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Provider 1558439745

NPI: 1558439745Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.7M

$9,669,338

Total Claims

90K

Beneficiaries

33K

2.7 claims/patient

Avg Cost/Claim

$108

Monthly Spending Trend

Yearly Spending

2018
$804K
+28%
2019
$1.0M
+23%
2020
$1.3M
+34%
2021
$1.7M
+11%
2022
$1.9M
-18%
2023
$1.6M
-8%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 23% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.2M

5,599 claims · 23.1%

Your Cost: $399.05/claim|Median: $465.86
0.9× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$2.2M

12K claims · 23.0%

Your Cost: $179.70/claim|Median: $176.25
1.0× median
S9500Normal range

$946K

5,420 claims · 9.8%

Your Cost: $174.51/claim|Median: $144.40
1.2× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$876K

28K claims · 9.1%

Your Cost: $31.37/claim|Median: $117.24
0.3× median
S9366Normal range

$621K

1,254 claims · 6.4%

Your Cost: $495.59/claim|Median: $394.05
1.3× median
B4160Normal range

Enteral formula, per 100 calories

$588K

4,565 claims · 6.1%

Your Cost: $128.76/claim|Median: $157.30
0.8× median
99601Normal range

$549K

7,371 claims · 5.7%

Your Cost: $74.48/claim|Median: $82.41
0.9× median
B4185Normal range

$392K

4,655 claims · 4.1%

Your Cost: $84.14/claim|Median: $134.70
0.6× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$359K

5,084 claims · 3.7%

Your Cost: $70.65/claim|Median: $55.51
1.3× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$165K

1,311 claims · 1.7%

Your Cost: $125.76/claim|Median: $300.16
0.4× median
S9343Normal range

$162K

855 claims · 1.7%

Your Cost: $189.31/claim|Median: $99.47
1.9× median
B4088Normal range

$127K

2,253 claims · 1.3%

Your Cost: $56.34/claim|Median: $73.20
0.8× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$118K

2,068 claims · 1.2%

Your Cost: $57.21/claim|Median: $92.20
0.6× median
S9502Normal range

$100K

614 claims · 1.0%

Your Cost: $163.29/claim|Median: $165.71
1.0× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$75K

1,261 claims · 0.8%

Your Cost: $59.33/claim|Median: $89.79
0.7× median
A4223Normal range

$51K

4,244 claims · 0.5%

Your Cost: $11.96/claim|Median: $60.92
0.2× median
B4155Normal range

$33K

1,913 claims · 0.3%

Your Cost: $17.04/claim|Median: $46.72
0.4× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$10K

654 claims · 0.1%

Your Cost: $15.67/claim|Median: $16.19
1.0× median
S9501Normal range

$10K

95 claims · 0.1%

Your Cost: $106.80/claim|Median: $160.52
0.7× median
99602Normal range

$10K

178 claims · 0.1%

Your Cost: $56.13/claim|Median: $84.91
0.7× median
S9374Normal range

$5K

43 claims · 0.1%

Your Cost: $123.77/claim|Median: $136.10
0.9× median
B4153Normal range

$5K

17 claims · 0.1%

Your Cost: $310.02/claim|Median: $410.73
0.8× median
B4034Normal range

$4K

73 claims · 0.0%

Your Cost: $56.10/claim|Median: $46.28
1.2× median
B4103Normal range

$2K

36 claims · 0.0%

Your Cost: $67.62/claim|Median: $82.54
0.8× median
S5501Top 25%

$2K

15 claims · 0.0%

Your Cost: $137.94/claim|Median: $43.74
3.2× median
B4154Normal range

$2K

16 claims · 0.0%

Your Cost: $111.23/claim|Median: $132.96
0.8× median
S9379Normal range

$1K

37 claims · 0.0%

Your Cost: $31.66/claim|Median: $70.89
0.4× median
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