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Provider 1538201264

NPI: 1538201264Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.9M

$14,931,770

Total Claims

243K

Beneficiaries

239K

1.0 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+11%
2019
$2.1M
+6%
2020
$2.2M
-1%
2021
$2.1M
-2%
2022
$2.1M
+14%
2023
$2.4M
-7%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4150 (Enteral formula, nutritionally complete with fiber, per 100 calories)) accounts for 13% of total spending.

B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$1.9M

17K claims · 13.1%

Your Cost: $115.33/claim|Median: $89.79
1.3× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.5M

18K claims · 10.3%

Your Cost: $87.06/claim|Median: $88.94
1.0× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.4M

15K claims · 9.2%

Your Cost: $90.65/claim|Median: $99.53
0.9× median
B4154Normal range

$995K

13K claims · 6.7%

Your Cost: $76.33/claim|Median: $132.96
0.6× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$964K

8,910 claims · 6.5%

Your Cost: $108.18/claim|Median: $105.14
1.0× median
T4523Normal range

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

$862K

8,344 claims · 5.8%

Your Cost: $103.34/claim|Median: $96.13
1.1× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$848K

25K claims · 5.7%

Your Cost: $33.89/claim|Median: $41.28
0.8× median
A4927Top 25%

Gloves, non-sterile, per 100

$642K

26K claims · 4.3%

Your Cost: $24.52/claim|Median: $12.90
1.9× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$517K

4,345 claims · 3.5%

Your Cost: $118.94/claim|Median: $92.20
1.3× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$513K

12K claims · 3.4%

Your Cost: $43.41/claim|Median: $42.03
1.0× median
T4524Normal range

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

$464K

3,916 claims · 3.1%

Your Cost: $118.58/claim|Median: $108.31
1.1× median
T4522Normal range

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

$380K

4,711 claims · 2.5%

Your Cost: $80.76/claim|Median: $84.50
1.0× median
B4160Normal range

Enteral formula, per 100 calories

$374K

3,200 claims · 2.5%

Your Cost: $117.01/claim|Median: $157.30
0.7× median
E0570Top 10%

Nebulizer, with compressor

$361K

4,689 claims · 2.4%

Your Cost: $76.99/claim|Median: $16.16
4.8× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$343K

2,697 claims · 2.3%

Your Cost: $127.15/claim|Median: $116.15
1.1× median
T4525Top 25%

$328K

3,122 claims · 2.2%

Your Cost: $105.19/claim|Median: $79.46
1.3× median
T4534Top 25%

Adult-sized disposable underpads/pads, small

$320K

2,112 claims · 2.1%

Your Cost: $151.37/claim|Median: $110.54
1.4× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$277K

568 claims · 1.9%

Your Cost: $486.87/claim|Median: $508.29
1.0× median
A4670Normal range

$242K

4,325 claims · 1.6%

Your Cost: $55.85/claim|Median: $50.23
1.1× median
T4530Top 25%

$174K

1,393 claims · 1.2%

Your Cost: $124.78/claim|Median: $83.90
1.5× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$161K

754 claims · 1.1%

Your Cost: $214.18/claim|Median: $171.64
1.2× median
T4537Normal range

$145K

8,922 claims · 1.0%

Your Cost: $16.30/claim|Median: $31.50
0.5× median
E0245Normal range

$137K

3,423 claims · 0.9%

Your Cost: $39.90/claim|Median: $42.10
0.9× median
K0001Top 10%

Standard wheelchair

$131K

4,014 claims · 0.9%

Your Cost: $32.57/claim|Median: $12.27
2.7× median
A6530Top 25%

$107K

1,151 claims · 0.7%

Your Cost: $93.15/claim|Median: $49.70
1.9× median
A4349Top 10%

$102K

1,879 claims · 0.7%

Your Cost: $54.06/claim|Median: $28.92
1.9× median
E0260Top 10%

Hospital bed, semi-electric

$91K

1,708 claims · 0.6%

Your Cost: $53.56/claim|Median: $23.07
2.3× median
B4100Normal range

$79K

1,825 claims · 0.5%

Your Cost: $43.31/claim|Median: $67.58
0.6× median
L3908Top 10%

$69K

1,197 claims · 0.5%

Your Cost: $58.02/claim|Median: $35.79
1.6× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$68K

1,985 claims · 0.5%

Your Cost: $34.06/claim|Median: $31.59
1.1× median
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