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Provider 1700958857

NPI: 1700958857Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.3M

$14,326,313

Total Claims

252K

Beneficiaries

249K

1.0 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-0%
2019
$2.1M
-2%
2020
$2.0M
+3%
2021
$2.1M
-1%
2022
$2.1M
-8%
2023
$1.9M
+10%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4927 (Gloves, non-sterile, per 100)) accounts for 10% of total spending.

A4927Top 25%

Gloves, non-sterile, per 100

$1.4M

52K claims · 9.8%

Your Cost: $26.94/claim|Median: $12.90
2.1× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.4M

14K claims · 9.4%

Your Cost: $93.52/claim|Median: $99.53
0.9× median
T4523Normal range

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

$1.2M

11K claims · 8.5%

Your Cost: $110.51/claim|Median: $96.13
1.1× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.2M

13K claims · 8.2%

Your Cost: $89.16/claim|Median: $88.94
1.0× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.1M

28K claims · 7.5%

Your Cost: $38.48/claim|Median: $41.28
0.9× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.1M

8,850 claims · 7.4%

Your Cost: $120.40/claim|Median: $105.14
1.1× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$1.1M

8,060 claims · 7.4%

Your Cost: $131.45/claim|Median: $110.54
1.2× median
T4524Normal range

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

$875K

6,627 claims · 6.1%

Your Cost: $132.10/claim|Median: $108.31
1.2× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$822K

5,996 claims · 5.7%

Your Cost: $137.11/claim|Median: $89.79
1.5× median
T4522Normal range

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

$776K

8,861 claims · 5.4%

Your Cost: $87.57/claim|Median: $84.50
1.0× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$503K

10K claims · 3.5%

Your Cost: $49.56/claim|Median: $42.03
1.2× median
K0108Top 25%

Wheelchair component or accessory, NOS

$417K

1,751 claims · 2.9%

Your Cost: $238.28/claim|Median: $153.75
1.5× median
T4537Normal range

$323K

20K claims · 2.3%

Your Cost: $16.22/claim|Median: $31.50
0.5× median
B4100Normal range

$294K

5,653 claims · 2.1%

Your Cost: $52.04/claim|Median: $67.58
0.8× median
T4530Top 10%

$264K

2,079 claims · 1.8%

Your Cost: $126.86/claim|Median: $83.90
1.5× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$217K

1,640 claims · 1.5%

Your Cost: $132.39/claim|Median: $116.15
1.1× median
E0260Top 25%

Hospital bed, semi-electric

$197K

4,612 claims · 1.4%

Your Cost: $42.73/claim|Median: $23.07
1.9× median
K0001Normal range

Standard wheelchair

$138K

6,638 claims · 1.0%

Your Cost: $20.74/claim|Median: $12.27
1.7× median
K0739Top 25%

$132K

1,913 claims · 0.9%

Your Cost: $68.95/claim|Median: $34.09
2.0× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$122K

939 claims · 0.9%

Your Cost: $130.15/claim|Median: $92.20
1.4× median
E1399Normal range

Durable medical equipment, miscellaneous

$102K

253 claims · 0.7%

Your Cost: $401.63/claim|Median: $104.06
3.9× median
E0245Normal range

$85K

2,081 claims · 0.6%

Your Cost: $40.80/claim|Median: $42.10
1.0× median
B4160Normal range

Enteral formula, per 100 calories

$79K

677 claims · 0.5%

Your Cost: $116.04/claim|Median: $157.30
0.7× median
E0630Normal range

$55K

1,858 claims · 0.4%

Your Cost: $29.68/claim|Median: $23.70
1.3× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$51K

1,205 claims · 0.4%

Your Cost: $42.39/claim|Median: $31.59
1.3× median
A5131Top 25%

$49K

3,573 claims · 0.3%

Your Cost: $13.75/claim|Median: $7.99
1.7× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$48K

225 claims · 0.3%

Your Cost: $214.10/claim|Median: $171.64
1.2× median
A9901Normal range

$46K

17K claims · 0.3%

Your Cost: $2.75/claim|Median: $5.31
0.5× median
K0823Top 25%

Power wheelchair, Group 2

$45K

213 claims · 0.3%

Your Cost: $210.01/claim|Median: $95.35
2.2× median
T4521Top 5%

$38K

296 claims · 0.3%

Your Cost: $129.59/claim|Median: $81.60
1.6× median
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