Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1619316981

NPI: 1619316981Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,842,993

Total Claims

72K

Beneficiaries

31K

2.3 claims/patient

Avg Cost/Claim

$123

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-40%
2019
$1.2M
+45%
2020
$1.8M
-44%
2021
$988K
+7%
2022
$1.1M
-12%
2023
$927K
-10%
2024
$838K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 20% of total spending.

S9342Top 5%

Home infusion therapy, continuous or intermittent, per diem

$1.8M

2,870 claims · 19.9%

Your Cost: $612.64/claim|Median: $176.25
3.5× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.6M

16K claims · 18.1%

Your Cost: $99.44/claim|Median: $117.24
0.8× median
A4223Top 25%

$1.5M

12K claims · 16.7%

Your Cost: $123.93/claim|Median: $60.92
2.0× median
B4185Normal range

$860K

6,377 claims · 9.7%

Your Cost: $134.90/claim|Median: $134.70
1.0× median
B4224Top 25%

$734K

5,992 claims · 8.3%

Your Cost: $122.47/claim|Median: $78.83
1.6× median
B4220Top 5%

$472K

5,539 claims · 5.3%

Your Cost: $85.26/claim|Median: $27.49
3.1× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$313K

801 claims · 3.5%

Your Cost: $390.86/claim|Median: $465.86
0.8× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$302K

1,168 claims · 3.4%

Your Cost: $258.16/claim|Median: $300.16
0.9× median
A4221Top 25%

Supplies for maintenance of drug infusion catheter

$240K

7,767 claims · 2.7%

Your Cost: $30.92/claim|Median: $16.19
1.9× median
B4034Normal range

$202K

4,465 claims · 2.3%

Your Cost: $45.23/claim|Median: $46.28
1.0× median
A4222Normal range

$176K

1,953 claims · 2.0%

Your Cost: $90.22/claim|Median: $62.70
1.4× median
B4088Normal range

$132K

1,368 claims · 1.5%

Your Cost: $96.55/claim|Median: $73.20
1.3× median
99601Normal range

$126K

1,735 claims · 1.4%

Your Cost: $72.36/claim|Median: $82.41
0.9× median
B4160Normal range

Enteral formula, per 100 calories

$121K

946 claims · 1.4%

Your Cost: $127.53/claim|Median: $157.30
0.8× median
S9500Top 25%

$115K

363 claims · 1.3%

Your Cost: $315.90/claim|Median: $144.40
2.2× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$74K

904 claims · 0.8%

Your Cost: $81.37/claim|Median: $92.20
0.9× median
S9338Top 10%

$57K

472 claims · 0.6%

Your Cost: $121.25/claim|Median: $60.83
2.0× median
99602Normal range

$44K

731 claims · 0.5%

Your Cost: $60.70/claim|Median: $84.91
0.7× median
S9343Normal range

$14K

190 claims · 0.2%

Your Cost: $73.03/claim|Median: $99.47
0.7× median
B9002Normal range

$14K

176 claims · 0.2%

Your Cost: $77.81/claim|Median: $54.41
1.4× median
B4155Normal range

$10K

183 claims · 0.1%

Your Cost: $54.11/claim|Median: $46.72
1.2× median
S9359Normal range

$3K

45 claims · 0.0%

Your Cost: $69.04/claim|Median: $62.59
1.1× median
A4216Normal range

$0

50 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.45
← All providersHow we detect fraud →