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Provider 1689792178

NPI: 1689792178Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,519,993

Total Claims

194K

Beneficiaries

119K

1.6 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+14%
2019
$1.4M
+19%
2020
$1.7M
+9%
2021
$1.8M
+4%
2022
$1.9M
+25%
2023
$2.4M
-12%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (B4155) accounts for 31% of total spending.

B4155Top 5%

$3.9M

6,869 claims · 31.0%

Your Cost: $565.34/claim|Median: $46.72
12.1× median
A5120Top 10%

$2.4M

89K claims · 19.1%

Your Cost: $26.73/claim|Median: $6.35
4.2× median
B4154Top 10%

$978K

2,965 claims · 7.8%

Your Cost: $329.78/claim|Median: $132.96
2.5× median
A4554Top 10%

Disposable underpads, all sizes

$941K

15K claims · 7.5%

Your Cost: $63.54/claim|Median: $37.02
1.7× median
T4535Top 10%

Adult-sized disposable underpads/pads, large

$903K

13K claims · 7.2%

Your Cost: $71.61/claim|Median: $42.03
1.7× median
A4927Top 10%

Gloves, non-sterile, per 100

$725K

25K claims · 5.8%

Your Cost: $29.49/claim|Median: $12.90
2.3× median
T4527Top 10%

Adult-sized disposable incontinence product, large

$661K

4,093 claims · 5.3%

Your Cost: $161.47/claim|Median: $99.53
1.6× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$594K

4,626 claims · 4.7%

Your Cost: $128.45/claim|Median: $88.94
1.4× median
A6530Top 25%

$400K

5,663 claims · 3.2%

Your Cost: $70.61/claim|Median: $49.70
1.4× median
T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$360K

2,265 claims · 2.9%

Your Cost: $159.07/claim|Median: $105.14
1.5× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$305K

22K claims · 2.4%

Your Cost: $13.70/claim|Median: $9.88
1.4× median
T4525Normal range

$168K

1,689 claims · 1.3%

Your Cost: $99.32/claim|Median: $79.46
1.2× median
B4152Top 10%

Enteral formula, calorically dense, per 100 calories

$109K

573 claims · 0.9%

Your Cost: $189.80/claim|Median: $92.20
2.1× median
T4544Top 25%

Pediatric-sized disposable underpads/pads, small

$70K

293 claims · 0.6%

Your Cost: $239.38/claim|Median: $171.64
1.4× median
A4670Top 10%

$7K

108 claims · 0.1%

Your Cost: $65.83/claim|Median: $50.23
1.3× median
E0242Normal range

$7K

84 claims · 0.1%

Your Cost: $82.98/claim|Median: $73.67
1.1× median
K0001Normal range

Standard wheelchair

$5K

639 claims · 0.0%

Your Cost: $8.05/claim|Median: $12.27
0.7× median
T4523Top 25%

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

$3K

24 claims · 0.0%

Your Cost: $129.76/claim|Median: $96.13
1.3× median
A6533Normal range

$2K

25 claims · 0.0%

Your Cost: $79.47/claim|Median: $74.92
1.1× median
E0245Normal range

$2K

48 claims · 0.0%

Your Cost: $40.39/claim|Median: $42.10
1.0× median
T4522Top 10%

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

$2K

14 claims · 0.0%

Your Cost: $135.23/claim|Median: $84.50
1.6× median
E0570Normal range

Nebulizer, with compressor

$1K

83 claims · 0.0%

Your Cost: $17.33/claim|Median: $16.16
1.1× median
E0100Top 10%

$837

50 claims · 0.0%

Your Cost: $16.74/claim|Median: $9.96
1.7× median
K0195Normal range

$155

73 claims · 0.0%

Your Cost: $2.13/claim|Median: $4.65
0.5× median
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