Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1831371848

NPI: 1831371848Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.0M

$8,039,097

Total Claims

135K

Beneficiaries

127K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$877K
+7%
2019
$943K
+24%
2020
$1.2M
+11%
2021
$1.3M
-11%
2022
$1.2M
+3%
2023
$1.2M
+16%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4541 (Pediatric-sized disposable incontinence product, large)) accounts for 20% of total spending.

T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.6M

43K claims · 19.8%

Your Cost: $36.95/claim|Median: $41.28
0.9× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.2M

16K claims · 14.9%

Your Cost: $75.18/claim|Median: $88.94
0.8× median
T4527Normal range

Adult-sized disposable incontinence product, large

$956K

12K claims · 11.9%

Your Cost: $79.42/claim|Median: $99.53
0.8× median
T4523Normal range

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

$930K

10K claims · 11.6%

Your Cost: $93.03/claim|Median: $96.13
1.0× median
T4524Normal range

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

$904K

7,468 claims · 11.3%

Your Cost: $121.12/claim|Median: $108.31
1.1× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$636K

7,154 claims · 7.9%

Your Cost: $88.88/claim|Median: $105.14
0.8× median
T4525Normal range

$526K

7,114 claims · 6.5%

Your Cost: $73.90/claim|Median: $79.46
0.9× median
T4522Normal range

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

$389K

6,843 claims · 4.8%

Your Cost: $56.92/claim|Median: $84.50
0.7× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$284K

8,644 claims · 3.5%

Your Cost: $32.88/claim|Median: $42.03
0.8× median
E1390Top 25%

Oxygen concentrator, single delivery port

$92K

1,118 claims · 1.1%

Your Cost: $82.47/claim|Median: $45.11
1.8× median
T4521Normal range

$88K

1,820 claims · 1.1%

Your Cost: $48.50/claim|Median: $81.60
0.6× median
E0443Top 5%

$86K

1,237 claims · 1.1%

Your Cost: $69.26/claim|Median: $12.89
5.4× median
T4543Top 10%

Pediatric-sized disposable incontinence product, above XL

$78K

265 claims · 1.0%

Your Cost: $292.85/claim|Median: $177.75
1.6× median
T4544Top 25%

Pediatric-sized disposable underpads/pads, small

$77K

300 claims · 1.0%

Your Cost: $255.19/claim|Median: $171.64
1.5× median
K0003Normal range

$46K

2,351 claims · 0.6%

Your Cost: $19.74/claim|Median: $18.14
1.1× median
E0431Top 10%

Portable gaseous oxygen system, rental

$37K

1,503 claims · 0.5%

Your Cost: $24.74/claim|Median: $10.37
2.4× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$36K

1,003 claims · 0.4%

Your Cost: $35.94/claim|Median: $31.59
1.1× median
E0260Normal range

Hospital bed, semi-electric

$32K

2,318 claims · 0.4%

Your Cost: $13.87/claim|Median: $23.07
0.6× median
E0245Top 25%

$13K

221 claims · 0.2%

Your Cost: $60.57/claim|Median: $42.10
1.4× median
E0570Normal range

Nebulizer, with compressor

$13K

2,118 claims · 0.2%

Your Cost: $6.28/claim|Median: $16.16
0.4× median
A4670Normal range

$7K

162 claims · 0.1%

Your Cost: $43.21/claim|Median: $50.23
0.9× median
K0195Normal range

$5K

1,297 claims · 0.1%

Your Cost: $4.06/claim|Median: $4.65
0.9× median
E0163Top 25%

$5K

108 claims · 0.1%

Your Cost: $46.90/claim|Median: $27.98
1.7× median
E0156Normal range

$745

185 claims · 0.0%

Your Cost: $4.03/claim|Median: $7.15
0.6× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$737

45 claims · 0.0%

Your Cost: $16.37/claim|Median: $33.21
0.5× median
A5512Normal range

Diabetic shoe insert, custom molded, each

$698

31 claims · 0.0%

Your Cost: $22.50/claim|Median: $24.01
0.9× median
A7003Normal range

Administration set for nebulizer, with small volume

$495

543 claims · 0.0%

Your Cost: $0.91/claim|Median: $1.48
0.6× median
E0973Normal range

$374

49 claims · 0.0%

Your Cost: $7.64/claim|Median: $42.75
0.2× median
E0971Normal range

$174

33 claims · 0.0%

Your Cost: $5.27/claim|Median: $13.46
0.4× median
E0951Normal range

$29

12 claims · 0.0%

Your Cost: $2.46/claim|Median: $9.88
0.2× median