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Provider 1861472672

NPI: 1861472672Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,812,169

Total Claims

230K

Beneficiaries

230K

1.0 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$976K
+6%
2019
$1.0M
+6%
2020
$1.1M
+7%
2021
$1.2M
+7%
2022
$1.3M
+15%
2023
$1.4M
+28%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T4535 (Adult-sized disposable underpads/pads, large)) accounts for 32% of total spending.

T4535Top 10%

Adult-sized disposable underpads/pads, large

$2.8M

39K claims · 31.8%

Your Cost: $71.46/claim|Median: $42.03
1.7× median
T4541Top 10%

Pediatric-sized disposable incontinence product, large

$2.7M

39K claims · 30.3%

Your Cost: $68.04/claim|Median: $41.28
1.6× median
T4537Normal range

$608K

19K claims · 6.9%

Your Cost: $31.31/claim|Median: $31.50
1.0× median
T4527Normal range

Adult-sized disposable incontinence product, large

$543K

9,705 claims · 6.2%

Your Cost: $55.97/claim|Median: $99.53
0.6× median
A6250Top 25%

Skin sealant protectant, moisturizer, each ounce

$498K

30K claims · 5.7%

Your Cost: $16.37/claim|Median: $9.88
1.7× median
T4536Top 25%

Adult disposable incontinence product, pull-on, large

$498K

39K claims · 5.6%

Your Cost: $12.71/claim|Median: $11.57
1.1× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$440K

12K claims · 5.0%

Your Cost: $37.03/claim|Median: $88.94
0.4× median
T4522Normal range

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

$369K

9,020 claims · 4.2%

Your Cost: $40.94/claim|Median: $84.50
0.5× median
A4335Normal range

Incontinence supply, miscellaneous

$191K

29K claims · 2.2%

Your Cost: $6.68/claim|Median: $5.54
1.2× median
T4523Normal range

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

$154K

2,899 claims · 1.8%

Your Cost: $53.21/claim|Median: $96.13
0.6× median
E0245Normal range

$21K

376 claims · 0.2%

Your Cost: $54.90/claim|Median: $42.10
1.3× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$17K

296 claims · 0.2%

Your Cost: $56.55/claim|Median: $105.14
0.5× median
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