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Provider 1588974778

NPI: 1588974778Share
Active Billing Period:2018-01→2022-11(59 months)
Billing appears to have stoppedLast active: 2022-11

Total Paid

$8.9M

$8,858,744

Total Claims

316K

Beneficiaries

310K

1.0 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$60K
+3741%
2019
$2.3M
+5%
2020
$2.4M
+4%
2021
$2.5M
-37%
2022
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 15% of total spending.

T4527Normal range

Adult-sized disposable incontinence product, large

$1.3M

29K claims · 14.6%

Your Cost: $45.25/claim|Median: $99.53
0.5× median
A4245Top 25%

$1.1M

87K claims · 12.2%

Your Cost: $12.46/claim|Median: $2.33
5.3× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.1M

24K claims · 12.1%

Your Cost: $45.34/claim|Median: $88.94
0.5× median
A4554Normal range

Disposable underpads, all sizes

$923K

51K claims · 10.4%

Your Cost: $18.15/claim|Median: $37.02
0.5× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$891K

16K claims · 10.1%

Your Cost: $56.98/claim|Median: $105.14
0.5× median
A4927Normal range

Gloves, non-sterile, per 100

$589K

64K claims · 6.6%

Your Cost: $9.18/claim|Median: $12.90
0.7× median
A4335Top 1%

Incontinence supply, miscellaneous

$508K

5,724 claims · 5.7%

Your Cost: $88.69/claim|Median: $5.54
16.0× median
T4525Normal range

$391K

7,573 claims · 4.4%

Your Cost: $51.65/claim|Median: $79.46
0.6× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$384K

8,921 claims · 4.3%

Your Cost: $43.06/claim|Median: $42.03
1.0× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$360K

4,166 claims · 4.1%

Your Cost: $86.36/claim|Median: $171.64
0.5× median
T4523Normal range

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

$319K

5,454 claims · 3.6%

Your Cost: $58.49/claim|Median: $96.13
0.6× median
T4524Normal range

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

$280K

5,173 claims · 3.2%

Your Cost: $54.10/claim|Median: $108.31
0.5× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$276K

2,695 claims · 3.1%

Your Cost: $102.58/claim|Median: $177.75
0.6× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$193K

1,925 claims · 2.2%

Your Cost: $100.14/claim|Median: $89.79
1.1× median
T4522Normal range

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

$177K

3,191 claims · 2.0%

Your Cost: $55.41/claim|Median: $84.50
0.7× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$67K

567 claims · 0.8%

Your Cost: $117.94/claim|Median: $92.20
1.3× median
B4154Normal range

$35K

257 claims · 0.4%

Your Cost: $134.40/claim|Median: $132.96
1.0× median
A5120Top 1%

$12K

167 claims · 0.1%

Your Cost: $69.02/claim|Median: $6.35
10.9× median
S5199Normal range

Personal care item, NOS, each

$9K

532 claims · 0.1%

Your Cost: $17.51/claim|Median: $10.82
1.6× median
T4521Normal range

$6K

91 claims · 0.1%

Your Cost: $64.50/claim|Median: $81.60
0.8× median
T4537Normal range

$1K

614 claims · 0.0%

Your Cost: $2.14/claim|Median: $31.50
0.1× median
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