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Provider 1780822445

NPI: 1780822445Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.2M

$10,153,088

Total Claims

253K

Beneficiaries

251K

1.0 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$111K
+358%
2019
$507K
+44%
2020
$728K
+22%
2021
$886K
+40%
2022
$1.2M
+163%
2023
$3.3M
+4%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4554 (Disposable underpads, all sizes)) accounts for 19% of total spending.

A4554Top 25%

Disposable underpads, all sizes

$1.9M

39K claims · 19.1%

Your Cost: $50.24/claim|Median: $37.02
1.4× median
T4523Normal range

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

$1.6M

18K claims · 15.5%

Your Cost: $85.59/claim|Median: $96.13
0.9× median
T4522Normal range

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

$1.1M

18K claims · 11.1%

Your Cost: $62.76/claim|Median: $84.50
0.7× median
T4524Normal range

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

$939K

9,762 claims · 9.2%

Your Cost: $96.16/claim|Median: $108.31
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$792K

31K claims · 7.8%

Your Cost: $25.24/claim|Median: $42.03
0.6× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$432K

2,440 claims · 4.3%

Your Cost: $176.95/claim|Median: $177.75
1.0× median
T4537Normal range

$290K

10K claims · 2.9%

Your Cost: $28.60/claim|Median: $31.50
0.9× median
E1399Normal range

Durable medical equipment, miscellaneous

$278K

7,221 claims · 2.7%

Your Cost: $38.51/claim|Median: $104.06
0.4× median
T4521Normal range

$236K

4,023 claims · 2.3%

Your Cost: $58.71/claim|Median: $81.60
0.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$234K

2,893 claims · 2.3%

Your Cost: $80.73/claim|Median: $89.79
0.9× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$232K

6,380 claims · 2.3%

Your Cost: $36.34/claim|Median: $73.75
0.5× median
K0739Normal range

$166K

3,643 claims · 1.6%

Your Cost: $45.51/claim|Median: $34.09
1.3× median
B4154Normal range

$154K

1,238 claims · 1.5%

Your Cost: $124.28/claim|Median: $132.96
0.9× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$147K

2,003 claims · 1.4%

Your Cost: $73.19/claim|Median: $53.20
1.4× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$135K

1,117 claims · 1.3%

Your Cost: $120.50/claim|Median: $116.15
1.0× median
K0823Normal range

Power wheelchair, Group 2

$130K

1,396 claims · 1.3%

Your Cost: $93.44/claim|Median: $95.35
1.0× median
T4530Normal range

$111K

1,470 claims · 1.1%

Your Cost: $75.71/claim|Median: $83.90
0.9× median
A4670Normal range

$90K

4,563 claims · 0.9%

Your Cost: $19.77/claim|Median: $50.23
0.4× median
T4539Top 25%

$87K

2,786 claims · 0.9%

Your Cost: $31.17/claim|Median: $27.96
1.1× median
A4927Normal range

Gloves, non-sterile, per 100

$72K

17K claims · 0.7%

Your Cost: $4.34/claim|Median: $12.90
0.3× median
E0240Normal range

$63K

1,941 claims · 0.6%

Your Cost: $32.67/claim|Median: $62.75
0.5× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$63K

2,998 claims · 0.6%

Your Cost: $20.98/claim|Median: $31.59
0.7× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$63K

786 claims · 0.6%

Your Cost: $79.71/claim|Median: $92.20
0.9× median
E0277Normal range

$58K

462 claims · 0.6%

Your Cost: $126.59/claim|Median: $92.82
1.4× median
A4253Normal range

Blood glucose test strips

$54K

5,654 claims · 0.5%

Your Cost: $9.61/claim|Median: $6.92
1.4× median
K0001Normal range

Standard wheelchair

$53K

5,709 claims · 0.5%

Your Cost: $9.32/claim|Median: $12.27
0.8× median
E0260Normal range

Hospital bed, semi-electric

$49K

3,910 claims · 0.5%

Your Cost: $12.46/claim|Median: $23.07
0.5× median
E0241Top 25%

$49K

1,244 claims · 0.5%

Your Cost: $39.06/claim|Median: $28.48
1.4× median
A4335Normal range

Incontinence supply, miscellaneous

$48K

5,401 claims · 0.5%

Your Cost: $8.93/claim|Median: $5.54
1.6× median
A5063Normal range

$36K

993 claims · 0.4%

Your Cost: $35.83/claim|Median: $27.93
1.3× median
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