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Provider 1639231483

NPI: 1639231483Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.7M

$11,697,570

Total Claims

317K

Beneficiaries

310K

1.0 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$927K
+37%
2019
$1.3M
+52%
2020
$1.9M
-2%
2021
$1.9M
+6%
2022
$2.0M
+10%
2023
$2.2M
-36%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4541 (Pediatric-sized disposable incontinence product, large)) accounts for 25% of total spending.

T4541Normal range

Pediatric-sized disposable incontinence product, large

$2.9M

64K claims · 25.0%

Your Cost: $45.96/claim|Median: $41.28
1.1× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$2.1M

47K claims · 17.7%

Your Cost: $44.42/claim|Median: $42.03
1.1× median
A4217Top 10%

Sterile water or saline for nebulizer, per unit

$746K

11K claims · 6.4%

Your Cost: $65.35/claim|Median: $13.14
5.0× median
T4527Normal range

Adult-sized disposable incontinence product, large

$621K

12K claims · 5.3%

Your Cost: $51.84/claim|Median: $99.53
0.5× median
A6446Top 5%

$543K

7,135 claims · 4.6%

Your Cost: $76.04/claim|Median: $14.64
5.2× median
A6255Normal range

$521K

4,550 claims · 4.5%

Your Cost: $114.48/claim|Median: $7.85
14.6× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$401K

9,568 claims · 3.4%

Your Cost: $41.89/claim|Median: $88.94
0.5× median
A6216Top 5%

Gauze, non-impregnated, sterile

$362K

12K claims · 3.1%

Your Cost: $30.31/claim|Median: $4.91
6.2× median
T4536Normal range

Adult disposable incontinence product, pull-on, large

$353K

33K claims · 3.0%

Your Cost: $10.63/claim|Median: $11.57
0.9× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$348K

5,152 claims · 3.0%

Your Cost: $67.60/claim|Median: $96.13
0.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$334K

6,709 claims · 2.9%

Your Cost: $49.81/claim|Median: $105.14
0.5× median
A6197Top 25%

$250K

751 claims · 2.1%

Your Cost: $332.45/claim|Median: $156.22
2.1× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$229K

42K claims · 2.0%

Your Cost: $5.51/claim|Median: $9.88
0.6× median
A6455Top 1%

$210K

1,133 claims · 1.8%

Your Cost: $185.77/claim|Median: $2.55
72.8× median
A6240Top 25%

$139K

1,644 claims · 1.2%

Your Cost: $84.66/claim|Median: $38.71
2.2× median
T4524Normal range

Adult-sized disposable incontinence product, brief/diaper, medium

$138K

2,427 claims · 1.2%

Your Cost: $57.05/claim|Median: $108.31
0.5× median
A6211Normal range

$133K

261 claims · 1.1%

Your Cost: $508.83/claim|Median: $355.51
1.4× median
A6223Top 25%

$132K

2,280 claims · 1.1%

Your Cost: $57.80/claim|Median: $35.60
1.6× median
A6447Top 10%

$119K

1,334 claims · 1.0%

Your Cost: $89.30/claim|Median: $28.02
3.2× median
A6222Top 10%

$101K

1,431 claims · 0.9%

Your Cost: $70.32/claim|Median: $23.17
3.0× median
A5131Top 10%

$93K

4,454 claims · 0.8%

Your Cost: $20.79/claim|Median: $7.99
2.6× median
T4522Normal range

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

$87K

1,653 claims · 0.7%

Your Cost: $52.66/claim|Median: $84.50
0.6× median
A6402Top 5%

$80K

2,779 claims · 0.7%

Your Cost: $28.71/claim|Median: $7.69
3.7× median
A4927Normal range

Gloves, non-sterile, per 100

$75K

4,447 claims · 0.6%

Your Cost: $16.96/claim|Median: $12.90
1.3× median
T4537Normal range

$73K

2,985 claims · 0.6%

Your Cost: $24.32/claim|Median: $31.50
0.8× median
T4525Normal range

$72K

1,760 claims · 0.6%

Your Cost: $41.11/claim|Median: $79.46
0.5× median
A6248Top 25%

$72K

1,046 claims · 0.6%

Your Cost: $69.02/claim|Median: $23.50
2.9× median
A6213Top 5%

$70K

186 claims · 0.6%

Your Cost: $374.97/claim|Median: $95.60
3.9× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$54K

1,289 claims · 0.5%

Your Cost: $42.12/claim|Median: $35.30
1.2× median
A4335Normal range

Incontinence supply, miscellaneous

$48K

25K claims · 0.4%

Your Cost: $1.95/claim|Median: $5.54
0.4× median
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