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Provider 1619913357

NPI: 1619913357Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.9M

$13,920,432

Total Claims

277K

Beneficiaries

264K

1.0 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$851K
+102%
2019
$1.7M
+10%
2020
$1.9M
+9%
2021
$2.1M
+6%
2022
$2.2M
+15%
2023
$2.5M
+8%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (T4526 (Adult-sized disposable incontinence product, medium)) accounts for 43% of total spending.

T4526Top 25%

Adult-sized disposable incontinence product, medium

$6.0M

52K claims · 43.3%

Your Cost: $115.63/claim|Median: $88.94
1.3× median
T4535Top 25%

Adult-sized disposable underpads/pads, large

$2.9M

52K claims · 20.9%

Your Cost: $55.61/claim|Median: $42.03
1.3× median
A5120Top 5%

$2.5M

58K claims · 17.8%

Your Cost: $43.16/claim|Median: $6.35
6.8× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.3M

45K claims · 9.2%

Your Cost: $28.19/claim|Median: $41.28
0.7× median
A4927Normal range

Gloves, non-sterile, per 100

$862K

57K claims · 6.2%

Your Cost: $15.11/claim|Median: $12.90
1.2× median
A4554Normal range

Disposable underpads, all sizes

$172K

5,096 claims · 1.2%

Your Cost: $33.77/claim|Median: $37.02
0.9× median
A4553Normal range

$95K

6,896 claims · 0.7%

Your Cost: $13.77/claim|Median: $15.13
0.9× median
A6539Top 25%

$38K

190 claims · 0.3%

Your Cost: $201.91/claim|Median: $107.32
1.9× median
T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$31K

178 claims · 0.2%

Your Cost: $176.23/claim|Median: $105.14
1.7× median
T4527Top 10%

Adult-sized disposable incontinence product, large

$16K

98 claims · 0.1%

Your Cost: $166.30/claim|Median: $99.53
1.7× median
A6530Top 25%

$5K

53 claims · 0.0%

Your Cost: $97.60/claim|Median: $49.70
2.0× median
A4245Normal range

$1K

494 claims · 0.0%

Your Cost: $2.13/claim|Median: $2.33
0.9× median
E0159Top 25%

$401

37 claims · 0.0%

Your Cost: $10.84/claim|Median: $6.69
1.6× median
E0156Normal range

$358

46 claims · 0.0%

Your Cost: $7.78/claim|Median: $7.15
1.1× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$0

36 claims · 0.0%

Your Cost: $0.00/claim|Median: $31.59
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