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Provider 1942234448

NPI: 1942234448Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,154,225

Total Claims

62K

Beneficiaries

35K

1.8 claims/patient

Avg Cost/Claim

$132

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+5%
2019
$1.1M
+19%
2020
$1.3M
-5%
2021
$1.3M
-15%
2022
$1.1M
+22%
2023
$1.3M
-22%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 27 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 28% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$2.3M

5,673 claims · 28.2%

Your Cost: $405.53/claim|Median: $465.86
0.9× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.7M

16K claims · 21.2%

Your Cost: $106.88/claim|Median: $117.24
0.9× median
S9494Normal range

$559K

5,621 claims · 6.9%

Your Cost: $99.49/claim|Median: $169.66
0.6× median
B4160Normal range

Enteral formula, per 100 calories

$515K

4,696 claims · 6.3%

Your Cost: $109.64/claim|Median: $157.30
0.7× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$507K

1,574 claims · 6.2%

Your Cost: $322.10/claim|Median: $300.16
1.1× median
B4153Normal range

$483K

850 claims · 5.9%

Your Cost: $567.84/claim|Median: $410.73
1.4× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$401K

2,960 claims · 4.9%

Your Cost: $135.55/claim|Median: $92.20
1.5× median
T1030Normal range

Nursing care, in the home, by RN, per diem

$326K

4,501 claims · 4.0%

Your Cost: $72.43/claim|Median: $85.62
0.8× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$296K

1,804 claims · 3.6%

Your Cost: $164.07/claim|Median: $89.79
1.8× median
B4088Normal range

$230K

2,314 claims · 2.8%

Your Cost: $99.49/claim|Median: $73.20
1.4× median
B9002Normal range

$203K

4,947 claims · 2.5%

Your Cost: $41.14/claim|Median: $54.41
0.8× median
B4155Top 25%

$187K

1,467 claims · 2.3%

Your Cost: $127.38/claim|Median: $46.72
2.7× median
B4034Normal range

$128K

2,890 claims · 1.6%

Your Cost: $44.31/claim|Median: $46.28
1.0× median
B4154Top 10%

$81K

239 claims · 1.0%

Your Cost: $340.62/claim|Median: $132.96
2.6× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$51K

3,044 claims · 0.6%

Your Cost: $16.87/claim|Median: $55.51
0.3× median
B4224Normal range

$36K

446 claims · 0.4%

Your Cost: $80.12/claim|Median: $78.83
1.0× median
E0781Normal range

$28K

277 claims · 0.3%

Your Cost: $101.72/claim|Median: $54.38
1.9× median
B4185Normal range

$25K

193 claims · 0.3%

Your Cost: $131.61/claim|Median: $134.70
1.0× median
S9500Normal range

$18K

134 claims · 0.2%

Your Cost: $133.50/claim|Median: $144.40
0.9× median
99601Top 25%

$12K

112 claims · 0.1%

Your Cost: $106.33/claim|Median: $82.41
1.3× median
S9338Normal range

$10K

690 claims · 0.1%

Your Cost: $14.50/claim|Median: $60.83
0.2× median
B4220Normal range

$10K

362 claims · 0.1%

Your Cost: $27.13/claim|Median: $27.49
1.0× median
B4103Normal range

$8K

103 claims · 0.1%

Your Cost: $75.77/claim|Median: $82.54
0.9× median
B4158Normal range

$6K

42 claims · 0.1%

Your Cost: $140.73/claim|Median: $145.71
1.0× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$762

128 claims · 0.0%

Your Cost: $5.96/claim|Median: $16.19
0.4× median
K0552Normal range

$0

219 claims · 0.0%

Your Cost: $0.00/claim|Median: $19.78
A4927Normal range

Gloves, non-sterile, per 100

$0

217 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.90
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