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Provider 1922071034

NPI: 1922071034Share
Active Billing Period:2018-01→2024-12(78 months)

Total Paid

$14.6M

$14,564,269

Total Claims

443K

Beneficiaries

430K

1.0 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-99%
2019
$17K
+4150%
2020
$716K
+269%
2021
$2.6M
+11%
2022
$2.9M
+4%
2023
$3.1M
-8%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4535 (Adult-sized disposable underpads/pads, large)) accounts for 22% of total spending.

T4535Normal range

Adult-sized disposable underpads/pads, large

$3.2M

91K claims · 22.1%

Your Cost: $35.63/claim|Median: $42.03
0.8× median
T4527Normal range

Adult-sized disposable incontinence product, large

$1.6M

27K claims · 11.2%

Your Cost: $59.88/claim|Median: $99.53
0.6× median
T4540Top 25%

$1.5M

47K claims · 10.2%

Your Cost: $31.45/claim|Median: $17.85
1.8× median
T4523Normal range

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

$854K

13K claims · 5.9%

Your Cost: $67.78/claim|Median: $96.13
0.7× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$821K

13K claims · 5.6%

Your Cost: $63.47/claim|Median: $88.94
0.7× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$756K

51K claims · 5.2%

Your Cost: $14.93/claim|Median: $41.28
0.4× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$711K

8,844 claims · 4.9%

Your Cost: $80.43/claim|Median: $105.14
0.8× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$598K

3,166 claims · 4.1%

Your Cost: $189.01/claim|Median: $177.75
1.1× median
T4536Top 25%

Adult disposable incontinence product, pull-on, large

$559K

37K claims · 3.8%

Your Cost: $15.21/claim|Median: $11.57
1.3× median
A4553Top 25%

$513K

14K claims · 3.5%

Your Cost: $35.66/claim|Median: $15.13
2.4× median
A4554Normal range

Disposable underpads, all sizes

$498K

17K claims · 3.4%

Your Cost: $29.66/claim|Median: $37.02
0.8× median
A4927Normal range

Gloves, non-sterile, per 100

$485K

47K claims · 3.3%

Your Cost: $10.37/claim|Median: $12.90
0.8× median
E0260Top 25%

Hospital bed, semi-electric

$256K

6,913 claims · 1.8%

Your Cost: $37.09/claim|Median: $23.07
1.6× median
T4524Normal range

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

$254K

3,621 claims · 1.7%

Your Cost: $70.03/claim|Median: $108.31
0.6× median
T4522Normal range

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

$242K

3,581 claims · 1.7%

Your Cost: $67.64/claim|Median: $84.50
0.8× median
A6533Normal range

$216K

3,813 claims · 1.5%

Your Cost: $56.76/claim|Median: $74.92
0.8× median
K0004Normal range

$195K

4,067 claims · 1.3%

Your Cost: $47.83/claim|Median: $34.32
1.4× median
A6530Normal range

$138K

3,240 claims · 0.9%

Your Cost: $42.54/claim|Median: $49.70
0.9× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$101K

3,162 claims · 0.7%

Your Cost: $32.05/claim|Median: $31.59
1.0× median
E1390Normal range

Oxygen concentrator, single delivery port

$98K

3,167 claims · 0.7%

Your Cost: $31.09/claim|Median: $45.11
0.7× median
A4335Top 1%

Incontinence supply, miscellaneous

$96K

749 claims · 0.7%

Your Cost: $127.84/claim|Median: $5.54
23.1× median
T4525Normal range

$86K

1,368 claims · 0.6%

Your Cost: $62.62/claim|Median: $79.46
0.8× median
E2611Normal range

General wheelchair seat cushion, width less than twenty-two inches

$71K

712 claims · 0.5%

Your Cost: $100.33/claim|Median: $61.71
1.6× median
K0001Normal range

Standard wheelchair

$54K

3,930 claims · 0.4%

Your Cost: $13.80/claim|Median: $12.27
1.1× median
A4670Normal range

$46K

880 claims · 0.3%

Your Cost: $52.65/claim|Median: $50.23
1.0× median
A5500Normal range

Diabetic therapeutic shoe, depth, each

$44K

2,580 claims · 0.3%

Your Cost: $16.99/claim|Median: $33.21
0.5× median
E0163Normal range

$40K

1,245 claims · 0.3%

Your Cost: $31.82/claim|Median: $27.98
1.1× median
K0003Normal range

$37K

2,526 claims · 0.3%

Your Cost: $14.48/claim|Median: $18.14
0.8× median
E0240Normal range

$36K

1,378 claims · 0.3%

Your Cost: $26.47/claim|Median: $62.75
0.4× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$35K

159 claims · 0.2%

Your Cost: $219.80/claim|Median: $171.64
1.3× median
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