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

⚖️ Compare🖨️ Print Report

Provider 1902897259

NPI: 1902897259Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.6M

$11,624,299

Total Claims

35K

Beneficiaries

33K

1.1 claims/patient

Avg Cost/Claim

$333

Monthly Spending Trend

Yearly Spending

2018
$935K
+31%
2019
$1.2M
+10%
2020
$1.3M
+2%
2021
$1.4M
-7%
2022
$1.3M
+91%
2023
$2.4M
+23%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 76% of total spending.

B4161Top 10%

Enteral formula, semisolid, 100 calories = 1 unit

$8.8M

10K claims · 75.7%

Your Cost: $863.60/claim|Median: $465.86
1.9× median
A4554Top 1%

Disposable underpads, all sizes

$1.1M

7,154 claims · 9.5%

Your Cost: $153.60/claim|Median: $37.02
4.1× median
B4160Top 10%

Enteral formula, per 100 calories

$548K

1,867 claims · 4.7%

Your Cost: $293.71/claim|Median: $157.30
1.9× median
T4533Normal range

Adult disposable incontinence product, youth or small

$306K

3,093 claims · 2.6%

Your Cost: $98.94/claim|Median: $87.25
1.1× median
B4035Top 10%

Enteral feeding supply kit, pump fed, per day

$257K

1,008 claims · 2.2%

Your Cost: $254.83/claim|Median: $117.24
2.2× median
T4537Top 25%

$175K

2,929 claims · 1.5%

Your Cost: $59.85/claim|Median: $31.50
1.9× median
T4530Normal range

$139K

1,499 claims · 1.2%

Your Cost: $93.05/claim|Median: $83.90
1.1× median
T4522Top 10%

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

$71K

583 claims · 0.6%

Your Cost: $121.51/claim|Median: $84.50
1.4× median
T4523Top 10%

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

$59K

394 claims · 0.5%

Your Cost: $149.49/claim|Median: $96.13
1.6× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$23K

649 claims · 0.2%

Your Cost: $35.06/claim|Median: $42.03
0.8× median
A9286Top 10%

$19K

528 claims · 0.2%

Your Cost: $36.23/claim|Median: $11.41
3.2× median
T4524Top 25%

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

$19K

120 claims · 0.2%

Your Cost: $155.06/claim|Median: $108.31
1.4× median
T4527Normal range

Adult-sized disposable incontinence product, large

$17K

143 claims · 0.1%

Your Cost: $119.85/claim|Median: $99.53
1.2× median
V5266Top 25%

$17K

602 claims · 0.1%

Your Cost: $27.70/claim|Median: $15.52
1.8× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$15K

118 claims · 0.1%

Your Cost: $125.50/claim|Median: $110.54
1.1× median
A4928Top 10%

$10K

74 claims · 0.1%

Your Cost: $134.86/claim|Median: $12.07
11.2× median
A4322Top 25%

$9K

231 claims · 0.1%

Your Cost: $38.49/claim|Median: $14.10
2.7× median
A4657Top 25%

Syringe with needle, each

$9K

159 claims · 0.1%

Your Cost: $53.71/claim|Median: $2.19
24.5× median
B9002Top 10%

$7K

36 claims · 0.1%

Your Cost: $183.51/claim|Median: $54.41
3.4× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$6K

62 claims · 0.1%

Your Cost: $104.13/claim|Median: $88.94
1.2× median
A4927Normal range

Gloves, non-sterile, per 100

$5K

2,989 claims · 0.0%

Your Cost: $1.68/claim|Median: $12.90
0.1× median
A6402Normal range

$3K

360 claims · 0.0%

Your Cost: $9.17/claim|Median: $7.69
1.2× median
B4088Normal range

$3K

67 claims · 0.0%

Your Cost: $48.41/claim|Median: $73.20
0.7× median
T4539Top 1%

$2K

36 claims · 0.0%

Your Cost: $60.00/claim|Median: $27.96
2.1× median
T4521Top 10%

$2K

13 claims · 0.0%

Your Cost: $116.31/claim|Median: $81.60
1.4× median
A4452Normal range

$451

50 claims · 0.0%

Your Cost: $9.03/claim|Median: $9.98
0.9× median
← All providersHow we detect fraud →