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Provider 1891071098

NPI: 1891071098Share
Active Billing Period:2018-01→2022-09(57 months)
Billing appears to have stoppedLast active: 2022-09

Total Paid

$9.5M

$9,549,874

Total Claims

27K

Beneficiaries

16K

1.6 claims/patient

Avg Cost/Claim

$353

Monthly Spending Trend

Yearly Spending

2018
$567K
+92%
2019
$1.1M
+178%
2020
$3.0M
+9%
2021
$3.3M
-52%
2022
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (J1569) accounts for 46% of total spending.

J1569Top 5%

$4.4M

973 claims · 46.0%

Your Cost: $4,511.11/claim|Median: $1,387.65
3.3× median
S9342Top 25%

Home infusion therapy, continuous or intermittent, per diem

$1.6M

3,945 claims · 16.4%

Your Cost: $397.67/claim|Median: $176.25
2.3× median
J1561Top 10%

$661K

157 claims · 6.9%

Your Cost: $4,207.84/claim|Median: $1,482.84
2.8× median
S9500Top 25%

$576K

1,663 claims · 6.0%

Your Cost: $346.59/claim|Median: $144.40
2.4× median
99601Normal range

$575K

6,648 claims · 6.0%

Your Cost: $86.44/claim|Median: $82.41
1.0× median
99602Top 10%

$515K

3,204 claims · 5.4%

Your Cost: $160.85/claim|Median: $84.91
1.9× median
S9338Top 25%

$277K

2,682 claims · 2.9%

Your Cost: $103.35/claim|Median: $60.83
1.7× median
B4153Normal range

$191K

383 claims · 2.0%

Your Cost: $498.38/claim|Median: $410.73
1.2× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$164K

678 claims · 1.7%

Your Cost: $241.38/claim|Median: $300.16
0.8× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$157K

1,868 claims · 1.6%

Your Cost: $84.01/claim|Median: $117.24
0.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$126K

1,207 claims · 1.3%

Your Cost: $104.76/claim|Median: $89.79
1.2× median
B4185Top 25%

$96K

449 claims · 1.0%

Your Cost: $213.00/claim|Median: $134.70
1.6× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$80K

283 claims · 0.8%

Your Cost: $281.54/claim|Median: $465.86
0.6× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$60K

788 claims · 0.6%

Your Cost: $76.55/claim|Median: $92.20
0.8× median
S9343Normal range

$42K

218 claims · 0.4%

Your Cost: $192.45/claim|Median: $99.47
1.9× median
B4034Normal range

$25K

762 claims · 0.3%

Your Cost: $32.63/claim|Median: $46.28
0.7× median
S9374Top 25%

$18K

81 claims · 0.2%

Your Cost: $227.95/claim|Median: $136.10
1.7× median
B4088Normal range

$16K

159 claims · 0.2%

Your Cost: $99.00/claim|Median: $73.20
1.4× median
B4160Normal range

Enteral formula, per 100 calories

$7K

55 claims · 0.1%

Your Cost: $130.36/claim|Median: $157.30
0.8× median
A4216Normal range

$3K

743 claims · 0.0%

Your Cost: $3.85/claim|Median: $8.45
0.5× median
B4154Normal range

$2K

12 claims · 0.0%

Your Cost: $197.19/claim|Median: $132.96
1.5× median
J3490Normal range

Unclassified drugs

$474

24 claims · 0.0%

Your Cost: $19.73/claim|Median: $5.70
3.5× median
J1200Top 25%

$90

22 claims · 0.0%

Your Cost: $4.10/claim|Median: $0.60
6.8× median
99080Normal range

$0

70 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.15
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