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Provider 1942586805

NPI: 1942586805Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,522,261

Total Claims

302K

Beneficiaries

263K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$407K
+109%
2019
$850K
+50%
2020
$1.3M
+74%
2021
$2.2M
+32%
2022
$2.9M
-17%
2023
$2.4M
-41%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A4353 (Intermittent urinary catheter, with insertion supplies)) accounts for 20% of total spending.

A4353Normal range

Intermittent urinary catheter, with insertion supplies

$2.3M

4,215 claims · 20.4%

Your Cost: $557.12/claim|Median: $508.29
1.1× median
A4554Normal range

Disposable underpads, all sizes

$1.8M

54K claims · 15.5%

Your Cost: $33.26/claim|Median: $37.02
0.9× median
A4927Normal range

Gloves, non-sterile, per 100

$984K

59K claims · 8.5%

Your Cost: $16.71/claim|Median: $12.90
1.3× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$862K

12K claims · 7.5%

Your Cost: $74.21/claim|Median: $110.54
0.7× median
T5999Normal range

Transportation service, not otherwise classified

$804K

74K claims · 7.0%

Your Cost: $10.91/claim|Median: $8.13
1.3× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$799K

7,082 claims · 6.9%

Your Cost: $112.81/claim|Median: $177.75
0.6× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$757K

29K claims · 6.6%

Your Cost: $26.03/claim|Median: $42.03
0.6× median
T4527Normal range

Adult-sized disposable incontinence product, large

$640K

14K claims · 5.6%

Your Cost: $45.52/claim|Median: $99.53
0.5× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$611K

9,592 claims · 5.3%

Your Cost: $63.65/claim|Median: $105.14
0.6× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$562K

13K claims · 4.9%

Your Cost: $44.22/claim|Median: $88.94
0.5× median
T4532Normal range

$304K

5,712 claims · 2.6%

Your Cost: $53.16/claim|Median: $116.50
0.5× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$284K

4,895 claims · 2.5%

Your Cost: $57.96/claim|Median: $116.15
0.5× median
T4533Normal range

Adult disposable incontinence product, youth or small

$203K

2,688 claims · 1.8%

Your Cost: $75.35/claim|Median: $87.25
0.9× median
T4530Normal range

$123K

1,771 claims · 1.1%

Your Cost: $69.69/claim|Median: $83.90
0.8× median
T4525Normal range

$104K

1,968 claims · 0.9%

Your Cost: $52.64/claim|Median: $79.46
0.7× median
T4523Normal range

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

$84K

1,097 claims · 0.7%

Your Cost: $76.12/claim|Median: $96.13
0.8× median
T4522Normal range

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

$73K

984 claims · 0.6%

Your Cost: $74.56/claim|Median: $84.50
0.9× median
T4524Normal range

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

$70K

729 claims · 0.6%

Your Cost: $95.58/claim|Median: $108.31
0.9× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$37K

191 claims · 0.3%

Your Cost: $193.01/claim|Median: $171.64
1.1× median
E0570Top 10%

Nebulizer, with compressor

$29K

311 claims · 0.3%

Your Cost: $93.58/claim|Median: $16.16
5.8× median
A4357Normal range

Bedside drainage bag, day or night

$22K

4,658 claims · 0.2%

Your Cost: $4.80/claim|Median: $7.46
0.6× median
L0621Normal range

$11K

193 claims · 0.1%

Your Cost: $55.97/claim|Median: $56.03
1.0× median
A4335Top 10%

Incontinence supply, miscellaneous

$10K

295 claims · 0.1%

Your Cost: $33.70/claim|Median: $5.54
6.1× median
A7005Top 5%

$8K

311 claims · 0.1%

Your Cost: $25.92/claim|Median: $12.44
2.1× median
T4521Normal range

$8K

101 claims · 0.1%

Your Cost: $74.92/claim|Median: $81.60
0.9× median
A4456Normal range

$2K

376 claims · 0.0%

Your Cost: $5.53/claim|Median: $6.74
0.8× median
A4358Normal range

$1K

211 claims · 0.0%

Your Cost: $6.29/claim|Median: $6.27
1.0× median
A5120Normal range

$1K

130 claims · 0.0%

Your Cost: $8.30/claim|Median: $6.35
1.3× median
A4332Normal range

$680

260 claims · 0.0%

Your Cost: $2.61/claim|Median: $6.47
0.4× median
A4627Top 25%

$510

13 claims · 0.0%

Your Cost: $39.23/claim|Median: $21.89
1.8× median
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