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CAROLINAS MEDICAL CENTER AT HOME LLC

Pharmacy, Home Infusion Therapy Pharmacy·CHARLOTTE, NC·NPI: 1750517108Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$29.1M

$29,113,804

Total Claims

337K

Beneficiaries

226K

1.5 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$4.1M
+14%
2019
$4.6M
+10%
2020
$5.1M
-2%
2021
$5.0M
-17%
2022
$4.1M
+5%
2023
$4.3M
-58%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 48 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 17% of total spending.

B4035Normal range

Enteral feeding supply kit, pump fed, per day

$5.0M

33K claims · 17.1%

Your Cost: $152.22/claim|Median: $117.24
1.3× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$4.6M

12K claims · 15.9%

Your Cost: $395.64/claim|Median: $465.86
0.8× median
B4160Normal range

Enteral formula, per 100 calories

$1.9M

18K claims · 6.4%

Your Cost: $101.52/claim|Median: $157.30
0.6× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$1.8M

6,950 claims · 6.3%

Your Cost: $265.49/claim|Median: $300.16
0.9× median
E1390Normal range

Oxygen concentrator, single delivery port

$1.3M

20K claims · 4.3%

Your Cost: $61.51/claim|Median: $45.11
1.4× median
S9494Normal range

$1.1M

5,310 claims · 3.9%

Your Cost: $212.29/claim|Median: $169.66
1.3× median
B4034Normal range

$1.0M

14K claims · 3.5%

Your Cost: $75.13/claim|Median: $46.28
1.6× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$956K

23K claims · 3.3%

Your Cost: $41.59/claim|Median: $35.30
1.2× median
B4153Normal range

$883K

2,158 claims · 3.0%

Your Cost: $409.19/claim|Median: $410.73
1.0× median
B4185Normal range

$846K

5,500 claims · 2.9%

Your Cost: $153.80/claim|Median: $134.70
1.1× median
B4155Top 25%

$770K

6,894 claims · 2.6%

Your Cost: $111.66/claim|Median: $46.72
2.4× median
T1030Top 10%

Nursing care, in the home, by RN, per diem

$737K

4,386 claims · 2.5%

Your Cost: $168.13/claim|Median: $85.62
2.0× median
B4088Top 25%

$702K

6,111 claims · 2.4%

Your Cost: $114.80/claim|Median: $73.20
1.6× median
B4224Normal range

$644K

6,157 claims · 2.2%

Your Cost: $104.55/claim|Median: $78.83
1.3× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$629K

6,146 claims · 2.2%

Your Cost: $102.42/claim|Median: $92.20
1.1× median
B9002Top 1%

$549K

686 claims · 1.9%

Your Cost: $800.34/claim|Median: $54.41
14.7× median
A9999Normal range

$540K

4,643 claims · 1.9%

Your Cost: $116.22/claim|Median: $39.73
2.9× median
A7030Normal range

Full face mask for CPAP device

$472K

7,709 claims · 1.6%

Your Cost: $61.23/claim|Median: $56.36
1.1× median
B4189Normal range

$471K

602 claims · 1.6%

Your Cost: $782.66/claim|Median: $743.70
1.1× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$403K

26K claims · 1.4%

Your Cost: $15.71/claim|Median: $55.51
0.3× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$325K

15K claims · 1.1%

Your Cost: $21.71/claim|Median: $18.68
1.2× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$295K

2,777 claims · 1.0%

Your Cost: $106.35/claim|Median: $89.79
1.2× median
B4100Top 25%

$288K

2,687 claims · 1.0%

Your Cost: $107.31/claim|Median: $67.58
1.6× median
B4036Normal range

$286K

2,709 claims · 1.0%

Your Cost: $105.69/claim|Median: $74.87
1.4× median
B4103Normal range

$271K

3,562 claims · 0.9%

Your Cost: $76.13/claim|Median: $82.54
0.9× median
A7034Normal range

$271K

7,362 claims · 0.9%

Your Cost: $36.81/claim|Median: $35.90
1.0× median
E0570Top 25%

Nebulizer, with compressor

$262K

4,745 claims · 0.9%

Your Cost: $55.16/claim|Median: $16.16
3.4× median
E0470Normal range

$230K

3,154 claims · 0.8%

Your Cost: $73.01/claim|Median: $81.45
0.9× median
B4154Top 25%

$216K

1,034 claims · 0.7%

Your Cost: $208.80/claim|Median: $132.96
1.6× median
B4220Normal range

$206K

6,145 claims · 0.7%

Your Cost: $33.60/claim|Median: $27.49
1.2× median
A7035Normal range

$146K

11K claims · 0.5%

Your Cost: $13.32/claim|Median: $13.01
1.0× median
B4158Normal range

$142K

1,760 claims · 0.5%

Your Cost: $80.68/claim|Median: $145.71
0.6× median
A7031Normal range

$133K

6,603 claims · 0.5%

Your Cost: $20.07/claim|Median: $25.17
0.8× median
A7037Top 25%

$132K

6,820 claims · 0.5%

Your Cost: $19.31/claim|Median: $10.56
1.8× median
E1392Top 25%

$105K

5,769 claims · 0.4%

Your Cost: $18.17/claim|Median: $10.81
1.7× median
K0738Normal range

$104K

5,627 claims · 0.4%

Your Cost: $18.49/claim|Median: $17.69
1.0× median
A4627Top 25%

$71K

2,088 claims · 0.2%

Your Cost: $34.24/claim|Median: $21.89
1.6× median
A4604Normal range

$63K

7,840 claims · 0.2%

Your Cost: $8.03/claim|Median: $22.01
0.4× median
A7032Normal range

$44K

3,234 claims · 0.1%

Your Cost: $13.47/claim|Median: $25.48
0.5× median
A4670Normal range

$36K

1,139 claims · 0.1%

Your Cost: $31.35/claim|Median: $50.23
0.6× median
A7038Normal range

$36K

16K claims · 0.1%

Your Cost: $2.30/claim|Median: $3.53
0.7× median
E0431Normal range

Portable gaseous oxygen system, rental

$36K

3,597 claims · 0.1%

Your Cost: $9.90/claim|Median: $10.37
1.0× median
E0776Top 5%

$33K

378 claims · 0.1%

Your Cost: $86.29/claim|Median: $8.13
10.6× median
A7033Normal range

$30K

2,899 claims · 0.1%

Your Cost: $10.26/claim|Median: $20.57
0.5× median
B9004Normal range

$24K

287 claims · 0.1%

Your Cost: $83.85/claim|Median: $122.59
0.7× median
A7046Normal range

Water collection device for humidifier, each

$10K

4,224 claims · 0.0%

Your Cost: $2.39/claim|Median: $6.86
0.3× median
A7036Normal range

$5K

780 claims · 0.0%

Your Cost: $6.01/claim|Median: $7.69
0.8× median
A7039Normal range

$70

18 claims · 0.0%

Your Cost: $3.88/claim|Median: $4.54
0.9× median