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

⚖️ Compare🖨️ Print Report

Provider 1841281045

NPI: 1841281045Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$9,978,309

Total Claims

207K

Beneficiaries

205K

1.0 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$955K
+36%
2019
$1.3M
+20%
2020
$1.6M
-8%
2021
$1.4M
-3%
2022
$1.4M
+21%
2023
$1.7M
-2%
2024
$1.7M

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 11% of total spending.

A4554Normal range

Disposable underpads, all sizes

$1.1M

26K claims · 10.8%

Your Cost: $41.04/claim|Median: $37.02
1.1× median
T4523Normal range

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

$1.1M

13K claims · 10.8%

Your Cost: $82.36/claim|Median: $96.13
0.9× median
T4522Normal range

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

$990K

14K claims · 9.9%

Your Cost: $69.10/claim|Median: $84.50
0.8× median
B4153Normal range

$822K

2,549 claims · 8.2%

Your Cost: $322.29/claim|Median: $410.73
0.8× median
E1390Top 25%

Oxygen concentrator, single delivery port

$792K

10K claims · 7.9%

Your Cost: $75.76/claim|Median: $45.11
1.7× median
T4524Normal range

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

$726K

8,313 claims · 7.3%

Your Cost: $87.34/claim|Median: $108.31
0.8× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$482K

5,731 claims · 4.8%

Your Cost: $84.09/claim|Median: $117.24
0.7× median
T4521Normal range

$473K

6,308 claims · 4.7%

Your Cost: $75.02/claim|Median: $81.60
0.9× median
T4537Normal range

$437K

15K claims · 4.4%

Your Cost: $28.36/claim|Median: $31.50
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$358K

14K claims · 3.6%

Your Cost: $24.80/claim|Median: $42.03
0.6× median
E1392Top 5%

$349K

5,154 claims · 3.5%

Your Cost: $67.78/claim|Median: $10.81
6.3× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$279K

2,020 claims · 2.8%

Your Cost: $137.89/claim|Median: $177.75
0.8× median
T4533Normal range

Adult disposable incontinence product, youth or small

$227K

3,090 claims · 2.3%

Your Cost: $73.50/claim|Median: $87.25
0.8× median
E0601Normal range

Continuous positive airway pressure (CPAP) device

$218K

4,870 claims · 2.2%

Your Cost: $44.67/claim|Median: $35.30
1.3× median
A7030Top 25%

Full face mask for CPAP device

$210K

2,219 claims · 2.1%

Your Cost: $94.73/claim|Median: $56.36
1.7× median
E0470Top 25%

$183K

1,365 claims · 1.8%

Your Cost: $134.41/claim|Median: $81.45
1.7× median
E0570Normal range

Nebulizer, with compressor

$173K

5,293 claims · 1.7%

Your Cost: $32.63/claim|Median: $16.16
2.0× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$142K

1,956 claims · 1.4%

Your Cost: $72.49/claim|Median: $89.79
0.8× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$122K

1,685 claims · 1.2%

Your Cost: $72.49/claim|Median: $92.20
0.8× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$105K

1,149 claims · 1.1%

Your Cost: $91.73/claim|Median: $116.15
0.8× median
E0431Top 25%

Portable gaseous oxygen system, rental

$92K

4,706 claims · 0.9%

Your Cost: $19.48/claim|Median: $10.37
1.9× median
A4927Normal range

Gloves, non-sterile, per 100

$84K

23K claims · 0.8%

Your Cost: $3.67/claim|Median: $12.90
0.3× median
E0562Normal range

Humidifier, heated, used with positive airway pressure device

$69K

4,233 claims · 0.7%

Your Cost: $16.34/claim|Median: $18.68
0.9× median
B9002Normal range

$58K

1,399 claims · 0.6%

Your Cost: $41.42/claim|Median: $54.41
0.8× median
B4154Normal range

$54K

389 claims · 0.5%

Your Cost: $138.04/claim|Median: $132.96
1.0× median
K0001Top 25%

Standard wheelchair

$47K

2,138 claims · 0.5%

Your Cost: $21.81/claim|Median: $12.27
1.8× median
E0143Top 25%

Walker, folding, wheeled, adjustable or fixed height

$43K

872 claims · 0.4%

Your Cost: $48.92/claim|Median: $31.59
1.5× median
E0445Normal range

$36K

242 claims · 0.4%

Your Cost: $149.47/claim|Median: $118.11
1.3× median
A7037Normal range

$25K

2,880 claims · 0.3%

Your Cost: $8.83/claim|Median: $10.56
0.8× median
A7035Normal range

$23K

1,840 claims · 0.2%

Your Cost: $12.34/claim|Median: $13.01
0.9× median
← All providersHow we detect fraud →