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Provider 1912958174

NPI: 1912958174Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.7M

$13,698,003

Total Claims

393K

Beneficiaries

68K

5.8 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+7%
2019
$2.1M
+18%
2020
$2.5M
-20%
2021
$2.0M
-10%
2022
$1.8M
-4%
2023
$1.7M
-5%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 16% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.2M

20K claims · 16.2%

Your Cost: $109.16/claim|Median: $465.86
0.2× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.9M

70K claims · 13.9%

Your Cost: $27.36/claim|Median: $117.24
0.2× median
A4222Normal range

$1.7M

36K claims · 12.7%

Your Cost: $48.19/claim|Median: $62.70
0.8× median
B4160Normal range

Enteral formula, per 100 calories

$1.3M

37K claims · 9.4%

Your Cost: $35.18/claim|Median: $157.30
0.2× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$1.1M

69K claims · 8.1%

Your Cost: $16.18/claim|Median: $176.25
0.1× median
B4153Normal range

$911K

8,326 claims · 6.7%

Your Cost: $109.41/claim|Median: $410.73
0.3× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$593K

17K claims · 4.3%

Your Cost: $35.05/claim|Median: $92.20
0.4× median
B4189Normal range

$503K

2,007 claims · 3.7%

Your Cost: $250.76/claim|Median: $743.70
0.3× median
B4185Normal range

$455K

5,254 claims · 3.3%

Your Cost: $86.63/claim|Median: $134.70
0.6× median
B4224Normal range

$408K

13K claims · 3.0%

Your Cost: $30.75/claim|Median: $78.83
0.4× median
B4034Normal range

$356K

15K claims · 2.6%

Your Cost: $24.49/claim|Median: $46.28
0.5× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$346K

30K claims · 2.5%

Your Cost: $11.56/claim|Median: $16.19
0.7× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$340K

7,340 claims · 2.5%

Your Cost: $46.26/claim|Median: $300.16
0.2× median
B4154Normal range

$234K

3,224 claims · 1.7%

Your Cost: $72.57/claim|Median: $132.96
0.5× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$207K

6,065 claims · 1.5%

Your Cost: $34.14/claim|Median: $89.79
0.4× median
S9340Normal range

$173K

15K claims · 1.3%

Your Cost: $11.83/claim|Median: $196.46
0.1× median
B4220Normal range

$162K

12K claims · 1.2%

Your Cost: $13.33/claim|Median: $27.49
0.5× median
99601Normal range

$157K

5,684 claims · 1.1%

Your Cost: $27.65/claim|Median: $82.41
0.3× median
B4088Normal range

$130K

3,666 claims · 1.0%

Your Cost: $35.54/claim|Median: $73.20
0.5× median
B4155Normal range

$114K

4,570 claims · 0.8%

Your Cost: $25.00/claim|Median: $46.72
0.5× median
S9343Normal range

$79K

1,052 claims · 0.6%

Your Cost: $75.45/claim|Median: $99.47
0.8× median
B9002Normal range

$58K

1,040 claims · 0.4%

Your Cost: $55.84/claim|Median: $54.41
1.0× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$47K

1,249 claims · 0.3%

Your Cost: $37.45/claim|Median: $55.51
0.7× median
B4158Normal range

$34K

1,496 claims · 0.3%

Your Cost: $22.97/claim|Median: $145.71
0.2× median
99602Normal range

$25K

1,072 claims · 0.2%

Your Cost: $23.19/claim|Median: $84.91
0.3× median
E0781Normal range

$23K

402 claims · 0.2%

Your Cost: $57.87/claim|Median: $54.38
1.1× median
J1561Normal range

$20K

127 claims · 0.1%

Your Cost: $154.73/claim|Median: $1,482.84
0.1× median
B4103Normal range

$16K

722 claims · 0.1%

Your Cost: $22.00/claim|Median: $82.54
0.3× median
J1250Normal range

$7K

3,906 claims · 0.1%

Your Cost: $1.89/claim|Median: $2.87
0.7× median
S9338Normal range

$7K

418 claims · 0.1%

Your Cost: $16.96/claim|Median: $60.83
0.3× median
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