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Provider 1558466763

NPI: 1558466763Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.0M

$16,999,250

Total Claims

445K

Beneficiaries

445K

1.0 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+5%
2019
$2.2M
+9%
2020
$2.4M
-1%
2021
$2.4M
+3%
2022
$2.4M
+5%
2023
$2.6M
+15%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T4541 (Pediatric-sized disposable incontinence product, large)) accounts for 34% of total spending.

T4541Top 25%

Pediatric-sized disposable incontinence product, large

$5.7M

87K claims · 33.7%

Your Cost: $65.87/claim|Median: $41.28
1.6× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$4.6M

74K claims · 27.0%

Your Cost: $61.87/claim|Median: $42.03
1.5× median
T4523Normal range

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

$1.3M

18K claims · 7.4%

Your Cost: $69.29/claim|Median: $96.13
0.7× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$1.1M

72K claims · 6.6%

Your Cost: $15.55/claim|Median: $9.88
1.6× median
T4527Normal range

Adult-sized disposable incontinence product, large

$946K

17K claims · 5.6%

Your Cost: $56.13/claim|Median: $99.53
0.6× median
T4536Normal range

Adult disposable incontinence product, pull-on, large

$814K

67K claims · 4.8%

Your Cost: $12.19/claim|Median: $11.57
1.1× median
T4524Normal range

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

$646K

8,740 claims · 3.8%

Your Cost: $73.86/claim|Median: $108.31
0.7× median
A4335Normal range

Incontinence supply, miscellaneous

$548K

68K claims · 3.2%

Your Cost: $8.05/claim|Median: $5.54
1.5× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$463K

11K claims · 2.7%

Your Cost: $42.10/claim|Median: $88.94
0.5× median
T4537Normal range

$436K

14K claims · 2.6%

Your Cost: $31.68/claim|Median: $31.50
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$374K

7,158 claims · 2.2%

Your Cost: $52.23/claim|Median: $105.14
0.5× median
T4522Normal range

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

$37K

678 claims · 0.2%

Your Cost: $54.13/claim|Median: $84.50
0.6× median
T4525Normal range

$35K

853 claims · 0.2%

Your Cost: $41.27/claim|Median: $79.46
0.5× median
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