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Provider 1801183272

NPI: 1801183272Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$15.0M

$14,997,790

Total Claims

181K

Beneficiaries

174K

1.0 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+9%
2019
$1.1M
+41%
2020
$1.5M
+23%
2021
$1.9M
+44%
2022
$2.7M
+22%
2023
$3.3M
+2%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A6549) accounts for 57% of total spending.

A6549Normal range

$8.6M

48K claims · 57.4%

Your Cost: $180.49/claim|Median: $190.50
0.9× median
T4541Top 25%

Pediatric-sized disposable incontinence product, large

$1.2M

21K claims · 7.8%

Your Cost: $55.87/claim|Median: $41.28
1.4× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$805K

16K claims · 5.4%

Your Cost: $50.00/claim|Median: $42.03
1.2× median
E1390Top 5%

Oxygen concentrator, single delivery port

$715K

4,883 claims · 4.8%

Your Cost: $146.50/claim|Median: $45.11
3.2× median
T4527Normal range

Adult-sized disposable incontinence product, large

$542K

7,904 claims · 3.6%

Your Cost: $68.55/claim|Median: $99.53
0.7× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$486K

8,369 claims · 3.2%

Your Cost: $58.09/claim|Median: $88.94
0.7× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$306K

4,259 claims · 2.0%

Your Cost: $71.75/claim|Median: $105.14
0.7× median
K0001Top 1%

Standard wheelchair

$298K

4,170 claims · 2.0%

Your Cost: $71.57/claim|Median: $12.27
5.8× median
T4523Normal range

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

$240K

2,424 claims · 1.6%

Your Cost: $99.01/claim|Median: $96.13
1.0× median
A4670Top 25%

$174K

2,772 claims · 1.2%

Your Cost: $62.73/claim|Median: $50.23
1.2× median
A4927Top 25%

Gloves, non-sterile, per 100

$167K

7,156 claims · 1.1%

Your Cost: $23.40/claim|Median: $12.90
1.8× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$141K

9,305 claims · 0.9%

Your Cost: $15.20/claim|Median: $9.88
1.5× median
E0431Top 10%

Portable gaseous oxygen system, rental

$119K

4,855 claims · 0.8%

Your Cost: $24.47/claim|Median: $10.37
2.4× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$117K

2,160 claims · 0.8%

Your Cost: $54.06/claim|Median: $31.59
1.7× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$102K

2,169 claims · 0.7%

Your Cost: $46.83/claim|Median: $33.21
1.4× median
E0443Normal range

$101K

4,450 claims · 0.7%

Your Cost: $22.72/claim|Median: $12.89
1.8× median
E0295Normal range

$101K

1,296 claims · 0.7%

Your Cost: $77.94/claim|Median: $41.43
1.9× median
T4524Normal range

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

$95K

1,103 claims · 0.6%

Your Cost: $86.51/claim|Median: $108.31
0.8× median
T4522Normal range

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

$90K

1,191 claims · 0.6%

Your Cost: $75.26/claim|Median: $84.50
0.9× median
E0603Normal range

Breast pump, electric, any type

$84K

862 claims · 0.6%

Your Cost: $97.61/claim|Median: $131.70
0.7× median
A6530Top 1%

$71K

74 claims · 0.5%

Your Cost: $964.69/claim|Median: $49.70
19.4× median
T4525Normal range

$58K

1,088 claims · 0.4%

Your Cost: $53.45/claim|Median: $79.46
0.7× median
T4536Normal range

Adult disposable incontinence product, pull-on, large

$57K

5,439 claims · 0.4%

Your Cost: $10.41/claim|Median: $11.57
0.9× median
A5513Normal range

Diabetic therapeutic shoe, each, custom molded

$55K

998 claims · 0.4%

Your Cost: $55.47/claim|Median: $40.80
1.4× median
A4335Normal range

Incontinence supply, miscellaneous

$47K

9,014 claims · 0.3%

Your Cost: $5.23/claim|Median: $5.54
0.9× median
T4537Normal range

$36K

1,282 claims · 0.2%

Your Cost: $27.92/claim|Median: $31.50
0.9× median
E0601Top 5%

Continuous positive airway pressure (CPAP) device

$32K

327 claims · 0.2%

Your Cost: $96.50/claim|Median: $35.30
2.7× median
K0003Top 5%

$31K

452 claims · 0.2%

Your Cost: $68.36/claim|Median: $18.14
3.8× median
E0570Top 10%

Nebulizer, with compressor

$29K

329 claims · 0.2%

Your Cost: $88.27/claim|Median: $16.16
5.5× median
E0245Normal range

$25K

460 claims · 0.2%

Your Cost: $53.69/claim|Median: $42.10
1.3× median