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Provider 1770998494

NPI: 1770998494Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,583,095

Total Claims

77K

Beneficiaries

66K

1.2 claims/patient

Avg Cost/Claim

$124

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-1%
2019
$1.0M
+21%
2020
$1.3M
+2%
2021
$1.3M
+20%
2022
$1.5M
+14%
2023
$1.8M
-7%
2024
$1.6M

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 19% of total spending.

B4035Top 1%

Enteral feeding supply kit, pump fed, per day

$1.9M

4,919 claims · 19.4%

Your Cost: $378.59/claim|Median: $117.24
3.2× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$1.3M

9,954 claims · 13.2%

Your Cost: $127.14/claim|Median: $55.51
2.3× median
B4161Top 10%

Enteral formula, semisolid, 100 calories = 1 unit

$1.2M

1,398 claims · 12.3%

Your Cost: $845.77/claim|Median: $465.86
1.8× median
B4160Top 25%

Enteral formula, per 100 calories

$696K

2,505 claims · 7.3%

Your Cost: $278.01/claim|Median: $157.30
1.8× median
T4541Top 25%

Pediatric-sized disposable incontinence product, large

$479K

8,372 claims · 5.0%

Your Cost: $57.24/claim|Median: $41.28
1.4× median
T4522Top 1%

Adult-sized disposable incontinence product, brief/diaper, above XL

$395K

1,903 claims · 4.1%

Your Cost: $207.34/claim|Median: $84.50
2.5× median
T4530Top 5%

$393K

2,074 claims · 4.1%

Your Cost: $189.48/claim|Median: $83.90
2.3× median
A4927Top 10%

Gloves, non-sterile, per 100

$370K

12K claims · 3.9%

Your Cost: $31.22/claim|Median: $12.90
2.4× median
A4320Top 5%

$341K

2,070 claims · 3.6%

Your Cost: $164.79/claim|Median: $9.59
17.2× median
B4150Top 5%

Enteral formula, nutritionally complete with fiber, per 100 calories

$340K

1,148 claims · 3.5%

Your Cost: $296.23/claim|Median: $89.79
3.3× median
T4534Top 25%

Adult-sized disposable underpads/pads, small

$275K

1,884 claims · 2.9%

Your Cost: $146.02/claim|Median: $110.54
1.3× median
A4312Top 1%

$257K

1,088 claims · 2.7%

Your Cost: $236.05/claim|Median: $15.57
15.2× median
T4524Top 1%

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

$209K

768 claims · 2.2%

Your Cost: $272.37/claim|Median: $108.31
2.5× median
A4606Top 25%

$200K

1,618 claims · 2.1%

Your Cost: $123.71/claim|Median: $50.63
2.4× median
T4523Top 1%

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

$170K

657 claims · 1.8%

Your Cost: $258.63/claim|Median: $96.13
2.7× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$157K

1,235 claims · 1.6%

Your Cost: $126.80/claim|Median: $88.94
1.4× median
B4088Top 10%

$156K

1,069 claims · 1.6%

Your Cost: $145.84/claim|Median: $73.20
2.0× median
T4521Top 5%

$129K

731 claims · 1.4%

Your Cost: $177.03/claim|Median: $81.60
2.2× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$86K

4,348 claims · 0.9%

Your Cost: $19.86/claim|Median: $141.34
0.1× median
A4628Top 5%

$82K

1,695 claims · 0.9%

Your Cost: $48.42/claim|Median: $7.48
6.5× median
T4527Top 25%

Adult-sized disposable incontinence product, large

$79K

564 claims · 0.8%

Your Cost: $139.45/claim|Median: $99.53
1.4× median
B4149Top 1%

Enteral formula, manufactured blenderized, per 100 calories

$78K

87 claims · 0.8%

Your Cost: $892.66/claim|Median: $300.16
3.0× median
T4528Top 10%

Adult-sized disposable incontinence product, extra-large

$58K

313 claims · 0.6%

Your Cost: $186.79/claim|Median: $105.14
1.8× median
A4333Top 5%

$57K

1,107 claims · 0.6%

Your Cost: $51.54/claim|Median: $5.73
9.0× median
A7001Top 25%

$57K

1,453 claims · 0.6%

Your Cost: $39.20/claim|Median: $23.87
1.6× median
A6402Top 25%

$52K

3,852 claims · 0.5%

Your Cost: $13.37/claim|Median: $7.69
1.7× median
T4525Top 5%

$37K

240 claims · 0.4%

Your Cost: $154.79/claim|Median: $79.46
1.9× median
A7002Top 5%

$27K

1,556 claims · 0.3%

Your Cost: $17.45/claim|Median: $4.97
3.5× median
A7005Top 5%

$26K

1,034 claims · 0.3%

Your Cost: $24.68/claim|Median: $12.44
2.0× median
B9002Top 1%

$25K

18 claims · 0.3%

Your Cost: $1,415.16/claim|Median: $54.41
26.0× median
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