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Provider 1699709626

NPI: 1699709626Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,656,201

Total Claims

117K

Beneficiaries

77K

1.5 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+15%
2019
$1.4M
+22%
2020
$1.7M
+5%
2021
$1.8M
-2%
2022
$1.7M
-13%
2023
$1.5M
-11%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (B4154) accounts for 53% of total spending.

B4154Normal range

$5.6M

36K claims · 52.7%

Your Cost: $153.98/claim|Median: $132.96
1.2× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$1.3M

15K claims · 11.8%

Your Cost: $81.73/claim|Median: $89.79
0.9× median
A4554Normal range

Disposable underpads, all sizes

$654K

15K claims · 6.1%

Your Cost: $43.72/claim|Median: $37.02
1.2× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$511K

4,570 claims · 4.8%

Your Cost: $111.92/claim|Median: $110.54
1.0× median
B4155Normal range

$501K

5,622 claims · 4.7%

Your Cost: $89.05/claim|Median: $46.72
1.9× median
T4527Normal range

Adult-sized disposable incontinence product, large

$387K

3,775 claims · 3.6%

Your Cost: $102.39/claim|Median: $99.53
1.0× median
T4532Normal range

$373K

2,898 claims · 3.5%

Your Cost: $128.61/claim|Median: $116.50
1.1× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$284K

2,748 claims · 2.7%

Your Cost: $103.38/claim|Median: $105.14
1.0× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$281K

2,645 claims · 2.6%

Your Cost: $106.29/claim|Median: $92.20
1.2× median
T4523Top 25%

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

$199K

1,677 claims · 1.9%

Your Cost: $118.42/claim|Median: $96.13
1.2× median
T4522Normal range

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

$195K

2,071 claims · 1.8%

Your Cost: $94.38/claim|Median: $84.50
1.1× median
B4034Normal range

$187K

15K claims · 1.8%

Your Cost: $12.33/claim|Median: $46.28
0.3× median
A4927Top 25%

Gloves, non-sterile, per 100

$117K

6,135 claims · 1.1%

Your Cost: $19.00/claim|Median: $12.90
1.5× median
E1390Normal range

Oxygen concentrator, single delivery port

$52K

926 claims · 0.5%

Your Cost: $56.67/claim|Median: $45.11
1.3× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$15K

402 claims · 0.1%

Your Cost: $37.02/claim|Median: $35.30
1.0× median
E0260Normal range

Hospital bed, semi-electric

$11K

463 claims · 0.1%

Your Cost: $22.88/claim|Median: $23.07
1.0× median
B4088Normal range

$7K

97 claims · 0.1%

Your Cost: $76.20/claim|Median: $73.20
1.0× median
E0431Normal range

Portable gaseous oxygen system, rental

$4K

377 claims · 0.0%

Your Cost: $10.01/claim|Median: $10.37
1.0× median
K0001Normal range

Standard wheelchair

$2K

280 claims · 0.0%

Your Cost: $8.40/claim|Median: $12.27
0.7× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$2K

257 claims · 0.0%

Your Cost: $7.74/claim|Median: $55.51
0.1× median
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