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Provider 1760446538

NPI: 1760446538Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,920,885

Total Claims

127K

Beneficiaries

125K

1.0 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-3%
2019
$1.2M
+29%
2020
$1.5M
-26%
2021
$1.1M
+9%
2022
$1.2M
+8%
2023
$1.3M
+1%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (T4535 (Adult-sized disposable underpads/pads, large)) accounts for 22% of total spending.

T4535Normal range

Adult-sized disposable underpads/pads, large

$2.0M

37K claims · 22.1%

Your Cost: $53.86/claim|Median: $42.03
1.3× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.3M

12K claims · 14.5%

Your Cost: $107.73/claim|Median: $105.14
1.0× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.2M

13K claims · 13.6%

Your Cost: $92.48/claim|Median: $99.53
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.1M

13K claims · 12.1%

Your Cost: $83.27/claim|Median: $88.94
0.9× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$786K

22K claims · 8.8%

Your Cost: $36.02/claim|Median: $41.28
0.9× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$744K

4,447 claims · 8.3%

Your Cost: $167.31/claim|Median: $177.75
0.9× median
T4537Top 5%

$414K

3,792 claims · 4.6%

Your Cost: $109.15/claim|Median: $31.50
3.5× median
T1999Top 25%

Miscellaneous therapeutic items and supplies

$369K

2,070 claims · 4.1%

Your Cost: $178.38/claim|Median: $28.63
6.2× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$201K

1,140 claims · 2.3%

Your Cost: $176.64/claim|Median: $171.64
1.0× median
T4525Normal range

$186K

2,589 claims · 2.1%

Your Cost: $72.01/claim|Median: $79.46
0.9× median
T4542Normal range

$164K

6,940 claims · 1.8%

Your Cost: $23.66/claim|Median: $33.31
0.7× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$156K

1,067 claims · 1.7%

Your Cost: $146.29/claim|Median: $89.79
1.6× median
A4927Normal range

Gloves, non-sterile, per 100

$69K

4,556 claims · 0.8%

Your Cost: $15.24/claim|Median: $12.90
1.2× median
E1399Normal range

Durable medical equipment, miscellaneous

$60K

1,324 claims · 0.7%

Your Cost: $45.46/claim|Median: $104.06
0.4× median
B4154Top 25%

$48K

183 claims · 0.5%

Your Cost: $262.60/claim|Median: $132.96
2.0× median
T4523Normal range

Adult-sized disposable incontinence product, brief/diaper, small

$43K

416 claims · 0.5%

Your Cost: $102.71/claim|Median: $96.13
1.1× median
E0240Normal range

$38K

409 claims · 0.4%

Your Cost: $93.19/claim|Median: $62.75
1.5× median
T4524Normal range

Adult-sized disposable incontinence product, brief/diaper, medium

$26K

214 claims · 0.3%

Your Cost: $122.48/claim|Median: $108.31
1.1× median
S5165Normal range

Home modifications, per service

$14K

111 claims · 0.2%

Your Cost: $130.28/claim|Median: $2,196.32
0.1× median
A4335Top 25%

Incontinence supply, miscellaneous

$8K

746 claims · 0.1%

Your Cost: $11.17/claim|Median: $5.54
2.0× median
E0244Top 10%

$8K

108 claims · 0.1%

Your Cost: $73.19/claim|Median: $32.11
2.3× median
B4152Top 5%

Enteral formula, calorically dense, per 100 calories

$8K

33 claims · 0.1%

Your Cost: $236.98/claim|Median: $92.20
2.6× median
E0260Normal range

Hospital bed, semi-electric

$6K

196 claims · 0.1%

Your Cost: $31.83/claim|Median: $23.07
1.4× median
E0246Top 25%

$4K

52 claims · 0.0%

Your Cost: $74.67/claim|Median: $48.66
1.5× median
E0570Top 25%

Nebulizer, with compressor

$2K

27 claims · 0.0%

Your Cost: $58.57/claim|Median: $16.16
3.6× median
K0001Top 25%

Standard wheelchair

$273

12 claims · 0.0%

Your Cost: $22.78/claim|Median: $12.27
1.9× median
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