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Provider 1932324621

NPI: 1932324621Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$7.5M

$7,503,567

Total Claims

130K

Beneficiaries

122K

1.1 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-1%
2019
$1.4M
-2%
2020
$1.4M
-18%
2021
$1.2M
-17%
2022
$960K
-37%
2023
$609K
-20%
2024
$488K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4554 (Disposable underpads, all sizes)) accounts for 19% of total spending.

A4554Top 10%

Disposable underpads, all sizes

$1.4M

22K claims · 18.6%

Your Cost: $63.39/claim|Median: $37.02
1.7× median
T4527Top 5%

Adult-sized disposable incontinence product, large

$1.1M

5,213 claims · 14.5%

Your Cost: $209.12/claim|Median: $99.53
2.1× median
T4535Top 10%

Adult-sized disposable underpads/pads, large

$773K

9,896 claims · 10.3%

Your Cost: $78.09/claim|Median: $42.03
1.9× median
T4526Top 5%

Adult-sized disposable incontinence product, medium

$731K

4,326 claims · 9.7%

Your Cost: $168.86/claim|Median: $88.94
1.9× median
T4528Top 10%

Adult-sized disposable incontinence product, extra-large

$606K

3,206 claims · 8.1%

Your Cost: $189.08/claim|Median: $105.14
1.8× median
A4927Top 25%

Gloves, non-sterile, per 100

$510K

23K claims · 6.8%

Your Cost: $21.96/claim|Median: $12.90
1.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$468K

4,316 claims · 6.2%

Your Cost: $108.32/claim|Median: $89.79
1.2× median
A6212Top 10%

$203K

915 claims · 2.7%

Your Cost: $221.64/claim|Median: $76.51
2.9× median
T4544Top 5%

Pediatric-sized disposable underpads/pads, small

$194K

645 claims · 2.6%

Your Cost: $301.54/claim|Median: $171.64
1.8× median
T4523Top 10%

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

$160K

1,015 claims · 2.1%

Your Cost: $157.75/claim|Median: $96.13
1.6× median
T4522Top 5%

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

$157K

1,092 claims · 2.1%

Your Cost: $143.79/claim|Median: $84.50
1.7× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$144K

16K claims · 1.9%

Your Cost: $9.08/claim|Median: $9.88
0.9× median
A6252Top 5%

$124K

699 claims · 1.7%

Your Cost: $177.86/claim|Median: $46.15
3.9× median
E1390Normal range

Oxygen concentrator, single delivery port

$121K

2,328 claims · 1.6%

Your Cost: $52.08/claim|Median: $45.11
1.2× median
A6197Top 5%

$99K

150 claims · 1.3%

Your Cost: $658.17/claim|Median: $156.22
4.2× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$74K

531 claims · 1.0%

Your Cost: $139.72/claim|Median: $92.20
1.5× median
T4534Top 1%

Adult-sized disposable underpads/pads, small

$69K

281 claims · 0.9%

Your Cost: $245.45/claim|Median: $110.54
2.2× median
T4525Top 10%

$64K

511 claims · 0.9%

Your Cost: $126.15/claim|Median: $79.46
1.6× median
T5999Top 25%

Transportation service, not otherwise classified

$62K

945 claims · 0.8%

Your Cost: $65.39/claim|Median: $8.13
8.0× median
B4154Top 25%

$41K

160 claims · 0.6%

Your Cost: $259.22/claim|Median: $132.96
1.9× median
E0260Top 25%

Hospital bed, semi-electric

$40K

1,120 claims · 0.5%

Your Cost: $35.71/claim|Median: $23.07
1.5× median
A6402Top 10%

$34K

1,642 claims · 0.5%

Your Cost: $20.94/claim|Median: $7.69
2.7× median
A6216Top 10%

Gauze, non-impregnated, sterile

$30K

1,864 claims · 0.4%

Your Cost: $15.85/claim|Median: $4.91
3.2× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$28K

385 claims · 0.4%

Your Cost: $72.09/claim|Median: $116.15
0.6× median
A6260Top 25%

$27K

874 claims · 0.4%

Your Cost: $31.21/claim|Median: $10.03
3.1× median
A6446Top 25%

$27K

753 claims · 0.4%

Your Cost: $35.84/claim|Median: $14.64
2.4× median
A4357Normal range

Bedside drainage bag, day or night

$24K

3,276 claims · 0.3%

Your Cost: $7.38/claim|Median: $7.46
1.0× median
A4452Top 25%

$23K

1,275 claims · 0.3%

Your Cost: $18.09/claim|Median: $9.98
1.8× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$22K

2,690 claims · 0.3%

Your Cost: $8.13/claim|Median: $13.14
0.6× median
K0001Top 25%

Standard wheelchair

$18K

830 claims · 0.2%

Your Cost: $21.83/claim|Median: $12.27
1.8× median