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Provider 1568400687

NPI: 1568400687Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,517,173

Total Claims

58K

Beneficiaries

29K

2.0 claims/patient

Avg Cost/Claim

$163

Monthly Spending Trend

Yearly Spending

2018
$143K
-8%
2019
$132K
+1242%
2020
$1.8M
+5%
2021
$1.9M
-14%
2022
$1.6M
+22%
2023
$1.9M
+8%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (Q5121) accounts for 14% of total spending.

Q5121Top 25%

$1.4M

593 claims · 14.4%

Your Cost: $2,305.70/claim|Median: $1,326.64
1.7× median
J1745Top 25%

Injection, infliximab, excludes biosimilar, 10 mg

$1.3M

414 claims · 14.2%

Your Cost: $3,253.85/claim|Median: $1,587.53
2.0× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$945K

5,759 claims · 9.9%

Your Cost: $164.10/claim|Median: $117.24
1.4× median
99601Normal range

$886K

9,348 claims · 9.3%

Your Cost: $94.79/claim|Median: $82.41
1.2× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$852K

1,741 claims · 9.0%

Your Cost: $489.54/claim|Median: $465.86
1.1× median
S9500Top 25%

$825K

2,804 claims · 8.7%

Your Cost: $294.39/claim|Median: $144.40
2.0× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$786K

2,946 claims · 8.3%

Your Cost: $266.74/claim|Median: $176.25
1.5× median
B4160Normal range

Enteral formula, per 100 calories

$266K

1,585 claims · 2.8%

Your Cost: $167.75/claim|Median: $157.30
1.1× median
B4105Normal range

$229K

62 claims · 2.4%

Your Cost: $3,701.08/claim|Median: $4,164.23
0.9× median
99602Normal range

$227K

2,584 claims · 2.4%

Your Cost: $87.99/claim|Median: $84.91
1.0× median
S9502Top 25%

$180K

568 claims · 1.9%

Your Cost: $316.69/claim|Median: $165.71
1.9× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$151K

2,760 claims · 1.6%

Your Cost: $54.85/claim|Median: $92.20
0.6× median
B4220Top 5%

$140K

1,411 claims · 1.5%

Your Cost: $99.09/claim|Median: $27.49
3.6× median
A4223Normal range

$137K

6,312 claims · 1.4%

Your Cost: $21.71/claim|Median: $60.92
0.4× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$134K

6,671 claims · 1.4%

Your Cost: $20.14/claim|Median: $16.19
1.2× median
S9379Normal range

$133K

1,602 claims · 1.4%

Your Cost: $83.25/claim|Median: $70.89
1.2× median
B4185Normal range

$133K

907 claims · 1.4%

Your Cost: $146.11/claim|Median: $134.70
1.1× median
A4305Normal range

$120K

1,165 claims · 1.3%

Your Cost: $103.09/claim|Median: $76.95
1.3× median
S9494Top 25%

$102K

324 claims · 1.1%

Your Cost: $315.17/claim|Median: $169.66
1.9× median
S9359Normal range

$90K

1,409 claims · 0.9%

Your Cost: $63.84/claim|Median: $62.59
1.0× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$84K

2,008 claims · 0.9%

Your Cost: $41.77/claim|Median: $89.79
0.5× median
B4224Normal range

$70K

1,732 claims · 0.7%

Your Cost: $40.63/claim|Median: $78.83
0.5× median
B4034Normal range

$60K

1,188 claims · 0.6%

Your Cost: $50.27/claim|Median: $46.28
1.1× median
J0696Top 1%

$56K

727 claims · 0.6%

Your Cost: $77.30/claim|Median: $1.34
57.7× median
S9338Top 25%

$42K

469 claims · 0.4%

Your Cost: $90.60/claim|Median: $60.83
1.5× median
S9366Top 5%

$40K

42 claims · 0.4%

Your Cost: $954.20/claim|Median: $394.05
2.4× median
B4088Normal range

$23K

229 claims · 0.2%

Your Cost: $101.86/claim|Median: $73.20
1.4× median
S9501Top 25%

$22K

65 claims · 0.2%

Your Cost: $332.29/claim|Median: $160.52
2.1× median
A4222Normal range

$20K

343 claims · 0.2%

Your Cost: $58.86/claim|Median: $62.70
0.9× median
S9343Normal range

$18K

87 claims · 0.2%

Your Cost: $201.32/claim|Median: $99.47
2.0× median
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