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

⚖️ Compare🖨️ Print Report

Provider 1558461939

NPI: 1558461939Share
Active Billing Period:2018-01→2024-12(68 months)

Total Paid

$8.2M

$8,223,215

Total Claims

140K

Beneficiaries

139K

1.0 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-85%
2020
$300K
+429%
2021
$1.6M
-5%
2022
$1.5M
+2%
2023
$1.5M
-14%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 19% of total spending.

T4527Normal range

Adult-sized disposable incontinence product, large

$1.6M

17K claims · 19.3%

Your Cost: $92.01/claim|Median: $99.53
0.9× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$1.3M

6,269 claims · 15.2%

Your Cost: $199.73/claim|Median: $177.75
1.1× median
T4537Top 25%

$1.2M

31K claims · 15.2%

Your Cost: $40.64/claim|Median: $31.50
1.3× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$1.2M

6,744 claims · 14.4%

Your Cost: $175.49/claim|Median: $171.64
1.0× median
T4523Normal range

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

$929K

14K claims · 11.3%

Your Cost: $64.18/claim|Median: $96.13
0.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$561K

5,351 claims · 6.8%

Your Cost: $104.76/claim|Median: $105.14
1.0× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$433K

31K claims · 5.3%

Your Cost: $14.03/claim|Median: $41.28
0.3× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$431K

14K claims · 5.2%

Your Cost: $31.02/claim|Median: $42.03
0.7× median
T4524Normal range

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

$293K

4,407 claims · 3.6%

Your Cost: $66.54/claim|Median: $108.31
0.6× median
A6533Normal range

$203K

3,009 claims · 2.5%

Your Cost: $67.39/claim|Median: $74.92
0.9× median
A4927Normal range

Gloves, non-sterile, per 100

$70K

5,857 claims · 0.8%

Your Cost: $11.88/claim|Median: $12.90
0.9× median
A6530Normal range

$17K

302 claims · 0.2%

Your Cost: $57.85/claim|Median: $49.70
1.2× median
T4536Top 5%

Adult disposable incontinence product, pull-on, large

$11K

447 claims · 0.1%

Your Cost: $25.65/claim|Median: $11.57
2.2× median
A4335Top 25%

Incontinence supply, miscellaneous

$4K

382 claims · 0.0%

Your Cost: $10.54/claim|Median: $5.54
1.9× median
A5512Normal range

Diabetic shoe insert, custom molded, each

$217

84 claims · 0.0%

Your Cost: $2.59/claim|Median: $24.01
0.1× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$184

86 claims · 0.0%

Your Cost: $2.13/claim|Median: $33.21
0.1× median
← All providersHow we detect fraud →