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Provider 1912953431

NPI: 1912953431Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,508,550

Total Claims

78K

Beneficiaries

64K

1.2 claims/patient

Avg Cost/Claim

$160

Monthly Spending Trend

Yearly Spending

2018
$822K
+45%
2019
$1.2M
+14%
2020
$1.4M
+19%
2021
$1.6M
+31%
2022
$2.1M
+20%
2023
$2.6M
+11%
2024
$2.8M

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 31% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$3.9M

8,696 claims · 31.3%

Your Cost: $450.18/claim|Median: $465.86
1.0× median
B4160Normal range

Enteral formula, per 100 calories

$2.5M

20K claims · 19.8%

Your Cost: $124.44/claim|Median: $157.30
0.8× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.6M

11K claims · 12.8%

Your Cost: $145.13/claim|Median: $117.24
1.2× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$1.1M

3,556 claims · 9.2%

Your Cost: $322.97/claim|Median: $300.16
1.1× median
B4185Normal range

$489K

2,760 claims · 3.9%

Your Cost: $177.23/claim|Median: $134.70
1.3× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$471K

3,276 claims · 3.8%

Your Cost: $143.78/claim|Median: $92.20
1.6× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$434K

4,054 claims · 3.5%

Your Cost: $107.03/claim|Median: $89.79
1.2× median
A4223Top 25%

$356K

1,376 claims · 2.8%

Your Cost: $258.87/claim|Median: $60.92
4.2× median
B9002Normal range

$288K

4,354 claims · 2.3%

Your Cost: $66.06/claim|Median: $54.41
1.2× median
B4224Top 25%

$253K

1,976 claims · 2.0%

Your Cost: $127.96/claim|Median: $78.83
1.6× median
B4158Normal range

$205K

1,190 claims · 1.6%

Your Cost: $172.40/claim|Median: $145.71
1.2× median
B4088Normal range

$149K

3,213 claims · 1.2%

Your Cost: $46.53/claim|Median: $73.20
0.6× median
B4034Normal range

$147K

2,257 claims · 1.2%

Your Cost: $64.92/claim|Median: $46.28
1.4× median
B4153Normal range

$106K

298 claims · 0.9%

Your Cost: $356.83/claim|Median: $410.73
0.9× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$84K

1,922 claims · 0.7%

Your Cost: $43.66/claim|Median: $55.51
0.8× median
A4221Top 25%

Supplies for maintenance of drug infusion catheter

$73K

3,279 claims · 0.6%

Your Cost: $22.22/claim|Median: $16.19
1.4× median
B4220Top 25%

$72K

1,908 claims · 0.6%

Your Cost: $37.53/claim|Median: $27.49
1.4× median
B4154Normal range

$64K

435 claims · 0.5%

Your Cost: $147.05/claim|Median: $132.96
1.1× median
B4155Normal range

$42K

773 claims · 0.3%

Your Cost: $54.94/claim|Median: $46.72
1.2× median
B4103Normal range

$38K

429 claims · 0.3%

Your Cost: $89.31/claim|Median: $82.54
1.1× median
B4036Normal range

$31K

303 claims · 0.3%

Your Cost: $103.40/claim|Median: $74.87
1.4× median
A4211Top 1%

$31K

98 claims · 0.2%

Your Cost: $314.64/claim|Median: $9.60
32.8× median
B4100Normal range

$18K

702 claims · 0.1%

Your Cost: $25.09/claim|Median: $67.58
0.4× median
E0776Top 5%

$16K

196 claims · 0.1%

Your Cost: $83.78/claim|Median: $8.13
10.3× median
B4082Normal range

$1K

112 claims · 0.0%

Your Cost: $10.12/claim|Median: $28.33
0.4× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$0

73 claims · 0.0%

Your Cost: $0.00/claim|Median: $176.25
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