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Provider 1609899590

NPI: 1609899590Share
Active Billing Period:2018-01→2022-08(56 months)
Billing appears to have stoppedLast active: 2022-08

Total Paid

$10.5M

$10,533,213

Total Claims

72K

Beneficiaries

46K

1.6 claims/patient

Avg Cost/Claim

$146

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-14%
2019
$2.5M
-12%
2020
$2.2M
-13%
2021
$1.9M
-45%
2022
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (B4160 (Enteral formula, per 100 calories)) accounts for 17% of total spending.

B4160Top 5%

Enteral formula, per 100 calories

$1.8M

4,915 claims · 17.3%

Your Cost: $371.74/claim|Median: $157.30
2.4× median
B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$1.7M

2,703 claims · 16.6%

Your Cost: $645.51/claim|Median: $465.86
1.4× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$1.6M

8,356 claims · 15.1%

Your Cost: $190.01/claim|Median: $117.24
1.6× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$705K

2,307 claims · 6.7%

Your Cost: $305.72/claim|Median: $300.16
1.0× median
B4224Normal range

$703K

8,702 claims · 6.7%

Your Cost: $80.83/claim|Median: $78.83
1.0× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$654K

4,193 claims · 6.2%

Your Cost: $156.07/claim|Median: $92.20
1.7× median
B4153Normal range

$597K

1,071 claims · 5.7%

Your Cost: $557.10/claim|Median: $410.73
1.4× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$448K

3,765 claims · 4.3%

Your Cost: $119.00/claim|Median: $89.79
1.3× median
B4088Top 10%

$369K

2,655 claims · 3.5%

Your Cost: $138.82/claim|Median: $73.20
1.9× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$329K

4,732 claims · 3.1%

Your Cost: $69.54/claim|Median: $55.51
1.3× median
B4154Top 25%

$315K

1,015 claims · 3.0%

Your Cost: $310.01/claim|Median: $132.96
2.3× median
B4220Normal range

$314K

14K claims · 3.0%

Your Cost: $22.83/claim|Median: $27.49
0.8× median
B4158Normal range

$191K

1,111 claims · 1.8%

Your Cost: $172.29/claim|Median: $145.71
1.2× median
B4034Top 25%

$174K

2,150 claims · 1.6%

Your Cost: $80.73/claim|Median: $46.28
1.7× median
B9002Normal range

$139K

2,944 claims · 1.3%

Your Cost: $47.36/claim|Median: $54.41
0.9× median
B4155Top 25%

$105K

892 claims · 1.0%

Your Cost: $118.23/claim|Median: $46.72
2.5× median
B9004Normal range

$78K

993 claims · 0.7%

Your Cost: $78.29/claim|Median: $122.59
0.6× median
E0781Normal range

$67K

646 claims · 0.6%

Your Cost: $103.46/claim|Median: $54.38
1.9× median
A4211Top 25%

$52K

852 claims · 0.5%

Your Cost: $61.59/claim|Median: $9.60
6.4× median
B4036Normal range

$49K

471 claims · 0.5%

Your Cost: $103.11/claim|Median: $74.87
1.4× median
B4100Normal range

$31K

390 claims · 0.3%

Your Cost: $80.67/claim|Median: $67.58
1.2× median
A4305Normal range

$25K

1,216 claims · 0.2%

Your Cost: $20.44/claim|Median: $76.95
0.3× median
E0776Top 25%

$19K

317 claims · 0.2%

Your Cost: $59.13/claim|Median: $8.13
7.3× median
A4223Normal range

$4K

335 claims · 0.0%

Your Cost: $12.30/claim|Median: $60.92
0.2× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$2K

165 claims · 0.0%

Your Cost: $15.08/claim|Median: $16.19
0.9× median
E0779Normal range

$1K

881 claims · 0.0%

Your Cost: $1.55/claim|Median: $7.60
0.2× median
K0552Normal range

$1K

690 claims · 0.0%

Your Cost: $1.65/claim|Median: $19.78
0.1× median
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