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

⚖️ Compare🖨️ Print Report

Provider 1679570121

NPI: 1679570121Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.6M

$13,577,523

Total Claims

197K

Beneficiaries

193K

1.0 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+4%
2019
$2.2M
+5%
2020
$2.3M
-34%
2021
$1.5M
+7%
2022
$1.6M
+18%
2023
$1.9M
+4%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (T4535 (Adult-sized disposable underpads/pads, large)) accounts for 20% of total spending.

T4535Normal range

Adult-sized disposable underpads/pads, large

$2.7M

54K claims · 19.8%

Your Cost: $49.53/claim|Median: $42.03
1.2× median
T4527Normal range

Adult-sized disposable incontinence product, large

$2.2M

25K claims · 16.3%

Your Cost: $89.05/claim|Median: $99.53
0.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.7M

16K claims · 12.6%

Your Cost: $107.65/claim|Median: $105.14
1.0× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.6M

20K claims · 12.0%

Your Cost: $79.77/claim|Median: $88.94
0.9× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.4M

43K claims · 10.5%

Your Cost: $33.51/claim|Median: $41.28
0.8× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$760K

4,672 claims · 5.6%

Your Cost: $162.58/claim|Median: $177.75
0.9× median
T1999Top 25%

Miscellaneous therapeutic items and supplies

$592K

3,524 claims · 4.4%

Your Cost: $167.85/claim|Median: $28.63
5.9× median
T4537Top 5%

$475K

4,365 claims · 3.5%

Your Cost: $108.91/claim|Median: $31.50
3.5× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$333K

2,026 claims · 2.5%

Your Cost: $164.33/claim|Median: $171.64
1.0× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$307K

2,822 claims · 2.3%

Your Cost: $108.69/claim|Median: $89.79
1.2× median
T4525Normal range

$261K

4,299 claims · 1.9%

Your Cost: $60.65/claim|Median: $79.46
0.8× median
T4523Normal range

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

$173K

1,705 claims · 1.3%

Your Cost: $101.31/claim|Median: $96.13
1.1× median
T4524Normal range

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

$169K

1,428 claims · 1.2%

Your Cost: $118.26/claim|Median: $108.31
1.1× median
S5165Normal range

Home modifications, per service

$169K

1,077 claims · 1.2%

Your Cost: $156.52/claim|Median: $2,196.32
0.1× median
B4154Normal range

$140K

719 claims · 1.0%

Your Cost: $194.47/claim|Median: $132.96
1.5× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$117K

708 claims · 0.9%

Your Cost: $164.63/claim|Median: $92.20
1.8× median
E1399Normal range

Durable medical equipment, miscellaneous

$108K

2,073 claims · 0.8%

Your Cost: $52.09/claim|Median: $104.06
0.5× median
A4927Normal range

Gloves, non-sterile, per 100

$72K

4,449 claims · 0.5%

Your Cost: $16.18/claim|Median: $12.90
1.3× median
E0240Normal range

$69K

883 claims · 0.5%

Your Cost: $78.23/claim|Median: $62.75
1.2× median
T4542Normal range

$52K

2,757 claims · 0.4%

Your Cost: $18.89/claim|Median: $33.31
0.6× median
E0241Top 5%

$45K

322 claims · 0.3%

Your Cost: $139.40/claim|Median: $28.48
4.9× median
E0244Top 10%

$30K

406 claims · 0.2%

Your Cost: $74.98/claim|Median: $32.11
2.3× median
E0247Top 5%

$24K

166 claims · 0.2%

Your Cost: $141.60/claim|Median: $75.27
1.9× median
E0246Normal range

$13K

216 claims · 0.1%

Your Cost: $58.98/claim|Median: $48.66
1.2× median
T4522Normal range

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

$3K

36 claims · 0.0%

Your Cost: $80.65/claim|Median: $84.50
1.0× median
T4540Top 5%

$3K

27 claims · 0.0%

Your Cost: $95.47/claim|Median: $17.85
5.3× median
A9281Normal range

$1K

36 claims · 0.0%

Your Cost: $33.93/claim|Median: $19.73
1.7× median
← All providersHow we detect fraud →