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Provider 1649485848

NPI: 1649485848Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.6M

$14,559,746

Total Claims

171K

Beneficiaries

99K

1.7 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+17%
2019
$1.6M
+4%
2020
$1.7M
+10%
2021
$1.9M
+42%
2022
$2.7M
+11%
2023
$3.0M
-24%
2024
$2.3M

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 25% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$3.7M

7,433 claims · 25.3%

Your Cost: $494.65/claim|Median: $465.86
1.1× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$2.5M

43K claims · 17.2%

Your Cost: $58.96/claim|Median: $117.24
0.5× median
B4160Normal range

Enteral formula, per 100 calories

$1.3M

11K claims · 9.2%

Your Cost: $116.88/claim|Median: $157.30
0.7× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$1.1M

3,177 claims · 7.8%

Your Cost: $359.35/claim|Median: $300.16
1.2× median
B4100Normal range

$755K

9,623 claims · 5.2%

Your Cost: $78.42/claim|Median: $67.58
1.2× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$700K

15K claims · 4.8%

Your Cost: $47.43/claim|Median: $55.51
0.9× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$669K

6,232 claims · 4.6%

Your Cost: $107.35/claim|Median: $110.54
1.0× median
B4088Top 25%

$588K

5,415 claims · 4.0%

Your Cost: $108.52/claim|Median: $73.20
1.5× median
E0570Top 5%

Nebulizer, with compressor

$500K

4,091 claims · 3.4%

Your Cost: $122.16/claim|Median: $16.16
7.6× median
B4036Normal range

$452K

12K claims · 3.1%

Your Cost: $36.65/claim|Median: $74.87
0.5× median
T4533Normal range

Adult disposable incontinence product, youth or small

$339K

3,869 claims · 2.3%

Your Cost: $87.56/claim|Median: $87.25
1.0× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$265K

6,876 claims · 1.8%

Your Cost: $38.55/claim|Median: $41.28
0.9× median
T4529Normal range

Pediatric disposable incontinence product, pull-on, large

$256K

2,726 claims · 1.8%

Your Cost: $93.83/claim|Median: $71.73
1.3× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$233K

1,748 claims · 1.6%

Your Cost: $133.38/claim|Median: $89.79
1.5× median
B4153Normal range

$228K

415 claims · 1.6%

Your Cost: $548.68/claim|Median: $410.73
1.3× median
B4034Normal range

$132K

2,457 claims · 0.9%

Your Cost: $53.55/claim|Median: $46.28
1.2× median
B4155Normal range

$129K

2,939 claims · 0.9%

Your Cost: $43.82/claim|Median: $46.72
0.9× median
T4530Normal range

$102K

1,115 claims · 0.7%

Your Cost: $91.45/claim|Median: $83.90
1.1× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$92K

578 claims · 0.6%

Your Cost: $158.71/claim|Median: $92.20
1.7× median
A4927Normal range

Gloves, non-sterile, per 100

$90K

7,484 claims · 0.6%

Your Cost: $12.07/claim|Median: $12.90
0.9× median
A4221Top 25%

Supplies for maintenance of drug infusion catheter

$51K

2,306 claims · 0.3%

Your Cost: $21.99/claim|Median: $16.19
1.4× median
B4154Top 10%

$49K

154 claims · 0.3%

Your Cost: $321.01/claim|Median: $132.96
2.4× median
T4537Top 1%

$49K

435 claims · 0.3%

Your Cost: $112.99/claim|Median: $31.50
3.6× median
T4531Normal range

$49K

459 claims · 0.3%

Your Cost: $106.23/claim|Median: $100.68
1.1× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$46K

1,276 claims · 0.3%

Your Cost: $36.34/claim|Median: $42.03
0.9× median
T4532Normal range

$27K

303 claims · 0.2%

Your Cost: $89.47/claim|Median: $116.50
0.8× median
B4158Normal range

$19K

194 claims · 0.1%

Your Cost: $98.80/claim|Median: $145.71
0.7× median
A7003Normal range

Administration set for nebulizer, with small volume

$18K

8,655 claims · 0.1%

Your Cost: $2.09/claim|Median: $1.48
1.4× median
E0776Top 10%

$16K

232 claims · 0.1%

Your Cost: $67.92/claim|Median: $8.13
8.4× median
E0603Top 25%

Breast pump, electric, any type

$14K

74 claims · 0.1%

Your Cost: $185.37/claim|Median: $131.70
1.4× median
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