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Provider 1588976815

NPI: 1588976815Share
Active Billing Period:2018-01→2024-12(67 months)

Total Paid

$16.6M

$16,607,212

Total Claims

200K

Beneficiaries

172K

1.2 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$61K
+5930%
2019
$3.6M
+40%
2020
$5.1M
-58%
2021
$2.1M
-71%
2022
$610K
-24%
2023
$466K
+886%
2024
$4.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 24% of total spending.

B4161Top 10%

Enteral formula, semisolid, 100 calories = 1 unit

$4.0M

4,369 claims · 24.0%

Your Cost: $910.99/claim|Median: $465.86
2.0× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.5M

9,653 claims · 9.3%

Your Cost: $159.18/claim|Median: $117.24
1.4× median
B4087Top 25%

$1.5M

26K claims · 8.8%

Your Cost: $56.23/claim|Median: $25.27
2.2× median
B9002Normal range

$1.1M

15K claims · 6.4%

Your Cost: $69.19/claim|Median: $54.41
1.3× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$896K

1,795 claims · 5.4%

Your Cost: $499.05/claim|Median: $583.21
0.9× median
B4160Normal range

Enteral formula, per 100 calories

$722K

4,664 claims · 4.4%

Your Cost: $154.89/claim|Median: $157.30
1.0× median
E0445Normal range

$712K

9,769 claims · 4.3%

Your Cost: $72.84/claim|Median: $118.11
0.6× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$652K

2,620 claims · 3.9%

Your Cost: $248.81/claim|Median: $300.16
0.8× median
A4624Normal range

$393K

5,273 claims · 2.4%

Your Cost: $74.44/claim|Median: $107.53
0.7× median
E1390Top 5%

Oxygen concentrator, single delivery port

$357K

3,103 claims · 2.1%

Your Cost: $115.06/claim|Median: $45.11
2.6× median
B4153Top 25%

$340K

553 claims · 2.0%

Your Cost: $614.21/claim|Median: $410.73
1.5× median
B4088Normal range

$318K

4,502 claims · 1.9%

Your Cost: $70.69/claim|Median: $73.20
1.0× median
E0424Top 10%

$293K

1,834 claims · 1.8%

Your Cost: $159.61/claim|Median: $81.60
2.0× median
E0439Top 10%

$285K

1,900 claims · 1.7%

Your Cost: $149.93/claim|Median: $56.10
2.7× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$281K

2,817 claims · 1.7%

Your Cost: $99.82/claim|Median: $110.54
0.9× median
E0431Top 5%

Portable gaseous oxygen system, rental

$226K

7,855 claims · 1.4%

Your Cost: $28.75/claim|Median: $10.37
2.8× median
T4530Normal range

$210K

2,958 claims · 1.3%

Your Cost: $70.92/claim|Median: $83.90
0.8× median
A4554Normal range

Disposable underpads, all sizes

$168K

4,999 claims · 1.0%

Your Cost: $33.61/claim|Median: $37.02
0.9× median
A9900Top 25%

$155K

1,040 claims · 0.9%

Your Cost: $148.89/claim|Median: $58.14
2.6× median
T4522Normal range

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

$151K

1,780 claims · 0.9%

Your Cost: $84.62/claim|Median: $84.50
1.0× median
E0600Normal range

$127K

3,854 claims · 0.8%

Your Cost: $32.98/claim|Median: $25.31
1.3× median
B9998Top 5%

Enteral/parenteral nutritional supplies, NOS

$120K

411 claims · 0.7%

Your Cost: $291.10/claim|Median: $55.51
5.2× median
A7002Top 1%

$104K

4,521 claims · 0.6%

Your Cost: $22.95/claim|Median: $4.97
4.6× median
A4927Normal range

Gloves, non-sterile, per 100

$104K

8,412 claims · 0.6%

Your Cost: $12.31/claim|Median: $12.90
1.0× median
T4521Normal range

$102K

1,570 claims · 0.6%

Your Cost: $64.72/claim|Median: $81.60
0.8× median
E0471Normal range

Respiratory assist device, bi-level with backup rate

$85K

312 claims · 0.5%

Your Cost: $271.43/claim|Median: $210.29
1.3× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$83K

673 claims · 0.5%

Your Cost: $123.98/claim|Median: $89.79
1.4× median
B4155Normal range

$82K

1,515 claims · 0.5%

Your Cost: $54.41/claim|Median: $46.72
1.2× median
A7010Top 1%

$81K

478 claims · 0.5%

Your Cost: $168.69/claim|Median: $12.55
13.4× median
A7003Top 1%

Administration set for nebulizer, with small volume

$80K

4,179 claims · 0.5%

Your Cost: $19.10/claim|Median: $1.48
12.9× median
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