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Provider 1750396461

NPI: 1750396461Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,244,231

Total Claims

97K

Beneficiaries

47K

2.1 claims/patient

Avg Cost/Claim

$105

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-1%
2019
$1.5M
-10%
2020
$1.4M
-4%
2021
$1.3M
+20%
2022
$1.6M
+1%
2023
$1.6M
-8%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 26% of total spending.

B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$2.7M

13K claims · 26.0%

Your Cost: $210.93/claim|Median: $117.24
1.8× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.3M

3,632 claims · 12.9%

Your Cost: $364.38/claim|Median: $465.86
0.8× median
B4160Normal range

Enteral formula, per 100 calories

$998K

5,954 claims · 9.7%

Your Cost: $167.65/claim|Median: $157.30
1.1× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$888K

6,824 claims · 8.7%

Your Cost: $130.15/claim|Median: $300.16
0.4× median
B4224Normal range

$782K

8,100 claims · 7.6%

Your Cost: $96.55/claim|Median: $78.83
1.2× median
B4034Top 25%

$623K

6,045 claims · 6.1%

Your Cost: $103.13/claim|Median: $46.28
2.2× median
A4222Normal range

$607K

6,036 claims · 5.9%

Your Cost: $100.55/claim|Median: $62.70
1.6× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$329K

1,993 claims · 3.2%

Your Cost: $165.03/claim|Median: $89.79
1.8× median
B4088Top 25%

$324K

2,709 claims · 3.2%

Your Cost: $119.72/claim|Median: $73.20
1.6× median
S5501Normal range

$316K

7,976 claims · 3.1%

Your Cost: $39.66/claim|Median: $43.74
0.9× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$304K

3,111 claims · 3.0%

Your Cost: $97.61/claim|Median: $92.20
1.1× median
B9002Normal range

$228K

3,343 claims · 2.2%

Your Cost: $68.09/claim|Median: $54.41
1.3× median
A4221Top 25%

Supplies for maintenance of drug infusion catheter

$226K

9,940 claims · 2.2%

Your Cost: $22.76/claim|Median: $16.19
1.4× median
S9500Normal range

$219K

4,649 claims · 2.1%

Your Cost: $47.21/claim|Median: $144.40
0.3× median
B4100Top 25%

$214K

1,866 claims · 2.1%

Your Cost: $114.78/claim|Median: $67.58
1.7× median
E0781Normal range

$91K

11K claims · 0.9%

Your Cost: $8.60/claim|Median: $54.38
0.2× median
B4154Top 25%

$72K

293 claims · 0.7%

Your Cost: $246.89/claim|Median: $132.96
1.9× median
E0776Normal range

$16K

1,512 claims · 0.2%

Your Cost: $10.65/claim|Median: $8.13
1.3× median
B4153Normal range

$13K

43 claims · 0.1%

Your Cost: $300.20/claim|Median: $410.73
0.7× median
B4155Normal range

$4K

97 claims · 0.0%

Your Cost: $39.08/claim|Median: $46.72
0.8× median
B4087Normal range

$3K

127 claims · 0.0%

Your Cost: $25.03/claim|Median: $25.27
1.0× median
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