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Provider 1558466243

NPI: 1558466243Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.5M

$8,467,691

Total Claims

211K

Beneficiaries

205K

1.0 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.0M
-6%
2019
$959K
+17%
2020
$1.1M
+22%
2021
$1.4M
+1%
2022
$1.4M
-4%
2023
$1.3M
-2%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4543 (Pediatric-sized disposable incontinence product, above XL)) accounts for 16% of total spending.

T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$1.4M

11K claims · 16.4%

Your Cost: $125.47/claim|Median: $177.75
0.7× median
A4554Normal range

Disposable underpads, all sizes

$1.4M

38K claims · 16.3%

Your Cost: $36.45/claim|Median: $37.02
1.0× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.3M

11K claims · 15.4%

Your Cost: $114.41/claim|Median: $99.53
1.1× median
T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$1.3M

9,150 claims · 15.3%

Your Cost: $141.71/claim|Median: $105.14
1.3× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$969K

10K claims · 11.4%

Your Cost: $92.84/claim|Median: $88.94
1.0× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$426K

2,153 claims · 5.0%

Your Cost: $197.85/claim|Median: $171.64
1.2× median
A4335Normal range

Incontinence supply, miscellaneous

$232K

43K claims · 2.7%

Your Cost: $5.38/claim|Median: $5.54
1.0× median
K0823Normal range

Power wheelchair, Group 2

$212K

2,664 claims · 2.5%

Your Cost: $79.67/claim|Median: $95.35
0.8× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$184K

39K claims · 2.2%

Your Cost: $4.73/claim|Median: $9.88
0.5× median
T4525Normal range

$167K

2,173 claims · 2.0%

Your Cost: $76.88/claim|Median: $79.46
1.0× median
E1390Normal range

Oxygen concentrator, single delivery port

$129K

2,468 claims · 1.5%

Your Cost: $52.31/claim|Median: $45.11
1.2× median
T4523Normal range

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

$97K

962 claims · 1.2%

Your Cost: $101.27/claim|Median: $96.13
1.1× median
E0260Top 5%

Hospital bed, semi-electric

$58K

487 claims · 0.7%

Your Cost: $119.34/claim|Median: $23.07
5.2× median
E0973Normal range

$55K

2,612 claims · 0.6%

Your Cost: $20.97/claim|Median: $42.75
0.5× median
T4522Normal range

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

$48K

567 claims · 0.6%

Your Cost: $84.89/claim|Median: $84.50
1.0× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$45K

343 claims · 0.5%

Your Cost: $130.21/claim|Median: $89.79
1.5× median
E0277Normal range

$38K

313 claims · 0.5%

Your Cost: $121.90/claim|Median: $92.82
1.3× median
E1399Normal range

Durable medical equipment, miscellaneous

$37K

691 claims · 0.4%

Your Cost: $54.03/claim|Median: $104.06
0.5× median
K0003Normal range

$36K

3,969 claims · 0.4%

Your Cost: $9.09/claim|Median: $18.14
0.5× median
A4670Normal range

$31K

641 claims · 0.4%

Your Cost: $47.94/claim|Median: $50.23
1.0× median
E2363Normal range

$30K

397 claims · 0.4%

Your Cost: $75.62/claim|Median: $152.83
0.5× median
T4524Normal range

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

$28K

222 claims · 0.3%

Your Cost: $127.49/claim|Median: $108.31
1.2× median
A4927Normal range

Gloves, non-sterile, per 100

$22K

2,948 claims · 0.3%

Your Cost: $7.31/claim|Median: $12.90
0.6× median
A4253Normal range

Blood glucose test strips

$21K

1,928 claims · 0.3%

Your Cost: $11.14/claim|Median: $6.92
1.6× median
K0739Normal range

$21K

1,428 claims · 0.2%

Your Cost: $14.66/claim|Median: $34.09
0.4× median
E0570Normal range

Nebulizer, with compressor

$19K

2,758 claims · 0.2%

Your Cost: $6.89/claim|Median: $16.16
0.4× median
K0108Normal range

Wheelchair component or accessory, NOS

$17K

603 claims · 0.2%

Your Cost: $27.92/claim|Median: $153.75
0.2× median
E0431Normal range

Portable gaseous oxygen system, rental

$16K

1,098 claims · 0.2%

Your Cost: $14.68/claim|Median: $10.37
1.4× median
E0630Normal range

$16K

649 claims · 0.2%

Your Cost: $24.44/claim|Median: $23.70
1.0× median
E0240Normal range

$15K

120 claims · 0.2%

Your Cost: $128.40/claim|Median: $62.75
2.0× median
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