims · 0.5%

Your Cost: $54.88/claim|Median: $42.03
1.3× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$19K

97 claims · 0.2%

Your Cost: $199.22/claim|Median: $177.75
1.1× median
← All providersHow we detect fraud →