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Provider 1730174764

NPI: 1730174764Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,075,277

Total Claims

252K

Beneficiaries

228K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$286K
-69%
2019
$88K
+699%
2020
$701K
+254%
2021
$2.5M
-6%
2022
$2.3M
-3%
2023
$2.3M
-59%
2024
$922K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A6197) accounts for 12% of total spending.

A6197Normal range

$1.1M

7,034 claims · 12.4%

Your Cost: $160.51/claim|Median: $156.22
1.0× median
A6253Normal range

$873K

8,356 claims · 9.6%

Your Cost: $104.49/claim|Median: $93.50
1.1× median
A6212Normal range

$859K

11K claims · 9.5%

Your Cost: $77.67/claim|Median: $76.51
1.0× median
A6021Normal range

$587K

5,127 claims · 6.5%

Your Cost: $114.51/claim|Median: $111.06
1.0× median
A6196Normal range

$512K

7,649 claims · 5.6%

Your Cost: $66.98/claim|Median: $71.68
0.9× median
A6252Normal range

$459K

9,688 claims · 5.1%

Your Cost: $47.33/claim|Median: $46.15
1.0× median
A6210Normal range

$363K

2,091 claims · 4.0%

Your Cost: $173.84/claim|Median: $163.78
1.1× median
A6446Normal range

$361K

21K claims · 4.0%

Your Cost: $17.43/claim|Median: $14.64
1.2× median
B4160Normal range

Enteral formula, per 100 calories

$318K

1,736 claims · 3.5%

Your Cost: $182.90/claim|Median: $157.30
1.2× median
A4216Normal range

$254K

18K claims · 2.8%

Your Cost: $13.82/claim|Median: $8.45
1.6× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$246K

620 claims · 2.7%

Your Cost: $397.11/claim|Median: $465.86
0.9× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$220K

1,934 claims · 2.4%

Your Cost: $113.84/claim|Median: $116.15
1.0× median
A6222Top 25%

$204K

4,698 claims · 2.3%

Your Cost: $43.51/claim|Median: $23.17
1.9× median
A6223Normal range

$192K

4,880 claims · 2.1%

Your Cost: $39.42/claim|Median: $35.60
1.1× median
A4452Normal range

$179K

21K claims · 2.0%

Your Cost: $8.46/claim|Median: $9.98
0.8× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$146K

897 claims · 1.6%

Your Cost: $162.97/claim|Median: $117.24
1.4× median
A4409Normal range

$129K

2,370 claims · 1.4%

Your Cost: $54.44/claim|Median: $61.38
0.9× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$119K

1,483 claims · 1.3%

Your Cost: $80.19/claim|Median: $89.79
0.9× median
A6209Normal range

$119K

1,802 claims · 1.3%

Your Cost: $65.92/claim|Median: $55.36
1.2× median
A4385Normal range

$110K

2,633 claims · 1.2%

Your Cost: $41.70/claim|Median: $49.51
0.8× median
A6402Normal range

$89K

18K claims · 1.0%

Your Cost: $4.83/claim|Median: $7.69
0.6× median
A4425Normal range

$88K

2,762 claims · 1.0%

Your Cost: $31.87/claim|Median: $38.79
0.8× median
A6199Normal range

$81K

902 claims · 0.9%

Your Cost: $89.38/claim|Median: $56.87
1.6× median
A6449Normal range

$80K

3,538 claims · 0.9%

Your Cost: $22.56/claim|Median: $5.88
3.8× median
A6266Normal range

$78K

1,233 claims · 0.9%

Your Cost: $63.36/claim|Median: $47.46
1.3× median
A4407Normal range

$76K

1,028 claims · 0.8%

Your Cost: $74.09/claim|Median: $73.73
1.0× median
A6216Normal range

Gauze, non-impregnated, sterile

$70K

15K claims · 0.8%

Your Cost: $4.63/claim|Median: $4.91
0.9× median
A6452Normal range

$65K

638 claims · 0.7%

Your Cost: $101.66/claim|Median: $83.58
1.2× median
A4927Normal range

Gloves, non-sterile, per 100

$61K

7,236 claims · 0.7%

Your Cost: $8.49/claim|Median: $12.90
0.7× median
A6207Top 25%

$53K

727 claims · 0.6%

Your Cost: $72.43/claim|Median: $38.69
1.9× median
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