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Provider 1568851129

NPI: 1568851129Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,543,197

Total Claims

265K

Beneficiaries

258K

1.0 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+8%
2019
$1.9M
-2%
2020
$1.9M
+31%
2021
$2.5M
+11%
2022
$2.8M
+5%
2023
$2.9M
-3%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 23% of total spending.

T4527Top 10%

Adult-sized disposable incontinence product, large

$3.8M

24K claims · 23.0%

Your Cost: $158.46/claim|Median: $99.53
1.6× median
T4526Top 5%

Adult-sized disposable incontinence product, medium

$3.3M

22K claims · 20.2%

Your Cost: $151.61/claim|Median: $88.94
1.7× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$3.0M

50K claims · 18.3%

Your Cost: $60.99/claim|Median: $42.03
1.5× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$2.5M

53K claims · 15.1%

Your Cost: $47.39/claim|Median: $41.28
1.1× median
T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$1.3M

7,548 claims · 7.6%

Your Cost: $166.30/claim|Median: $105.14
1.6× median
A4927Top 25%

Gloves, non-sterile, per 100

$1.1M

51K claims · 6.6%

Your Cost: $21.34/claim|Median: $12.90
1.7× median
A4553Normal range

$484K

33K claims · 2.9%

Your Cost: $14.48/claim|Median: $15.13
1.0× median
A6530Top 5%

$213K

1,683 claims · 1.3%

Your Cost: $126.55/claim|Median: $49.70
2.5× median
A6533Top 10%

$208K

1,050 claims · 1.3%

Your Cost: $198.55/claim|Median: $74.92
2.7× median
A6539Top 5%

$192K

621 claims · 1.2%

Your Cost: $309.64/claim|Median: $107.32
2.9× median
T4525Top 5%

$138K

887 claims · 0.8%

Your Cost: $155.66/claim|Median: $79.46
2.0× median
T4524Top 25%

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

$127K

896 claims · 0.8%

Your Cost: $142.11/claim|Median: $108.31
1.3× median
A4245Top 25%

$34K

5,135 claims · 0.2%

Your Cost: $6.70/claim|Median: $2.33
2.9× median
A4259Normal range

Lancets for blood glucose testing

$34K

5,366 claims · 0.2%

Your Cost: $6.39/claim|Median: $2.27
2.8× median
T4537Normal range

$26K

1,564 claims · 0.2%

Your Cost: $16.88/claim|Median: $31.50
0.5× median
T4523Top 25%

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

$20K

141 claims · 0.1%

Your Cost: $139.30/claim|Median: $96.13
1.4× median
Q0513Top 10%

$10K

570 claims · 0.1%

Your Cost: $18.18/claim|Median: $5.61
3.2× median
A4253Normal range

Blood glucose test strips

$7K

5,421 claims · 0.0%

Your Cost: $1.23/claim|Median: $6.92
0.2× median
E0247Normal range

$4K

70 claims · 0.0%

Your Cost: $61.42/claim|Median: $75.27
0.8× median
A4670Normal range

$4K

90 claims · 0.0%

Your Cost: $47.36/claim|Median: $50.23
0.9× median
E1038Normal range

$897

269 claims · 0.0%

Your Cost: $3.34/claim|Median: $4.70
0.7× median
A9270Top 5%

$480

12 claims · 0.0%

Your Cost: $40.02/claim|Median: $0.20
200.1× median
E0607Normal range

$231

60 claims · 0.0%

Your Cost: $3.85/claim|Median: $23.10
0.2× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$49

13 claims · 0.0%

Your Cost: $3.79/claim|Median: $31.59
0.1× median
90653Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.85
A9900Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $58.14
G0008Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
E0156Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.15
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