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Provider 1912930736

NPI: 1912930736Share
Active Billing Period:2018-10→2024-12(64 months)

Total Paid

$13.8M

$13,819,802

Total Claims

108K

Beneficiaries

24K

4.6 claims/patient

Avg Cost/Claim

$128

Monthly Spending Trend

Yearly Spending

2018
$1K
+3934%
2019
$44K
+1560%
2020
$732K
+374%
2021
$3.5M
-6%
2022
$3.3M
-7%
2023
$3.0M
+7%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4189) accounts for 49% of total spending.

B4189Normal range

$6.8M

10K claims · 49.3%

Your Cost: $677.95/claim|Median: $743.70
0.9× median
B4185Top 10%

$1.9M

7,901 claims · 13.7%

Your Cost: $240.17/claim|Median: $134.70
1.8× median
B4224Normal range

$1.3M

19K claims · 9.3%

Your Cost: $69.09/claim|Median: $78.83
0.9× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$692K

1,284 claims · 5.0%

Your Cost: $539.29/claim|Median: $465.86
1.2× median
J1726Normal range

$671K

814 claims · 4.9%

Your Cost: $824.78/claim|Median: $789.74
1.0× median
A4305Top 5%

$448K

1,260 claims · 3.2%

Your Cost: $355.29/claim|Median: $76.95
4.6× median
B4105Normal range

$425K

67 claims · 3.1%

Your Cost: $6,346.39/claim|Median: $4,164.23
1.5× median
B4220Normal range

$412K

18K claims · 3.0%

Your Cost: $22.33/claim|Median: $27.49
0.8× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$380K

19K claims · 2.7%

Your Cost: $20.26/claim|Median: $117.24
0.2× median
A4222Normal range

$292K

5,097 claims · 2.1%

Your Cost: $57.31/claim|Median: $62.70
0.9× median
B4160Top 25%

Enteral formula, per 100 calories

$112K

503 claims · 0.8%

Your Cost: $222.22/claim|Median: $157.30
1.4× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$105K

977 claims · 0.8%

Your Cost: $107.63/claim|Median: $89.79
1.2× median
B4034Normal range

$79K

7,817 claims · 0.6%

Your Cost: $10.08/claim|Median: $46.28
0.2× median
G0299Top 25%

Skilled nursing services, home health, per visit, RN

$51K

584 claims · 0.4%

Your Cost: $87.48/claim|Median: $51.67
1.7× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$30K

259 claims · 0.2%

Your Cost: $115.23/claim|Median: $92.20
1.2× median
B9004Top 25%

$30K

120 claims · 0.2%

Your Cost: $248.52/claim|Median: $122.59
2.0× median
A4216Normal range

$26K

2,904 claims · 0.2%

Your Cost: $8.88/claim|Median: $8.45
1.1× median
A4245Normal range

$12K

3,715 claims · 0.1%

Your Cost: $3.31/claim|Median: $2.33
1.4× median
A6457Normal range

$10K

1,536 claims · 0.1%

Your Cost: $6.39/claim|Median: $8.95
0.7× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$9K

1,945 claims · 0.1%

Your Cost: $4.83/claim|Median: $16.19
0.3× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$8K

951 claims · 0.1%

Your Cost: $8.55/claim|Median: $55.51
0.2× median
J3490Normal range

Unclassified drugs

$7K

298 claims · 0.0%

Your Cost: $22.19/claim|Median: $5.70
3.9× median
A4213Normal range

$4K

694 claims · 0.0%

Your Cost: $5.75/claim|Median: $9.01
0.6× median
A4223Normal range

$3K

901 claims · 0.0%

Your Cost: $3.70/claim|Median: $60.92
0.1× median
99601Normal range

$3K

130 claims · 0.0%

Your Cost: $23.95/claim|Median: $82.41
0.3× median
E0776Top 25%

$3K

89 claims · 0.0%

Your Cost: $32.48/claim|Median: $8.13
4.0× median
B4155Normal range

$3K

41 claims · 0.0%

Your Cost: $67.48/claim|Median: $46.72
1.4× median
A5200Normal range

$2K

256 claims · 0.0%

Your Cost: $9.27/claim|Median: $27.94
0.3× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$2K

370 claims · 0.0%

Your Cost: $5.69/claim|Median: $1.53
3.7× median
B9002Normal range

$2K

53 claims · 0.0%

Your Cost: $35.25/claim|Median: $54.41
0.6× median
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