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NEXTRA HEALTH, INC.

Durable Medical Equipment & Medical Supplies·SAINT LOUIS, MO·NPI: 1730109588Share

Compared to Durable Medical Equipment & Medical Supplies Peers

Total spending distribution among 35 providers in this specialty

P25MedianP75P90

This provider's total spending of $25.5M is at the below 25th percentile among 35 Durable Medical Equipment & Medical Supplies providers.

Active Billing Period:2018-012024-12(84 months)

Total Paid

$25.5M

$25,499,590

Total Claims

580K

Beneficiaries

556K

1.0 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$3.4M
-6%
2019
$3.2M
+21%
2020
$3.9M
+81%
2021
$7.0M
-23%
2022
$5.4M
-63%
2023
$2.0M
-75%
2024
$502K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (E0603 (Breast pump, electric, any type)) accounts for 14% of total spending.

E0603Normal range

Breast pump, electric, any type

$3.6M

30K claims · 14.2%

Your Cost: $120.21/claim|Median: $131.70
0.9× median
T4527Normal range

Adult-sized disposable incontinence product, large

$3.5M

40K claims · 13.7%

Your Cost: $88.61/claim|Median: $99.53
0.9× median
A4554Normal range

Disposable underpads, all sizes

$2.8M

117K claims · 11.2%

Your Cost: $24.30/claim|Median: $37.02
0.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$2.7M

24K claims · 10.7%

Your Cost: $115.66/claim|Median: $105.14
1.1× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$2.2M

32K claims · 8.7%

Your Cost: $70.11/claim|Median: $88.94
0.8× median
E1399Normal range

Durable medical equipment, miscellaneous

$1.9M

24K claims · 7.6%

Your Cost: $80.21/claim|Median: $104.06
0.8× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$1.8M

64K claims · 7.0%

Your Cost: $27.99/claim|Median: $42.03
0.7× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$1.0M

7,135 claims · 4.1%

Your Cost: $145.88/claim|Median: $171.64
0.8× median
T2028Normal range

Specialized supply, NOS; per unit

$928K

12K claims · 3.6%

Your Cost: $78.04/claim|Median: $79.30
1.0× median
A4335Normal range

Incontinence supply, miscellaneous

$839K

158K claims · 3.3%

Your Cost: $5.29/claim|Median: $5.54
1.0× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$486K

5,202 claims · 1.9%

Your Cost: $93.43/claim|Median: $89.79
1.0× median
B4154Top 25%

$344K

1,382 claims · 1.3%

Your Cost: $248.97/claim|Median: $132.96
1.9× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$339K

2,896 claims · 1.3%

Your Cost: $117.21/claim|Median: $177.75
0.7× median
T4523Normal range

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

$303K

4,249 claims · 1.2%

Your Cost: $71.33/claim|Median: $96.13
0.7× median
T4522Normal range

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

$288K

4,025 claims · 1.1%

Your Cost: $71.64/claim|Median: $84.50
0.8× median
T4524Normal range

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

$288K

3,005 claims · 1.1%

Your Cost: $95.83/claim|Median: $108.31
0.9× median
A4253Top 25%

Blood glucose test strips

$263K

9,598 claims · 1.0%

Your Cost: $27.45/claim|Median: $6.92
4.0× median
B4152Top 10%

Enteral formula, calorically dense, per 100 calories

$228K

1,152 claims · 0.9%

Your Cost: $197.93/claim|Median: $92.20
2.1× median
A4670Normal range

$207K

3,789 claims · 0.8%

Your Cost: $54.66/claim|Median: $50.23
1.1× median
T4525Normal range

$180K

3,049 claims · 0.7%

Your Cost: $59.14/claim|Median: $79.46
0.7× median
A4351Top 25%

Intermittent urinary catheter, straight tip, each

$164K

981 claims · 0.6%

Your Cost: $167.67/claim|Median: $116.15
1.4× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$148K

2,182 claims · 0.6%

Your Cost: $67.71/claim|Median: $110.54
0.6× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$129K

1,724 claims · 0.5%

Your Cost: $75.00/claim|Median: $141.34
0.5× median
E0240Normal range

$120K

1,579 claims · 0.5%

Your Cost: $75.91/claim|Median: $62.75
1.2× median
T4532Normal range

$75K

1,135 claims · 0.3%

Your Cost: $65.76/claim|Median: $116.50
0.6× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$63K

569 claims · 0.2%

Your Cost: $111.57/claim|Median: $55.51
2.0× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$59K

1,414 claims · 0.2%

Your Cost: $41.95/claim|Median: $31.59
1.3× median
A4259Top 25%

Lancets for blood glucose testing

$54K

7,013 claims · 0.2%

Your Cost: $7.69/claim|Median: $2.27
3.4× median
S5199Top 25%

Personal care item, NOS, each

$49K

727 claims · 0.2%

Your Cost: $66.97/claim|Median: $10.82
6.2× median
B4034Top 25%

$41K

407 claims · 0.2%

Your Cost: $100.06/claim|Median: $46.28
2.2× median
E0247Normal range

$35K

466 claims · 0.1%

Your Cost: $76.09/claim|Median: $75.27
1.0× median
T4521Normal range

$24K

401 claims · 0.1%

Your Cost: $60.91/claim|Median: $81.60
0.7× median
E0246Normal range

$16K

386 claims · 0.1%

Your Cost: $42.10/claim|Median: $48.66
0.9× median
A4414Normal range

$13K

210 claims · 0.1%

Your Cost: $61.16/claim|Median: $48.85
1.3× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$13K

114 claims · 0.0%

Your Cost: $111.41/claim|Median: $28.63
3.9× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$12K

24 claims · 0.0%

Your Cost: $499.56/claim|Median: $508.29
1.0× median
T4533Normal range

Adult disposable incontinence product, youth or small

$9K

152 claims · 0.0%

Your Cost: $61.55/claim|Median: $87.25
0.7× median
A6402Top 25%

$9K

606 claims · 0.0%

Your Cost: $15.01/claim|Median: $7.69
2.0× median
A4245Normal range

$9K

6,387 claims · 0.0%

Your Cost: $1.37/claim|Median: $2.33
0.6× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$7K

1,114 claims · 0.0%

Your Cost: $6.19/claim|Median: $9.88
0.6× median
A4314Top 10%

$6K

257 claims · 0.0%

Your Cost: $23.80/claim|Median: $5.42
4.4× median
A4349Normal range

$6K

189 claims · 0.0%

Your Cost: $30.23/claim|Median: $28.92
1.0× median
A4357Normal range

Bedside drainage bag, day or night

$5K

676 claims · 0.0%

Your Cost: $7.51/claim|Median: $7.46
1.0× median
A5063Normal range

$5K

132 claims · 0.0%

Your Cost: $35.72/claim|Median: $27.93
1.3× median
A5120Normal range

$5K

535 claims · 0.0%

Your Cost: $8.61/claim|Median: $6.35
1.4× median
A4394Normal range

$4K

292 claims · 0.0%

Your Cost: $14.51/claim|Median: $12.65
1.1× median
A4456Top 25%

$4K

399 claims · 0.0%

Your Cost: $9.76/claim|Median: $6.74
1.4× median
A4927Normal range

Gloves, non-sterile, per 100

$4K

347 claims · 0.0%

Your Cost: $11.17/claim|Median: $12.90
0.9× median
E0570Top 10%

Nebulizer, with compressor

$4K

42 claims · 0.0%

Your Cost: $90.99/claim|Median: $16.16
5.6× median
A4358Normal range

$4K

504 claims · 0.0%

Your Cost: $7.23/claim|Median: $6.27
1.2× median