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

⚖️ Compare🖨️ Print Report

Provider 1548281512

NPI: 1548281512Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.7M

$14,668,394

Total Claims

137K

Beneficiaries

132K

1.0 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+4%
2019
$1.7M
+10%
2020
$1.9M
+12%
2021
$2.1M
+9%
2022
$2.3M
+13%
2023
$2.6M
+2%
2024
$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4160 (Enteral formula, per 100 calories)) accounts for 10% of total spending.

B4160Top 1%

Enteral formula, per 100 calories

$1.5M

2,546 claims · 10.1%

Your Cost: $580.30/claim|Median: $157.30
3.7× median
B4035Top 10%

Enteral feeding supply kit, pump fed, per day

$1.4M

5,285 claims · 9.6%

Your Cost: $265.29/claim|Median: $117.24
2.3× median
B4161Top 5%

Enteral formula, semisolid, 100 calories = 1 unit

$1.3M

1,373 claims · 8.8%

Your Cost: $943.95/claim|Median: $465.86
2.0× median
T4534Top 10%

Adult-sized disposable underpads/pads, small

$1.0M

5,670 claims · 7.1%

Your Cost: $182.39/claim|Median: $110.54
1.7× median
A4554Top 25%

Disposable underpads, all sizes

$840K

14K claims · 5.7%

Your Cost: $61.17/claim|Median: $37.02
1.7× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$796K

2,334 claims · 5.4%

Your Cost: $341.06/claim|Median: $300.16
1.1× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$700K

6,470 claims · 4.8%

Your Cost: $108.16/claim|Median: $55.51
1.9× median
A4927Top 10%

Gloves, non-sterile, per 100

$694K

23K claims · 4.7%

Your Cost: $29.67/claim|Median: $12.90
2.3× median
B4088Top 25%

$661K

5,014 claims · 4.5%

Your Cost: $131.85/claim|Median: $73.20
1.8× median
T4523Top 25%

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

$609K

4,526 claims · 4.2%

Your Cost: $134.61/claim|Median: $96.13
1.4× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$556K

4,309 claims · 3.8%

Your Cost: $129.12/claim|Median: $88.94
1.5× median
T4522Top 10%

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

$555K

4,434 claims · 3.8%

Your Cost: $125.23/claim|Median: $84.50
1.5× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$507K

9,708 claims · 3.5%

Your Cost: $52.21/claim|Median: $42.03
1.2× median
T4527Top 10%

Adult-sized disposable incontinence product, large

$484K

3,126 claims · 3.3%

Your Cost: $154.87/claim|Median: $99.53
1.6× median
B4153Top 25%

$427K

671 claims · 2.9%

Your Cost: $636.16/claim|Median: $410.73
1.5× median
T4521Top 10%

$347K

2,900 claims · 2.4%

Your Cost: $119.73/claim|Median: $81.60
1.5× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$343K

2,714 claims · 2.3%

Your Cost: $126.36/claim|Median: $89.79
1.4× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$306K

2,279 claims · 2.1%

Your Cost: $134.08/claim|Median: $105.14
1.3× median
T4533Top 25%

Adult disposable incontinence product, youth or small

$251K

2,171 claims · 1.7%

Your Cost: $115.40/claim|Median: $87.25
1.3× median
B4155Top 10%

$222K

786 claims · 1.5%

Your Cost: $282.35/claim|Median: $46.72
6.0× median
B4152Top 10%

Enteral formula, calorically dense, per 100 calories

$211K

1,177 claims · 1.4%

Your Cost: $179.26/claim|Median: $92.20
1.9× median
A6250Top 25%

Skin sealant protectant, moisturizer, each ounce

$199K

11K claims · 1.4%

Your Cost: $18.10/claim|Median: $9.88
1.8× median
T4524Normal range

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

$125K

943 claims · 0.9%

Your Cost: $132.63/claim|Median: $108.31
1.2× median
A9286Top 10%

$124K

3,382 claims · 0.8%

Your Cost: $36.55/claim|Median: $11.41
3.2× median
T4525Top 25%

$104K

1,021 claims · 0.7%

Your Cost: $101.38/claim|Median: $79.46
1.3× median
B4104Normal range

$71K

935 claims · 0.5%

Your Cost: $76.32/claim|Median: $72.05
1.1× median
A6402Top 10%

$67K

3,223 claims · 0.5%

Your Cost: $20.92/claim|Median: $7.69
2.7× median
A4213Top 10%

$64K

1,301 claims · 0.4%

Your Cost: $49.12/claim|Median: $9.01
5.5× median
B4034Top 5%

$58K

427 claims · 0.4%

Your Cost: $136.10/claim|Median: $46.28
2.9× median
A4553Top 25%

$38K

1,135 claims · 0.3%

Your Cost: $33.51/claim|Median: $15.13
2.2× median
← All providersHow we detect fraud →