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OPTION 1 NORTHWEST ENTERAL, LLC

Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition·BEAVERTON, OR·NPI: 1912101783Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$30.2M

$30,156,673

Total Claims

210K

Beneficiaries

170K

1.2 claims/patient

Avg Cost/Claim

$144

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+13%
2019
$4.0M
+4%
2020
$4.2M
-5%
2021
$4.0M
+6%
2022
$4.2M
+20%
2023
$5.1M
+1%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 35 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 27% of total spending.

B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$8.2M

34K claims · 27.1%

Your Cost: $238.20/claim|Median: $117.24
2.0× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$4.6M

9,652 claims · 15.1%

Your Cost: $472.75/claim|Median: $465.86
1.0× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$3.4M

8,141 claims · 11.2%

Your Cost: $414.48/claim|Median: $300.16
1.4× median
B4160Normal range

Enteral formula, per 100 calories

$3.0M

21K claims · 9.9%

Your Cost: $142.36/claim|Median: $157.30
0.9× median
B4154Normal range

$1.5M

11K claims · 4.9%

Your Cost: $133.72/claim|Median: $132.96
1.0× median
B4088Top 25%

$1.4M

12K claims · 4.6%

Your Cost: $121.45/claim|Median: $73.20
1.7× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$1.3M

34K claims · 4.3%

Your Cost: $37.64/claim|Median: $55.51
0.7× median
B4153Normal range

$1.1M

2,636 claims · 3.7%

Your Cost: $426.32/claim|Median: $410.73
1.0× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$1.1M

7,338 claims · 3.6%

Your Cost: $147.33/claim|Median: $92.20
1.6× median
B4034Top 25%

$959K

8,661 claims · 3.2%

Your Cost: $110.76/claim|Median: $46.28
2.4× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$922K

7,546 claims · 3.1%

Your Cost: $122.23/claim|Median: $89.79
1.4× median
B9002Normal range

$785K

10K claims · 2.6%

Your Cost: $75.28/claim|Median: $54.41
1.4× median
B4158Normal range

$332K

3,526 claims · 1.1%

Your Cost: $94.09/claim|Median: $145.71
0.6× median
E0776Top 25%

$266K

5,397 claims · 0.9%

Your Cost: $49.28/claim|Median: $8.13
6.1× median
T4530Normal range

$253K

4,251 claims · 0.8%

Your Cost: $59.40/claim|Median: $83.90
0.7× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$226K

4,321 claims · 0.8%

Your Cost: $52.35/claim|Median: $110.54
0.5× median
B4036Top 25%

$197K

1,676 claims · 0.7%

Your Cost: $117.45/claim|Median: $74.87
1.6× median
B4155Normal range

$182K

6,278 claims · 0.6%

Your Cost: $28.92/claim|Median: $46.72
0.6× median
T4522Normal range

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

$166K

2,058 claims · 0.6%

Your Cost: $80.78/claim|Median: $84.50
1.0× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$72K

3,700 claims · 0.2%

Your Cost: $19.37/claim|Median: $41.28
0.5× median
B4081Normal range

$71K

1,583 claims · 0.2%

Your Cost: $44.61/claim|Median: $36.64
1.2× median
A4927Normal range

Gloves, non-sterile, per 100

$70K

5,691 claims · 0.2%

Your Cost: $12.21/claim|Median: $12.90
0.9× median
B4082Normal range

$51K

1,641 claims · 0.2%

Your Cost: $31.35/claim|Median: $28.33
1.1× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$46K

692 claims · 0.2%

Your Cost: $66.85/claim|Median: $88.94
0.8× median
B4103Normal range

$18K

291 claims · 0.1%

Your Cost: $61.27/claim|Median: $82.54
0.7× median
T4537Normal range

$15K

525 claims · 0.1%

Your Cost: $28.82/claim|Median: $31.50
0.9× median
T4532Normal range

$14K

225 claims · 0.0%

Your Cost: $62.93/claim|Median: $116.50
0.5× median
A4351Top 25%

Intermittent urinary catheter, straight tip, each

$14K

72 claims · 0.0%

Your Cost: $187.62/claim|Median: $116.15
1.6× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$12K

295 claims · 0.0%

Your Cost: $39.32/claim|Median: $42.03
0.9× median
A4322Normal range

$6K

357 claims · 0.0%

Your Cost: $15.95/claim|Median: $14.10
1.1× median
B4100Normal range

$4K

76 claims · 0.0%

Your Cost: $46.62/claim|Median: $67.58
0.7× median
T4523Normal range

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

$1K

23 claims · 0.0%

Your Cost: $58.34/claim|Median: $96.13
0.6× median
A4332Top 25%

$1K

121 claims · 0.0%

Your Cost: $10.34/claim|Median: $6.47
1.6× median
A4335Normal range

Incontinence supply, miscellaneous

$1K

418 claims · 0.0%

Your Cost: $2.91/claim|Median: $5.54
0.5× median
A4213Normal range

$292

121 claims · 0.0%

Your Cost: $2.41/claim|Median: $9.01
0.3× median

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