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Provider 1881698520

NPI: 1881698520Share
Active Billing Period:2018-01→2021-02(37 months)
Billing appears to have stoppedLast active: 2021-02

Total Paid

$9.2M

$9,240,932

Total Claims

154K

Beneficiaries

145K

1.1 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+4%
2019
$3.2M
-10%
2020
$2.9M
-96%
2021
$111K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4535 (Adult-sized disposable underpads/pads, large)) accounts for 21% of total spending.

T4535Top 25%

Adult-sized disposable underpads/pads, large

$2.0M

33K claims · 21.2%

Your Cost: $58.74/claim|Median: $42.03
1.4× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$1.3M

17K claims · 14.1%

Your Cost: $75.36/claim|Median: $88.94
0.8× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.3M

15K claims · 13.9%

Your Cost: $83.90/claim|Median: $99.53
0.8× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$946K

10K claims · 10.2%

Your Cost: $91.19/claim|Median: $89.79
1.0× median
B4154Normal range

$643K

5,045 claims · 7.0%

Your Cost: $127.52/claim|Median: $132.96
1.0× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$594K

5,669 claims · 6.4%

Your Cost: $104.77/claim|Median: $105.14
1.0× median
A4335Top 5%

Incontinence supply, miscellaneous

$343K

8,994 claims · 3.7%

Your Cost: $38.12/claim|Median: $5.54
6.9× median
T4525Normal range

$323K

3,723 claims · 3.5%

Your Cost: $86.81/claim|Median: $79.46
1.1× median
A4520Normal range

$320K

7,230 claims · 3.5%

Your Cost: $44.24/claim|Median: $39.60
1.1× median
A4554Top 25%

Disposable underpads, all sizes

$274K

5,592 claims · 3.0%

Your Cost: $49.06/claim|Median: $37.02
1.3× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$142K

1,437 claims · 1.5%

Your Cost: $99.09/claim|Median: $92.20
1.1× median
K0739Normal range

$118K

3,338 claims · 1.3%

Your Cost: $35.27/claim|Median: $34.09
1.0× median
T4523Normal range

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

$112K

1,142 claims · 1.2%

Your Cost: $98.40/claim|Median: $96.13
1.0× median
A4927Normal range

Gloves, non-sterile, per 100

$100K

6,539 claims · 1.1%

Your Cost: $15.30/claim|Median: $12.90
1.2× median
E0261Top 25%

$91K

2,594 claims · 1.0%

Your Cost: $35.19/claim|Median: $19.15
1.8× median
E1399Normal range

Durable medical equipment, miscellaneous

$90K

6,684 claims · 1.0%

Your Cost: $13.40/claim|Median: $104.06
0.1× median
T4522Normal range

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

$71K

991 claims · 0.8%

Your Cost: $71.32/claim|Median: $84.50
0.8× median
T4524Normal range

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

$58K

505 claims · 0.6%

Your Cost: $114.48/claim|Median: $108.31
1.1× median
T4537Normal range

$53K

1,591 claims · 0.6%

Your Cost: $33.33/claim|Median: $31.50
1.1× median
T4542Top 25%

$51K

1,098 claims · 0.5%

Your Cost: $46.04/claim|Median: $33.31
1.4× median
K0823Normal range

Power wheelchair, Group 2

$44K

355 claims · 0.5%

Your Cost: $125.15/claim|Median: $95.35
1.3× median
E0245Normal range

$41K

2,055 claims · 0.4%

Your Cost: $20.07/claim|Median: $42.10
0.5× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$38K

1,176 claims · 0.4%

Your Cost: $32.40/claim|Median: $31.59
1.0× median
A4670Normal range

$37K

1,305 claims · 0.4%

Your Cost: $28.17/claim|Median: $50.23
0.6× median
B4100Normal range

$26K

340 claims · 0.3%

Your Cost: $75.65/claim|Median: $67.58
1.1× median
E0163Normal range

$24K

683 claims · 0.3%

Your Cost: $35.42/claim|Median: $27.98
1.3× median
E0241Normal range

$19K

1,128 claims · 0.2%

Your Cost: $16.48/claim|Median: $28.48
0.6× median
E0244Normal range

$16K

650 claims · 0.2%

Your Cost: $24.96/claim|Median: $32.11
0.8× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$15K

948 claims · 0.2%

Your Cost: $15.81/claim|Median: $9.88
1.6× median
E0246Normal range

$12K

287 claims · 0.1%

Your Cost: $43.20/claim|Median: $48.66
0.9× median
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