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M&O ENTERPRISES LLC

Pharmacy, Home Infusion Therapy Pharmacy·BIRMINGHAM, AL·NPI: 1760425011Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$31.1M

$31,146,896

Total Claims

316K

Beneficiaries

270K

1.2 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$3.4M
+14%
2019
$3.8M
+3%
2020
$3.9M
+15%
2021
$4.5M
+9%
2022
$4.9M
+12%
2023
$5.5M
-8%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 31 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 41% of total spending.

B4035Top 10%

Enteral feeding supply kit, pump fed, per day

$12.9M

54K claims · 41.5%

Your Cost: $239.57/claim|Median: $117.24
2.0× median
B9002Normal range

$5.4M

73K claims · 17.4%

Your Cost: $74.26/claim|Median: $54.41
1.4× median
B4034Top 25%

$4.3M

43K claims · 13.7%

Your Cost: $98.90/claim|Median: $46.28
2.1× median
B4088Top 5%

$2.1M

13K claims · 6.6%

Your Cost: $153.17/claim|Median: $73.20
2.1× median
B4224Top 5%

$1.5M

6,302 claims · 4.7%

Your Cost: $231.20/claim|Median: $78.83
2.9× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$1.2M

64K claims · 3.9%

Your Cost: $18.98/claim|Median: $55.51
0.3× median
B9004Top 25%

$849K

3,014 claims · 2.7%

Your Cost: $281.58/claim|Median: $122.59
2.3× median
S9500Normal range

$651K

3,625 claims · 2.1%

Your Cost: $179.71/claim|Median: $144.40
1.2× median
B4220Top 10%

$468K

6,312 claims · 1.5%

Your Cost: $74.10/claim|Median: $27.49
2.7× median
A4213Top 25%

$255K

14K claims · 0.8%

Your Cost: $18.84/claim|Median: $9.01
2.1× median
E0202Normal range

$240K

2,847 claims · 0.8%

Your Cost: $84.45/claim|Median: $71.55
1.2× median
A5200Normal range

$235K

7,823 claims · 0.8%

Your Cost: $30.07/claim|Median: $27.94
1.1× median
E0781Top 25%

$185K

1,104 claims · 0.6%

Your Cost: $167.64/claim|Median: $54.38
3.1× median
E0776Top 10%

$177K

2,426 claims · 0.6%

Your Cost: $72.77/claim|Median: $8.13
9.0× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$176K

278 claims · 0.6%

Your Cost: $634.80/claim|Median: $465.86
1.4× median
B4160Top 10%

Enteral formula, per 100 calories

$122K

395 claims · 0.4%

Your Cost: $309.80/claim|Median: $157.30
2.0× median
A4222Top 25%

$96K

475 claims · 0.3%

Your Cost: $201.37/claim|Median: $62.70
3.2× median
S5498Normal range

$77K

1,464 claims · 0.2%

Your Cost: $52.58/claim|Median: $28.30
1.9× median
B4036Normal range

$63K

3,902 claims · 0.2%

Your Cost: $16.12/claim|Median: $74.87
0.2× median
A4452Normal range

$49K

7,107 claims · 0.2%

Your Cost: $6.91/claim|Median: $9.98
0.7× median
S9502Normal range

$45K

262 claims · 0.1%

Your Cost: $170.51/claim|Median: $165.71
1.0× median
A6216Top 25%

Gauze, non-impregnated, sterile

$31K

3,845 claims · 0.1%

Your Cost: $8.10/claim|Median: $4.91
1.6× median
E1399Normal range

Durable medical equipment, miscellaneous

$25K

129 claims · 0.1%

Your Cost: $197.23/claim|Median: $104.06
1.9× median
A4400Normal range

$25K

758 claims · 0.1%

Your Cost: $33.55/claim|Median: $52.89
0.6× median
A4398Top 10%

$25K

1,047 claims · 0.1%

Your Cost: $23.65/claim|Median: $9.50
2.5× median
S9373Normal range

$7K

51 claims · 0.0%

Your Cost: $135.65/claim|Median: $104.15
1.3× median
A4927Normal range

Gloves, non-sterile, per 100

$7K

638 claims · 0.0%

Your Cost: $10.79/claim|Median: $12.90
0.8× median
B4082Normal range

$3K

86 claims · 0.0%

Your Cost: $34.50/claim|Median: $28.33
1.2× median
A4450Normal range

$2K

926 claims · 0.0%

Your Cost: $2.55/claim|Median: $3.14
0.8× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$534

72 claims · 0.0%

Your Cost: $7.42/claim|Median: $116.15
0.1× median
A6402Normal range

$458

116 claims · 0.0%

Your Cost: $3.95/claim|Median: $7.69
0.5× median

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