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Provider 1699853713

NPI: 1699853713Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.9M

$14,867,855

Total Claims

284K

Beneficiaries

214K

1.3 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-9%
2019
$1.7M
+27%
2020
$2.2M
+7%
2021
$2.4M
-29%
2022
$1.7M
+56%
2023
$2.6M
-10%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 25% of total spending.

B4035Normal range

Enteral feeding supply kit, pump fed, per day

$3.7M

30K claims · 25.1%

Your Cost: $123.69/claim|Median: $117.24
1.1× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$3.0M

55K claims · 20.1%

Your Cost: $54.21/claim|Median: $55.51
1.0× median
S9342Top 5%

Home infusion therapy, continuous or intermittent, per diem

$2.7M

3,964 claims · 17.8%

Your Cost: $668.55/claim|Median: $176.25
3.8× median
B4088Top 25%

$2.3M

17K claims · 15.4%

Your Cost: $135.19/claim|Median: $73.20
1.8× median
A4223Normal range

$605K

17K claims · 4.1%

Your Cost: $36.48/claim|Median: $60.92
0.6× median
T5999Top 10%

Transportation service, not otherwise classified

$377K

2,665 claims · 2.5%

Your Cost: $141.34/claim|Median: $8.13
17.4× median
A4322Normal range

$352K

29K claims · 2.4%

Your Cost: $12.04/claim|Median: $14.10
0.9× median
B9002Top 25%

$333K

3,928 claims · 2.2%

Your Cost: $84.70/claim|Median: $54.41
1.6× median
B9999Normal range

$275K

11K claims · 1.8%

Your Cost: $25.22/claim|Median: $29.84
0.8× median
A6402Normal range

$142K

33K claims · 1.0%

Your Cost: $4.31/claim|Median: $7.69
0.6× median
B4036Normal range

$134K

3,247 claims · 0.9%

Your Cost: $41.18/claim|Median: $74.87
0.6× median
B4160Normal range

Enteral formula, per 100 calories

$132K

1,946 claims · 0.9%

Your Cost: $67.69/claim|Median: $157.30
0.4× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$125K

678 claims · 0.8%

Your Cost: $183.65/claim|Median: $465.86
0.4× median
A4657Normal range

Syringe with needle, each

$120K

33K claims · 0.8%

Your Cost: $3.59/claim|Median: $2.19
1.6× median
E0781Normal range

$114K

2,810 claims · 0.8%

Your Cost: $40.44/claim|Median: $54.38
0.7× median
T4529Top 25%

Pediatric disposable incontinence product, pull-on, large

$85K

808 claims · 0.6%

Your Cost: $105.22/claim|Median: $71.73
1.5× median
T4541Top 25%

Pediatric-sized disposable incontinence product, large

$72K

1,306 claims · 0.5%

Your Cost: $55.40/claim|Median: $41.28
1.3× median
A4248Normal range

$61K

13K claims · 0.4%

Your Cost: $4.77/claim|Median: $2.10
2.3× median
A4215Normal range

Sterile needle, each

$44K

1,379 claims · 0.3%

Your Cost: $32.02/claim|Median: $20.71
1.5× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$43K

852 claims · 0.3%

Your Cost: $50.47/claim|Median: $42.03
1.2× median
A4930Normal range

$43K

6,532 claims · 0.3%

Your Cost: $6.58/claim|Median: $3.61
1.8× median
A4212Normal range

$37K

1,630 claims · 0.2%

Your Cost: $22.65/claim|Median: $10.64
2.1× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$24K

161 claims · 0.2%

Your Cost: $146.51/claim|Median: $89.79
1.6× median
T4522Normal range

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

$22K

220 claims · 0.1%

Your Cost: $100.16/claim|Median: $84.50
1.2× median
T4521Normal range

$17K

186 claims · 0.1%

Your Cost: $90.57/claim|Median: $81.60
1.1× median
A6258Normal range

$16K

4,354 claims · 0.1%

Your Cost: $3.70/claim|Median: $28.94
0.1× median
E0776Top 25%

$13K

272 claims · 0.1%

Your Cost: $49.16/claim|Median: $8.13
6.0× median
S1015Normal range

$13K

1,530 claims · 0.1%

Your Cost: $8.34/claim|Median: $5.10
1.6× median
A4245Normal range

$6K

3,233 claims · 0.0%

Your Cost: $1.71/claim|Median: $2.33
0.7× median
B4155Normal range

$4K

688 claims · 0.0%

Your Cost: $6.26/claim|Median: $46.72
0.1× median
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