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Provider 1790738383

NPI: 1790738383Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,382,907

Total Claims

298K

Beneficiaries

273K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$984K
+4%
2019
$1.0M
+72%
2020
$1.8M
-0%
2021
$1.8M
+7%
2022
$1.9M
+3%
2023
$1.9M
+6%
2024
$2.1M

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 15% of total spending.

A4554Normal range

Disposable underpads, all sizes

$1.7M

50K claims · 14.9%

Your Cost: $33.79/claim|Median: $37.02
0.9× median
X1939Normal range

$1.4M

22K claims · 12.3%

Your Cost: $62.28/claim|Median: $63.12
1.0× median
T5999Normal range

Transportation service, not otherwise classified

$1.0M

104K claims · 8.9%

Your Cost: $9.67/claim|Median: $8.13
1.2× median
T4527Normal range

Adult-sized disposable incontinence product, large

$929K

17K claims · 8.2%

Your Cost: $54.60/claim|Median: $99.53
0.5× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$881K

13K claims · 7.7%

Your Cost: $69.59/claim|Median: $105.14
0.7× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$757K

5,721 claims · 6.6%

Your Cost: $132.30/claim|Median: $177.75
0.7× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$688K

6,726 claims · 6.0%

Your Cost: $102.28/claim|Median: $110.54
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$673K

13K claims · 5.9%

Your Cost: $52.41/claim|Median: $88.94
0.6× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$563K

18K claims · 4.9%

Your Cost: $30.50/claim|Median: $42.03
0.7× median
T4522Normal range

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

$488K

5,832 claims · 4.3%

Your Cost: $83.63/claim|Median: $84.50
1.0× median
T2028Normal range

Specialized supply, NOS; per unit

$450K

4,060 claims · 4.0%

Your Cost: $110.79/claim|Median: $79.30
1.4× median
S5161Normal range

Emergency response system, per month

$399K

13K claims · 3.5%

Your Cost: $29.92/claim|Median: $29.97
1.0× median
T4523Normal range

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

$379K

3,964 claims · 3.3%

Your Cost: $95.53/claim|Median: $96.13
1.0× median
T4524Normal range

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

$286K

2,467 claims · 2.5%

Your Cost: $115.91/claim|Median: $108.31
1.1× median
T4530Normal range

$268K

2,726 claims · 2.4%

Your Cost: $98.18/claim|Median: $83.90
1.2× median
A4927Normal range

Gloves, non-sterile, per 100

$132K

11K claims · 1.2%

Your Cost: $12.53/claim|Median: $12.90
1.0× median
T4521Top 10%

$115K

994 claims · 1.0%

Your Cost: $116.18/claim|Median: $81.60
1.4× median
T4525Normal range

$69K

988 claims · 0.6%

Your Cost: $70.29/claim|Median: $79.46
0.9× median
T4533Normal range

Adult disposable incontinence product, youth or small

$55K

532 claims · 0.5%

Your Cost: $103.97/claim|Median: $87.25
1.2× median
X1922Normal range

$34K

239 claims · 0.3%

Your Cost: $141.25/claim|Median: $139.77
1.0× median
X1915Normal range

$25K

290 claims · 0.2%

Your Cost: $85.40/claim|Median: $85.40
1.0× median
E0260Top 25%

Hospital bed, semi-electric

$19K

484 claims · 0.2%

Your Cost: $39.47/claim|Median: $23.07
1.7× median
E0244Top 5%

$18K

184 claims · 0.2%

Your Cost: $100.00/claim|Median: $32.11
3.1× median
E0240Normal range

$17K

269 claims · 0.2%

Your Cost: $64.70/claim|Median: $62.75
1.0× median
T4529Top 10%

Pediatric disposable incontinence product, pull-on, large

$9K

79 claims · 0.1%

Your Cost: $118.51/claim|Median: $71.73
1.7× median
E0570Normal range

Nebulizer, with compressor

$9K

537 claims · 0.1%

Your Cost: $17.39/claim|Median: $16.16
1.1× median
T4532Normal range

$6K

79 claims · 0.1%

Your Cost: $75.04/claim|Median: $116.50
0.6× median
E0247Top 5%

$2K

13 claims · 0.0%

Your Cost: $142.50/claim|Median: $75.27
1.9× median
A4322Top 25%

$2K

35 claims · 0.0%

Your Cost: $46.22/claim|Median: $14.10
3.3× median
K0001Normal range

Standard wheelchair

$1K

67 claims · 0.0%

Your Cost: $16.21/claim|Median: $12.27
1.3× median
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