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Unknown Provider 1568474716

NPI: 1568474716Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.5M

$31,493,044

Total Claims

177K

Beneficiaries

103K

1.7 claims/patient

Avg Cost/Claim

$178

Monthly Spending Trend

Yearly Spending

2018
$6.7M
+20%
2019
$8.1M
-29%
2020
$5.7M
+5%
2021
$6.0M
-34%
2022
$4.0M
-85%
2023
$602K
-26%
2024
$447K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 25% of total spending.

S9342Top 25%

Home infusion therapy, continuous or intermittent, per diem

$7.9M

17K claims · 25.0%

Your Cost: $466.27/claim|Median: $176.25
2.6× median
J1569Top 10%

$3.2M

722 claims · 10.1%

Your Cost: $4,411.22/claim|Median: $1,387.65
3.2× median
99601Normal range

$3.0M

38K claims · 9.7%

Your Cost: $80.74/claim|Median: $82.41
1.0× median
S9500Top 25%

$2.9M

11K claims · 9.2%

Your Cost: $274.40/claim|Median: $144.40
1.9× median
J1561Top 5%

$1.8M

289 claims · 5.6%

Your Cost: $6,097.44/claim|Median: $1,482.84
4.1× median
99602Normal range

$1.3M

14K claims · 4.2%

Your Cost: $97.00/claim|Median: $84.91
1.1× median
S9502Top 25%

$1.1M

3,595 claims · 3.6%

Your Cost: $313.94/claim|Median: $165.71
1.9× median
S9501Normal range

$966K

3,765 claims · 3.1%

Your Cost: $256.49/claim|Median: $160.52
1.6× median
J1335Top 10%

$828K

1,540 claims · 2.6%

Your Cost: $537.70/claim|Median: $100.54
5.3× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$771K

1,304 claims · 2.4%

Your Cost: $591.55/claim|Median: $465.86
1.3× median
B4153Normal range

$767K

1,398 claims · 2.4%

Your Cost: $548.64/claim|Median: $410.73
1.3× median
S9343Top 25%

$679K

2,269 claims · 2.2%

Your Cost: $299.09/claim|Median: $99.47
3.0× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$600K

5,610 claims · 1.9%

Your Cost: $107.01/claim|Median: $92.20
1.2× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$460K

5,818 claims · 1.5%

Your Cost: $79.05/claim|Median: $117.24
0.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$424K

4,013 claims · 1.3%

Your Cost: $105.65/claim|Median: $89.79
1.2× median
B4185Normal range

$410K

3,655 claims · 1.3%

Your Cost: $112.09/claim|Median: $134.70
0.8× median
B4160Top 25%

Enteral formula, per 100 calories

$350K

1,586 claims · 1.1%

Your Cost: $220.46/claim|Median: $157.30
1.4× median
J0696Top 1%

$331K

2,506 claims · 1.0%

Your Cost: $131.94/claim|Median: $1.34
98.5× median
S9374Top 25%

$324K

1,666 claims · 1.0%

Your Cost: $194.72/claim|Median: $136.10
1.4× median
J0878Top 5%

$305K

429 claims · 1.0%

Your Cost: $711.18/claim|Median: $130.03
5.5× median
S9338Normal range

$305K

5,669 claims · 1.0%

Your Cost: $53.81/claim|Median: $60.83
0.9× median
B4154Top 25%

$293K

1,381 claims · 0.9%

Your Cost: $211.91/claim|Median: $132.96
1.6× median
S9348Top 25%

$291K

989 claims · 0.9%

Your Cost: $293.88/claim|Median: $141.48
2.1× median
S9366Top 25%

$288K

433 claims · 0.9%

Your Cost: $666.11/claim|Median: $394.05
1.7× median
B4088Top 25%

$262K

2,278 claims · 0.8%

Your Cost: $114.98/claim|Median: $73.20
1.6× median
J1642Top 10%

$195K

9,282 claims · 0.6%

Your Cost: $20.99/claim|Median: $1.11
18.9× median
A4216Normal range

$193K

16K claims · 0.6%

Your Cost: $12.27/claim|Median: $8.45
1.5× median
B5000Normal range

$168K

380 claims · 0.5%

Your Cost: $443.16/claim|Median: $443.16
1.0× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$167K

633 claims · 0.5%

Your Cost: $263.59/claim|Median: $300.16
0.9× median
J1559Top 10%

$147K

70 claims · 0.5%

Your Cost: $2,096.60/claim|Median: $811.35
2.6× median
J3370Top 5%

$138K

1,499 claims · 0.4%

Your Cost: $92.37/claim|Median: $2.40
38.5× median
S9379Normal range

$120K

1,020 claims · 0.4%

Your Cost: $117.20/claim|Median: $70.89
1.7× median
B4034Normal range

$87K

2,655 claims · 0.3%

Your Cost: $32.81/claim|Median: $46.28
0.7× median
S9367Top 10%

$61K

77 claims · 0.2%

Your Cost: $792.79/claim|Median: $270.91
2.9× median
J2260Top 25%

$61K

808 claims · 0.2%

Your Cost: $75.33/claim|Median: $35.65
2.1× median
A4305Normal range

$61K

564 claims · 0.2%

Your Cost: $107.48/claim|Median: $76.95
1.4× median
S9341Normal range

$43K

158 claims · 0.1%

Your Cost: $269.52/claim|Median: $142.63
1.9× median
B9002Normal range

$38K

1,481 claims · 0.1%

Your Cost: $25.58/claim|Median: $54.41
0.5× median
J7050Top 25%

Normal saline solution infusion, 250 cc

$34K

7,287 claims · 0.1%

Your Cost: $4.64/claim|Median: $0.82
5.7× median
B4155Normal range

$34K

887 claims · 0.1%

Your Cost: $37.88/claim|Median: $46.72
0.8× median
J3490Top 25%

Unclassified drugs

$27K

874 claims · 0.1%

Your Cost: $30.90/claim|Median: $5.70
5.4× median
J2543Top 5%

$18K

130 claims · 0.1%

Your Cost: $137.36/claim|Median: $2.87
47.9× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$17K

1,950 claims · 0.1%

Your Cost: $8.55/claim|Median: $1.53
5.6× median
J0690Top 5%

$8K

114 claims · 0.0%

Your Cost: $66.49/claim|Median: $0.94
70.7× median
J2185Top 25%

Injection, meropenem, one hundred milligrams

$6K

22 claims · 0.0%

Your Cost: $276.78/claim|Median: $105.00
2.6× median
B4036Normal range

$5K

100 claims · 0.0%

Your Cost: $47.91/claim|Median: $74.87
0.6× median
J0692Top 5%

$4K

33 claims · 0.0%

Your Cost: $121.35/claim|Median: $2.04
59.5× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$3K

286 claims · 0.0%

Your Cost: $12.12/claim|Median: $16.19
0.7× median
J0171Top 25%

Injection, adrenalin (epinephrine), per milliliter

$3K

323 claims · 0.0%

Your Cost: $8.39/claim|Median: $1.91
4.4× median
S5498Top 1%

$2K

13 claims · 0.0%

Your Cost: $164.69/claim|Median: $28.30
5.8× median
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