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Provider 1578678223

NPI: 1578678223Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.7M

$8,663,666

Total Claims

81K

Beneficiaries

75K

1.1 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+14%
2019
$1.4M
+19%
2020
$1.6M
-17%
2021
$1.3M
-19%
2022
$1.1M
+20%
2023
$1.3M
-43%
2024
$745K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4351 (Intermittent urinary catheter, straight tip, each)) accounts for 57% of total spending.

A4351Top 5%

Intermittent urinary catheter, straight tip, each

$5.0M

15K claims · 57.4%

Your Cost: $331.69/claim|Median: $116.15
2.9× median
T5999Top 5%

Transportation service, not otherwise classified

$621K

1,518 claims · 7.2%

Your Cost: $409.41/claim|Median: $8.13
50.4× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$591K

14K claims · 6.8%

Your Cost: $43.60/claim|Median: $41.28
1.1× median
T4523Normal range

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

$334K

3,702 claims · 3.9%

Your Cost: $90.21/claim|Median: $96.13
0.9× median
A4352Normal range

Intermittent urinary catheter, Coude tip, each

$268K

731 claims · 3.1%

Your Cost: $366.61/claim|Median: $280.71
1.3× median
T4534Top 25%

Adult-sized disposable underpads/pads, small

$207K

1,318 claims · 2.4%

Your Cost: $156.81/claim|Median: $110.54
1.4× median
A4344Top 1%

$139K

325 claims · 1.6%

Your Cost: $428.04/claim|Median: $29.31
14.6× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$136K

2,728 claims · 1.6%

Your Cost: $49.98/claim|Median: $88.94
0.6× median
A4310Top 1%

Insertion tray without drainage bag, with catheter

$130K

575 claims · 1.5%

Your Cost: $225.92/claim|Median: $7.44
30.4× median
T4522Normal range

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

$127K

1,695 claims · 1.5%

Your Cost: $74.78/claim|Median: $84.50
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$121K

3,501 claims · 1.4%

Your Cost: $34.61/claim|Median: $42.03
0.8× median
T4524Normal range

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

$118K

1,260 claims · 1.4%

Your Cost: $93.33/claim|Median: $108.31
0.9× median
A4322Top 10%

$107K

2,004 claims · 1.2%

Your Cost: $53.25/claim|Median: $14.10
3.8× median
T4530Normal range

$101K

1,030 claims · 1.2%

Your Cost: $98.03/claim|Median: $83.90
1.2× median
A4927Normal range

Gloves, non-sterile, per 100

$92K

7,829 claims · 1.1%

Your Cost: $11.73/claim|Median: $12.90
0.9× median
A4385Top 25%

$90K

1,182 claims · 1.0%

Your Cost: $75.98/claim|Median: $49.51
1.5× median
A4357Top 25%

Bedside drainage bag, day or night

$83K

3,962 claims · 1.0%

Your Cost: $20.87/claim|Median: $7.46
2.8× median
T4527Normal range

Adult-sized disposable incontinence product, large

$76K

1,253 claims · 0.9%

Your Cost: $60.89/claim|Median: $99.53
0.6× median
A4409Normal range

$75K

1,000 claims · 0.9%

Your Cost: $74.69/claim|Median: $61.38
1.2× median
A4425Normal range

$44K

1,025 claims · 0.5%

Your Cost: $42.92/claim|Median: $38.79
1.1× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$42K

93 claims · 0.5%

Your Cost: $451.67/claim|Median: $508.29
0.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$30K

509 claims · 0.3%

Your Cost: $58.92/claim|Median: $105.14
0.6× median
A4358Top 25%

$30K

2,955 claims · 0.3%

Your Cost: $10.03/claim|Median: $6.27
1.6× median
A4407Normal range

$28K

313 claims · 0.3%

Your Cost: $89.35/claim|Median: $73.73
1.2× median
A4349Normal range

$26K

1,002 claims · 0.3%

Your Cost: $26.14/claim|Median: $28.92
0.9× median
A4332Normal range

$18K

2,466 claims · 0.2%

Your Cost: $7.40/claim|Median: $6.47
1.1× median
A4402Normal range

$15K

3,946 claims · 0.2%

Your Cost: $3.72/claim|Median: $4.15
0.9× median
A4314Top 25%

$8K

493 claims · 0.1%

Your Cost: $17.07/claim|Median: $5.42
3.1× median
A4362Normal range

$8K

165 claims · 0.1%

Your Cost: $48.86/claim|Median: $36.03
1.4× median
A4456Normal range

$7K

906 claims · 0.1%

Your Cost: $7.72/claim|Median: $6.74
1.1× median
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