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Provider 1780667303

NPI: 1780667303Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,232,012

Total Claims

70K

Beneficiaries

68K

1.0 claims/patient

Avg Cost/Claim

$146

Monthly Spending Trend

Yearly Spending

2018
$855K
+36%
2019
$1.2M
+9%
2020
$1.3M
-3%
2021
$1.2M
+66%
2022
$2.0M
-13%
2023
$1.8M
+9%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 42% of total spending.

B4161Top 10%

Enteral formula, semisolid, 100 calories = 1 unit

$4.3M

4,849 claims · 41.9%

Your Cost: $884.85/claim|Median: $465.86
1.9× median
B4160Top 25%

Enteral formula, per 100 calories

$2.3M

9,055 claims · 22.9%

Your Cost: $258.90/claim|Median: $157.30
1.6× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$539K

3,905 claims · 5.3%

Your Cost: $138.06/claim|Median: $89.79
1.5× median
T4534Top 25%

Adult-sized disposable underpads/pads, small

$513K

3,544 claims · 5.0%

Your Cost: $144.63/claim|Median: $110.54
1.3× median
T4527Normal range

Adult-sized disposable incontinence product, large

$339K

3,731 claims · 3.3%

Your Cost: $90.99/claim|Median: $99.53
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$278K

3,131 claims · 2.7%

Your Cost: $88.67/claim|Median: $88.94
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$248K

2,022 claims · 2.4%

Your Cost: $122.49/claim|Median: $105.14
1.2× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$237K

1,651 claims · 2.3%

Your Cost: $143.28/claim|Median: $92.20
1.6× median
A4927Top 10%

Gloves, non-sterile, per 100

$217K

7,411 claims · 2.1%

Your Cost: $29.26/claim|Median: $12.90
2.3× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$216K

6,042 claims · 2.1%

Your Cost: $35.76/claim|Median: $41.28
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$171K

3,286 claims · 1.7%

Your Cost: $51.97/claim|Median: $42.03
1.2× median
B4154Top 25%

$155K

657 claims · 1.5%

Your Cost: $235.73/claim|Median: $132.96
1.8× median
T4523Normal range

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

$138K

1,317 claims · 1.4%

Your Cost: $105.04/claim|Median: $96.13
1.1× median
T4522Normal range

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

$108K

1,150 claims · 1.1%

Your Cost: $93.58/claim|Median: $84.50
1.1× median
T4532Top 25%

$86K

558 claims · 0.8%

Your Cost: $154.83/claim|Median: $116.50
1.3× median
T4530Top 25%

$86K

704 claims · 0.8%

Your Cost: $121.99/claim|Median: $83.90
1.5× median
A4351Top 25%

Intermittent urinary catheter, straight tip, each

$44K

268 claims · 0.4%

Your Cost: $165.23/claim|Median: $116.15
1.4× median
T4537Normal range

$31K

1,982 claims · 0.3%

Your Cost: $15.51/claim|Median: $31.50
0.5× median
A9901Normal range

$29K

11K claims · 0.3%

Your Cost: $2.63/claim|Median: $5.31
0.5× median
T4524Top 25%

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

$27K

193 claims · 0.3%

Your Cost: $139.61/claim|Median: $108.31
1.3× median
E0245Normal range

$25K

608 claims · 0.2%

Your Cost: $40.99/claim|Median: $42.10
1.0× median
A6530Top 10%

$21K

176 claims · 0.2%

Your Cost: $120.51/claim|Median: $49.70
2.4× median
K0001Top 5%

Standard wheelchair

$21K

443 claims · 0.2%

Your Cost: $47.24/claim|Median: $12.27
3.9× median
A4670Normal range

$18K

335 claims · 0.2%

Your Cost: $54.26/claim|Median: $50.23
1.1× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$15K

350 claims · 0.1%

Your Cost: $42.92/claim|Median: $31.59
1.4× median
E0849Top 25%

$7K

113 claims · 0.1%

Your Cost: $64.46/claim|Median: $16.39
3.9× median
A4500Normal range

$6K

202 claims · 0.1%

Your Cost: $30.08/claim|Median: $33.49
0.9× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$5K

404 claims · 0.1%

Your Cost: $13.54/claim|Median: $9.88
1.4× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$5K

24 claims · 0.1%

Your Cost: $223.23/claim|Median: $171.64
1.3× median
E0241Top 25%

$3K

72 claims · 0.0%

Your Cost: $41.11/claim|Median: $28.48
1.4× median
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