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Provider 1780868224

NPI: 1780868224Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.7M

$8,679,588

Total Claims

73K

Beneficiaries

69K

1.1 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018
$518K
+54%
2019
$798K
+37%
2020
$1.1M
+16%
2021
$1.3M
+8%
2022
$1.4M
+19%
2023
$1.6M
+26%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4534 (Adult-sized disposable underpads/pads, small)) accounts for 13% of total spending.

T4534Top 10%

Adult-sized disposable underpads/pads, small

$1.1M

5,929 claims · 12.9%

Your Cost: $188.20/claim|Median: $110.54
1.7× median
B4161Top 5%

Enteral formula, semisolid, 100 calories = 1 unit

$1.1M

1,099 claims · 12.7%

Your Cost: $1,005.48/claim|Median: $465.86
2.2× median
B4035Top 5%

Enteral feeding supply kit, pump fed, per day

$1.0M

3,733 claims · 11.6%

Your Cost: $269.45/claim|Median: $117.24
2.3× median
B4160Top 5%

Enteral formula, per 100 calories

$816K

2,323 claims · 9.4%

Your Cost: $351.17/claim|Median: $157.30
2.2× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$699K

1,832 claims · 8.1%

Your Cost: $381.72/claim|Median: $300.16
1.3× median
B9998Top 25%

Enteral/parenteral nutritional supplies, NOS

$600K

4,710 claims · 6.9%

Your Cost: $127.37/claim|Median: $55.51
2.3× median
A4554Top 25%

Disposable underpads, all sizes

$372K

6,127 claims · 4.3%

Your Cost: $60.68/claim|Median: $37.02
1.6× median
B4088Top 5%

$348K

2,242 claims · 4.0%

Your Cost: $155.02/claim|Median: $73.20
2.1× median
A4927Top 10%

Gloves, non-sterile, per 100

$290K

10K claims · 3.3%

Your Cost: $29.00/claim|Median: $12.90
2.2× median
T4533Top 25%

Adult disposable incontinence product, youth or small

$276K

2,209 claims · 3.2%

Your Cost: $124.99/claim|Median: $87.25
1.4× median
T4522Top 10%

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

$246K

1,980 claims · 2.8%

Your Cost: $124.35/claim|Median: $84.50
1.5× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$235K

1,897 claims · 2.7%

Your Cost: $123.66/claim|Median: $88.94
1.4× median
T4532Normal range

$190K

1,539 claims · 2.2%

Your Cost: $123.29/claim|Median: $116.50
1.1× median
T4521Top 10%

$184K

1,476 claims · 2.1%

Your Cost: $124.55/claim|Median: $81.60
1.5× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$182K

3,566 claims · 2.1%

Your Cost: $50.97/claim|Median: $42.03
1.2× median
B4087Top 5%

$175K

1,302 claims · 2.0%

Your Cost: $134.12/claim|Median: $25.27
5.3× median
A9286Top 25%

$163K

5,413 claims · 1.9%

Your Cost: $30.03/claim|Median: $11.41
2.6× median
T4530Top 25%

$122K

1,189 claims · 1.4%

Your Cost: $102.52/claim|Median: $83.90
1.2× median
A6250Top 25%

Skin sealant protectant, moisturizer, each ounce

$120K

7,208 claims · 1.4%

Your Cost: $16.67/claim|Median: $9.88
1.7× median
A4553Top 5%

$104K

1,696 claims · 1.2%

Your Cost: $61.08/claim|Median: $15.13
4.0× median
B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$54K

318 claims · 0.6%

Your Cost: $170.00/claim|Median: $89.79
1.9× median
A9999Top 10%

$51K

159 claims · 0.6%

Your Cost: $320.21/claim|Median: $39.73
8.1× median
B9002Normal range

$34K

499 claims · 0.4%

Your Cost: $67.24/claim|Median: $54.41
1.2× median
B4036Normal range

$32K

399 claims · 0.4%

Your Cost: $81.34/claim|Median: $74.87
1.1× median
T4527Top 5%

Adult-sized disposable incontinence product, large

$30K

168 claims · 0.3%

Your Cost: $180.45/claim|Median: $99.53
1.8× median
A4213Top 10%

$28K

651 claims · 0.3%

Your Cost: $42.35/claim|Median: $9.01
4.7× median
B4155Top 10%

$21K

88 claims · 0.2%

Your Cost: $239.40/claim|Median: $46.72
5.1× median
T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$20K

132 claims · 0.2%

Your Cost: $154.64/claim|Median: $105.14
1.5× median
A4209Top 25%

$18K

1,878 claims · 0.2%

Your Cost: $9.52/claim|Median: $1.41
6.8× median
A6402Top 25%

$16K

970 claims · 0.2%

Your Cost: $16.27/claim|Median: $7.69
2.1× median