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Provider 1629507579

NPI: 1629507579Share
Active Billing Period:2020-12→2024-12(49 months)

Total Paid

$14.3M

$14,291,498

Total Claims

152K

Beneficiaries

131K

1.2 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2020
$36K
+3128%
2021
$1.1M
+246%
2022
$4.0M
+79%
2023
$7.1M
-71%
2024
$2.0M

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 30% of total spending.

B4161Top 5%

Enteral formula, semisolid, 100 calories = 1 unit

$4.3M

3,962 claims · 30.2%

Your Cost: $1,090.20/claim|Median: $465.86
2.3× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$1.2M

6,185 claims · 8.5%

Your Cost: $196.01/claim|Median: $117.24
1.7× median
E0465Normal range

Home ventilator, any type, used with invasive interface

$932K

1,604 claims · 6.5%

Your Cost: $580.77/claim|Median: $583.21
1.0× median
B9002Normal range

$752K

11K claims · 5.3%

Your Cost: $68.46/claim|Median: $54.41
1.3× median
E0445Normal range

$713K

9,655 claims · 5.0%

Your Cost: $73.87/claim|Median: $118.11
0.6× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$572K

1,576 claims · 4.0%

Your Cost: $362.91/claim|Median: $300.16
1.2× median
B4160Normal range

Enteral formula, per 100 calories

$486K

2,575 claims · 3.4%

Your Cost: $188.78/claim|Median: $157.30
1.2× median
A4624Normal range

$471K

4,960 claims · 3.3%

Your Cost: $95.06/claim|Median: $107.53
0.9× median
E1390Top 5%

Oxygen concentrator, single delivery port

$429K

3,213 claims · 3.0%

Your Cost: $133.48/claim|Median: $45.11
3.0× median
E0424Top 10%

$401K

2,458 claims · 2.8%

Your Cost: $163.17/claim|Median: $81.60
2.0× median
B4087Normal range

$344K

17K claims · 2.4%

Your Cost: $20.52/claim|Median: $25.27
0.8× median
B4088Normal range

$247K

2,813 claims · 1.7%

Your Cost: $87.63/claim|Median: $73.20
1.2× median
E0439Top 5%

$220K

1,403 claims · 1.5%

Your Cost: $156.49/claim|Median: $56.10
2.8× median
B4153Top 25%

$213K

278 claims · 1.5%

Your Cost: $764.96/claim|Median: $410.73
1.9× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$211K

2,059 claims · 1.5%

Your Cost: $102.46/claim|Median: $110.54
0.9× median
E0431Top 5%

Portable gaseous oxygen system, rental

$208K

7,777 claims · 1.5%

Your Cost: $26.71/claim|Median: $10.37
2.6× median
E0466Top 25%

Home ventilator, any type, used with non-invasive interface

$184K

331 claims · 1.3%

Your Cost: $555.89/claim|Median: $317.50
1.8× median
B9998Top 5%

Enteral/parenteral nutritional supplies, NOS

$164K

612 claims · 1.1%

Your Cost: $267.23/claim|Median: $55.51
4.8× median
A7521Top 10%

$142K

654 claims · 1.0%

Your Cost: $217.74/claim|Median: $39.24
5.5× median
T4522Normal range

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

$134K

1,437 claims · 0.9%

Your Cost: $93.48/claim|Median: $84.50
1.1× median
E0471Top 25%

Respiratory assist device, bi-level with backup rate

$129K

427 claims · 0.9%

Your Cost: $302.44/claim|Median: $210.29
1.4× median
A4554Normal range

Disposable underpads, all sizes

$128K

3,232 claims · 0.9%

Your Cost: $39.49/claim|Median: $37.02
1.1× median
T4530Normal range

$116K

1,553 claims · 0.8%

Your Cost: $74.86/claim|Median: $83.90
0.9× median
E0601Top 25%

Continuous positive airway pressure (CPAP) device

$109K

1,676 claims · 0.8%

Your Cost: $65.21/claim|Median: $35.30
1.8× median
A9900Normal range

$83K

975 claims · 0.6%

Your Cost: $85.07/claim|Median: $58.14
1.5× median
A7508Normal range

$82K

1,737 claims · 0.6%

Your Cost: $47.41/claim|Median: $41.86
1.1× median
B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$78K

463 claims · 0.5%

Your Cost: $168.89/claim|Median: $89.79
1.9× median
A6209Top 1%

$73K

194 claims · 0.5%

Your Cost: $378.77/claim|Median: $55.36
6.8× median
T4521Normal range

$71K

915 claims · 0.5%

Your Cost: $77.45/claim|Median: $81.60
0.9× median
A4213Normal range

$63K

3,850 claims · 0.4%

Your Cost: $16.27/claim|Median: $9.01
1.8× median
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