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Provider 1942329990

NPI: 1942329990Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,615,468

Total Claims

166K

Beneficiaries

150K

1.1 claims/patient

Avg Cost/Claim

$64

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+18%
2019
$1.5M
+25%
2020
$1.9M
+2%
2021
$1.9M
-20%
2022
$1.5M
-22%
2023
$1.2M
+11%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 18% of total spending.

T4527Top 25%

Adult-sized disposable incontinence product, large

$2.0M

14K claims · 18.5%

Your Cost: $137.12/claim|Median: $99.53
1.4× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$1.6M

38K claims · 15.5%

Your Cost: $43.23/claim|Median: $41.28
1.0× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$1.6M

12K claims · 15.1%

Your Cost: $130.98/claim|Median: $88.94
1.5× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$1.5M

12K claims · 13.8%

Your Cost: $126.16/claim|Median: $105.14
1.2× median
A4927Top 10%

Gloves, non-sterile, per 100

$1.0M

35K claims · 9.8%

Your Cost: $29.25/claim|Median: $12.90
2.3× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$775K

15K claims · 7.3%

Your Cost: $50.47/claim|Median: $42.03
1.2× median
T4523Normal range

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

$378K

3,626 claims · 3.6%

Your Cost: $104.33/claim|Median: $96.13
1.1× median
T4524Normal range

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

$367K

2,957 claims · 3.5%

Your Cost: $124.27/claim|Median: $108.31
1.1× median
T4525Top 10%

$289K

2,248 claims · 2.7%

Your Cost: $128.41/claim|Median: $79.46
1.6× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$252K

1,278 claims · 2.4%

Your Cost: $196.95/claim|Median: $177.75
1.1× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$199K

1,521 claims · 1.9%

Your Cost: $130.54/claim|Median: $110.54
1.2× median
T4522Normal range

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

$162K

2,193 claims · 1.5%

Your Cost: $73.79/claim|Median: $84.50
0.9× median
A4553Normal range

$97K

6,513 claims · 0.9%

Your Cost: $14.87/claim|Median: $15.13
1.0× median
K0003Top 25%

$69K

1,842 claims · 0.6%

Your Cost: $37.37/claim|Median: $18.14
2.1× median
A6250Top 25%

Skin sealant protectant, moisturizer, each ounce

$56K

1,208 claims · 0.5%

Your Cost: $46.27/claim|Median: $9.88
4.7× median
A4670Normal range

$49K

1,350 claims · 0.5%

Your Cost: $36.27/claim|Median: $50.23
0.7× median
E0260Normal range

Hospital bed, semi-electric

$41K

2,142 claims · 0.4%

Your Cost: $19.15/claim|Median: $23.07
0.8× median
A9286Normal range

$35K

2,066 claims · 0.3%

Your Cost: $17.09/claim|Median: $11.41
1.5× median
E0261Normal range

$30K

1,556 claims · 0.3%

Your Cost: $19.24/claim|Median: $19.15
1.0× median
E0570Normal range

Nebulizer, with compressor

$18K

1,087 claims · 0.2%

Your Cost: $16.11/claim|Median: $16.16
1.0× median
K0001Normal range

Standard wheelchair

$13K

1,080 claims · 0.1%

Your Cost: $12.04/claim|Median: $12.27
1.0× median
E0240Normal range

$13K

453 claims · 0.1%

Your Cost: $28.67/claim|Median: $62.75
0.5× median
A4253Normal range

Blood glucose test strips

$9K

751 claims · 0.1%

Your Cost: $12.36/claim|Median: $6.92
1.8× median
E0143Normal range

Walker, folding, wheeled, adjustable or fixed height

$7K

471 claims · 0.1%

Your Cost: $15.27/claim|Median: $31.59
0.5× median
T4537Normal range

$7K

447 claims · 0.1%

Your Cost: $15.76/claim|Median: $31.50
0.5× median
E0156Top 25%

$6K

612 claims · 0.1%

Your Cost: $10.31/claim|Median: $7.15
1.4× median
T4530Normal range

$6K

65 claims · 0.1%

Your Cost: $96.26/claim|Median: $83.90
1.1× median
E0630Normal range

$6K

308 claims · 0.1%

Your Cost: $18.72/claim|Median: $23.70
0.8× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$5K

43 claims · 0.0%

Your Cost: $107.02/claim|Median: $117.24
0.9× median
E0265Normal range

$3K

449 claims · 0.0%

Your Cost: $7.18/claim|Median: $41.12
0.2× median
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