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Provider 1568083087

NPI: 1568083087Share
Active Billing Period:2022-05→2024-12(32 months)

Total Paid

$11.5M

$11,483,968

Total Claims

275K

Beneficiaries

251K

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2022
$1.8M
+138%
2023
$4.3M
+23%
2024
$5.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4534 (Adult-sized disposable underpads/pads, small)) accounts for 11% of total spending.

T4534Normal range

Adult-sized disposable underpads/pads, small

$1.2M

16K claims · 10.9%

Your Cost: $78.51/claim|Median: $110.54
0.7× median
A6197Normal range

$1.1M

5,043 claims · 9.5%

Your Cost: $217.21/claim|Median: $156.22
1.4× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$631K

7,269 claims · 5.5%

Your Cost: $86.83/claim|Median: $105.14
0.8× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$543K

21K claims · 4.7%

Your Cost: $26.18/claim|Median: $41.28
0.6× median
T4527Normal range

Adult-sized disposable incontinence product, large

$540K

6,730 claims · 4.7%

Your Cost: $80.30/claim|Median: $99.53
0.8× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$463K

12K claims · 4.0%

Your Cost: $37.48/claim|Median: $42.03
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$456K

6,461 claims · 4.0%

Your Cost: $70.58/claim|Median: $88.94
0.8× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$385K

3,510 claims · 3.4%

Your Cost: $109.83/claim|Median: $116.15
0.9× median
A6196Normal range

$379K

3,835 claims · 3.3%

Your Cost: $98.77/claim|Median: $71.68
1.4× median
T4530Normal range

$339K

5,581 claims · 2.9%

Your Cost: $60.69/claim|Median: $83.90
0.7× median
A4385Normal range

$329K

10K claims · 2.9%

Your Cost: $31.91/claim|Median: $49.51
0.6× median
A6021Normal range

$273K

2,199 claims · 2.4%

Your Cost: $124.00/claim|Median: $111.06
1.1× median
A4362Normal range

$272K

7,157 claims · 2.4%

Your Cost: $38.05/claim|Median: $36.03
1.1× median
A6252Normal range

$263K

5,920 claims · 2.3%

Your Cost: $44.49/claim|Median: $46.15
1.0× median
A6212Normal range

$221K

3,748 claims · 1.9%

Your Cost: $58.93/claim|Median: $76.51
0.8× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$217K

905 claims · 1.9%

Your Cost: $240.07/claim|Median: $508.29
0.5× median
A4407Normal range

$212K

3,797 claims · 1.8%

Your Cost: $55.93/claim|Median: $73.73
0.8× median
A4414Normal range

$177K

3,585 claims · 1.5%

Your Cost: $49.49/claim|Median: $48.85
1.0× median
A4352Normal range

Intermittent urinary catheter, Coude tip, each

$168K

765 claims · 1.5%

Your Cost: $219.28/claim|Median: $280.71
0.8× median
T4522Normal range

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

$166K

1,997 claims · 1.4%

Your Cost: $83.22/claim|Median: $84.50
1.0× median
T4525Normal range

$141K

1,902 claims · 1.2%

Your Cost: $74.10/claim|Median: $79.46
0.9× median
A5063Normal range

$140K

6,364 claims · 1.2%

Your Cost: $21.98/claim|Median: $27.93
0.8× median
T4532Normal range

$134K

1,837 claims · 1.2%

Your Cost: $72.99/claim|Median: $116.50
0.6× median
A4389Normal range

$134K

1,684 claims · 1.2%

Your Cost: $79.31/claim|Median: $67.36
1.2× median
A4927Normal range

Gloves, non-sterile, per 100

$133K

16K claims · 1.2%

Your Cost: $8.48/claim|Median: $12.90
0.7× median
A6253Normal range

$127K

1,513 claims · 1.1%

Your Cost: $83.75/claim|Median: $93.50
0.9× median
A4409Normal range

$123K

2,912 claims · 1.1%

Your Cost: $42.38/claim|Median: $61.38
0.7× median
A6446Normal range

$111K

5,772 claims · 1.0%

Your Cost: $19.20/claim|Median: $14.64
1.3× median
A4373Normal range

$111K

1,716 claims · 1.0%

Your Cost: $64.51/claim|Median: $60.26
1.1× median
T4523Normal range

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

$104K

1,202 claims · 0.9%

Your Cost: $86.85/claim|Median: $96.13
0.9× median
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