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Provider 1902055445

NPI: 1902055445Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.4M

$17,397,274

Total Claims

249K

Beneficiaries

206K

1.2 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-11%
2019
$2.2M
-19%
2020
$1.8M
+21%
2021
$2.2M
+25%
2022
$2.8M
+14%
2023
$3.1M
-15%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A9276 (Breath test analyzer, FDA approved, disposable)) accounts for 10% of total spending.

A9276Normal range

Breath test analyzer, FDA approved, disposable

$1.8M

5,889 claims · 10.4%

Your Cost: $308.57/claim|Median: $294.58
1.0× median
E0784Normal range

External ambulatory infusion pump, insulin

$1.3M

1,458 claims · 7.6%

Your Cost: $906.96/claim|Median: $1,188.30
0.8× median
A4230Normal range

Infusion supplies, non-chemotherapy, per visit

$1.2M

12K claims · 7.1%

Your Cost: $100.73/claim|Median: $136.09
0.7× median
A4239Normal range

Supply allowance for non-insulin pump CGM, per month

$889K

8,554 claims · 5.1%

Your Cost: $103.92/claim|Median: $73.75
1.4× median
A6197Normal range

$711K

2,468 claims · 4.1%

Your Cost: $288.25/claim|Median: $156.22
1.8× median
A9277Normal range

Breath alcohol test, per administration

$699K

1,380 claims · 4.0%

Your Cost: $506.62/claim|Median: $407.76
1.2× median
A4409Top 25%

$589K

6,746 claims · 3.4%

Your Cost: $87.35/claim|Median: $61.38
1.4× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$587K

7,125 claims · 3.4%

Your Cost: $82.45/claim|Median: $88.94
0.9× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$586K

1,091 claims · 3.4%

Your Cost: $537.44/claim|Median: $508.29
1.1× median
A4385Normal range

$559K

8,388 claims · 3.2%

Your Cost: $66.62/claim|Median: $49.51
1.3× median
T4527Normal range

Adult-sized disposable incontinence product, large

$545K

5,994 claims · 3.1%

Your Cost: $90.98/claim|Median: $99.53
0.9× median
K0553Normal range

Supply allowance for therapeutic CGM, per month

$519K

5,124 claims · 3.0%

Your Cost: $101.22/claim|Median: $53.20
1.9× median
A4554Normal range

Disposable underpads, all sizes

$508K

16K claims · 2.9%

Your Cost: $31.14/claim|Median: $37.02
0.8× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$506K

4,494 claims · 2.9%

Your Cost: $112.68/claim|Median: $116.15
1.0× median
A4407Top 25%

$491K

4,381 claims · 2.8%

Your Cost: $112.16/claim|Median: $73.73
1.5× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$455K

4,660 claims · 2.6%

Your Cost: $97.70/claim|Median: $105.14
0.9× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$451K

11K claims · 2.6%

Your Cost: $40.27/claim|Median: $42.03
1.0× median
A4425Top 25%

$422K

8,064 claims · 2.4%

Your Cost: $52.30/claim|Median: $38.79
1.3× median
A4232Normal range

$371K

12K claims · 2.1%

Your Cost: $30.27/claim|Median: $34.49
0.9× median
A6212Normal range

$362K

3,860 claims · 2.1%

Your Cost: $93.71/claim|Median: $76.51
1.2× median
A6021Normal range

$326K

1,626 claims · 1.9%

Your Cost: $200.57/claim|Median: $111.06
1.8× median
T4534Top 25%

Adult-sized disposable underpads/pads, small

$281K

1,964 claims · 1.6%

Your Cost: $143.16/claim|Median: $110.54
1.3× median
A6210Normal range

$226K

1,830 claims · 1.3%

Your Cost: $123.57/claim|Median: $163.78
0.8× median
T4523Normal range

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

$208K

2,089 claims · 1.2%

Your Cost: $99.41/claim|Median: $96.13
1.0× median
A4927Normal range

Gloves, non-sterile, per 100

$204K

17K claims · 1.2%

Your Cost: $12.23/claim|Median: $12.90
0.9× median
E0603Normal range

Breast pump, electric, any type

$196K

1,815 claims · 1.1%

Your Cost: $108.23/claim|Median: $131.70
0.8× median
T4522Normal range

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

$193K

2,317 claims · 1.1%

Your Cost: $83.41/claim|Median: $84.50
1.0× median
A6196Normal range

$160K

1,954 claims · 0.9%

Your Cost: $81.81/claim|Median: $71.68
1.1× median
A4394Top 10%

$157K

5,560 claims · 0.9%

Your Cost: $28.23/claim|Median: $12.65
2.2× median
A6252Normal range

$146K

2,440 claims · 0.8%

Your Cost: $59.89/claim|Median: $46.15
1.3× median