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Provider 1730260233

NPI: 1730260233Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$8,046,773

Total Claims

100K

Beneficiaries

54K

1.8 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$778K
+18%
2019
$916K
+17%
2020
$1.1M
+6%
2021
$1.1M
+14%
2022
$1.3M
+9%
2023
$1.4M
+0%
2024
$1.4M

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 24% of total spending.

B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.9M

13K claims · 24.0%

Your Cost: $146.93/claim|Median: $117.24
1.3× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$1.9M

4,738 claims · 23.2%

Your Cost: $394.64/claim|Median: $300.16
1.3× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.2M

3,153 claims · 14.6%

Your Cost: $373.59/claim|Median: $465.86
0.8× median
B4088Normal range

$655K

7,379 claims · 8.1%

Your Cost: $88.81/claim|Median: $73.20
1.2× median
B4160Normal range

Enteral formula, per 100 calories

$566K

4,007 claims · 7.0%

Your Cost: $141.31/claim|Median: $157.30
0.9× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$399K

32K claims · 5.0%

Your Cost: $12.30/claim|Median: $28.63
0.4× median
B9002Normal range

$331K

5,642 claims · 4.1%

Your Cost: $58.70/claim|Median: $54.41
1.1× median
B4153Normal range

$211K

462 claims · 2.6%

Your Cost: $456.69/claim|Median: $410.73
1.1× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$191K

1,142 claims · 2.4%

Your Cost: $166.86/claim|Median: $92.20
1.8× median
B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$158K

922 claims · 2.0%

Your Cost: $171.10/claim|Median: $89.79
1.9× median
B4034Normal range

$144K

3,187 claims · 1.8%

Your Cost: $45.28/claim|Median: $46.28
1.0× median
B4036Normal range

$135K

1,367 claims · 1.7%

Your Cost: $99.11/claim|Median: $74.87
1.3× median
E0781Normal range

$114K

2,222 claims · 1.4%

Your Cost: $51.14/claim|Median: $54.38
0.9× median
B4154Top 25%

$39K

140 claims · 0.5%

Your Cost: $276.32/claim|Median: $132.96
2.1× median
B4155Normal range

$22K

774 claims · 0.3%

Your Cost: $27.85/claim|Median: $46.72
0.6× median
A4927Normal range

Gloves, non-sterile, per 100

$21K

2,723 claims · 0.3%

Your Cost: $7.57/claim|Median: $12.90
0.6× median
A4216Normal range

$15K

9,556 claims · 0.2%

Your Cost: $1.55/claim|Median: $8.45
0.2× median
S1015Normal range

$14K

1,928 claims · 0.2%

Your Cost: $7.25/claim|Median: $5.10
1.4× median
B4158Normal range

$13K

164 claims · 0.2%

Your Cost: $78.32/claim|Median: $145.71
0.5× median
A4322Top 25%

$10K

352 claims · 0.1%

Your Cost: $29.83/claim|Median: $14.10
2.1× median
E0776Top 25%

$9K

177 claims · 0.1%

Your Cost: $52.13/claim|Median: $8.13
6.4× median
A4213Normal range

$7K

1,282 claims · 0.1%

Your Cost: $5.49/claim|Median: $9.01
0.6× median
A6258Normal range

$3K

371 claims · 0.0%

Your Cost: $9.32/claim|Median: $28.94
0.3× median
A6209Normal range

$2K

202 claims · 0.0%

Your Cost: $11.22/claim|Median: $55.36
0.2× median
A4452Normal range

$2K

1,103 claims · 0.0%

Your Cost: $1.97/claim|Median: $9.98
0.2× median
A4450Normal range

$1K

648 claims · 0.0%

Your Cost: $2.22/claim|Median: $3.14
0.7× median
A4209Normal range

$650

462 claims · 0.0%

Your Cost: $1.41/claim|Median: $1.41
1.0× median
A6257Normal range

$521

240 claims · 0.0%

Your Cost: $2.17/claim|Median: $10.48
0.2× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$496

21 claims · 0.0%

Your Cost: $23.62/claim|Median: $36.49
0.6× median
A6402Top 25%

$306

25 claims · 0.0%

Your Cost: $12.23/claim|Median: $7.69
1.6× median
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