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Provider 1609014208

NPI: 1609014208Share
Active Billing Period:2020-10→2024-12(51 months)

Total Paid

$13.5M

$13,499,369

Total Claims

163K

Beneficiaries

153K

1.1 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2020
$500K
+554%
2021
$3.3M
-6%
2022
$3.1M
+12%
2023
$3.4M
-6%
2024
$3.2M

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 20% of total spending.

B4161Top 10%

Enteral formula, semisolid, 100 calories = 1 unit

$2.7M

3,101 claims · 20.3%

Your Cost: $882.30/claim|Median: $465.86
1.9× median
B4035Top 5%

Enteral feeding supply kit, pump fed, per day

$2.7M

8,600 claims · 19.9%

Your Cost: $311.89/claim|Median: $117.24
2.7× median
B4160Top 5%

Enteral formula, per 100 calories

$1.2M

3,335 claims · 9.1%

Your Cost: $368.88/claim|Median: $157.30
2.3× median
E0465Top 25%

Home ventilator, any type, used with invasive interface

$1.1M

1,219 claims · 8.1%

Your Cost: $897.41/claim|Median: $583.21
1.5× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$1.0M

12K claims · 7.5%

Your Cost: $86.26/claim|Median: $55.51
1.6× median
E1390Top 5%

Oxygen concentrator, single delivery port

$715K

5,488 claims · 5.3%

Your Cost: $130.24/claim|Median: $45.11
2.9× median
B4149Top 5%

Enteral formula, manufactured blenderized, per 100 calories

$466K

917 claims · 3.4%

Your Cost: $507.74/claim|Median: $300.16
1.7× median
A4606Normal range

$422K

8,068 claims · 3.1%

Your Cost: $52.30/claim|Median: $50.63
1.0× median
E0445Normal range

$341K

1,981 claims · 2.5%

Your Cost: $172.28/claim|Median: $118.11
1.5× median
E0482Normal range

$269K

1,014 claims · 2.0%

Your Cost: $265.33/claim|Median: $246.17
1.1× median
B9002Top 25%

$268K

2,771 claims · 2.0%

Your Cost: $96.54/claim|Median: $54.41
1.8× median
A4353Top 10%

Intermittent urinary catheter, with insertion supplies

$250K

276 claims · 1.9%

Your Cost: $906.37/claim|Median: $508.29
1.8× median
A4629Top 5%

$246K

2,018 claims · 1.8%

Your Cost: $122.05/claim|Median: $54.42
2.2× median
A4605Normal range

$163K

911 claims · 1.2%

Your Cost: $178.40/claim|Median: $121.51
1.5× median
E0431Top 10%

Portable gaseous oxygen system, rental

$150K

6,502 claims · 1.1%

Your Cost: $23.09/claim|Median: $10.37
2.2× median
A4554Normal range

Disposable underpads, all sizes

$141K

5,294 claims · 1.0%

Your Cost: $26.59/claim|Median: $37.02
0.7× median
A7000Top 25%

$139K

4,634 claims · 1.0%

Your Cost: $29.99/claim|Median: $11.83
2.5× median
A4624Top 25%

$133K

765 claims · 1.0%

Your Cost: $174.18/claim|Median: $107.53
1.6× median
T4530Normal range

$120K

1,215 claims · 0.9%

Your Cost: $98.95/claim|Median: $83.90
1.2× median
T4533Top 25%

Adult disposable incontinence product, youth or small

$87K

797 claims · 0.6%

Your Cost: $108.60/claim|Median: $87.25
1.2× median
A4322Normal range

$86K

9,329 claims · 0.6%

Your Cost: $9.21/claim|Median: $14.10
0.7× median
A7526Normal range

$83K

2,213 claims · 0.6%

Your Cost: $37.34/claim|Median: $33.61
1.1× median
T4522Top 25%

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

$82K

757 claims · 0.6%

Your Cost: $108.71/claim|Median: $84.50
1.3× median
A7520Normal range

$78K

1,677 claims · 0.6%

Your Cost: $46.25/claim|Median: $49.59
0.9× median
A6216Normal range

Gauze, non-impregnated, sterile

$74K

9,955 claims · 0.6%

Your Cost: $7.46/claim|Median: $4.91
1.5× median
A4927Normal range

Gloves, non-sterile, per 100

$62K

8,888 claims · 0.5%

Your Cost: $6.99/claim|Median: $12.90
0.5× median
A4483Normal range

$58K

549 claims · 0.4%

Your Cost: $105.86/claim|Median: $91.41
1.2× median
A6209Top 25%

$56K

471 claims · 0.4%

Your Cost: $119.47/claim|Median: $55.36
2.2× median
A7002Top 25%

$52K

4,564 claims · 0.4%

Your Cost: $11.47/claim|Median: $4.97
2.3× median
A4216Top 25%

$30K

1,435 claims · 0.2%

Your Cost: $20.77/claim|Median: $8.45
2.5× median
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