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Provider 1952301897

NPI: 1952301897Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,286,149

Total Claims

100K

Beneficiaries

52K

1.9 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2018
$665K
+69%
2019
$1.1M
+13%
2020
$1.3M
+6%
2021
$1.3M
+25%
2022
$1.7M
+19%
2023
$2.0M
+11%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 29% of total spending.

S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$2.9M

9,537 claims · 28.7%

Your Cost: $309.10/claim|Median: $176.25
1.8× median
B4160Normal range

Enteral formula, per 100 calories

$1.7M

12K claims · 16.3%

Your Cost: $136.28/claim|Median: $157.30
0.9× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.6M

7,568 claims · 15.7%

Your Cost: $212.96/claim|Median: $465.86
0.5× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$1.0M

17K claims · 9.8%

Your Cost: $59.04/claim|Median: $117.24
0.5× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$658K

4,719 claims · 6.4%

Your Cost: $139.41/claim|Median: $300.16
0.5× median
S9500Normal range

$596K

3,833 claims · 5.8%

Your Cost: $155.47/claim|Median: $144.40
1.1× median
B9002Normal range

$371K

14K claims · 3.6%

Your Cost: $26.59/claim|Median: $54.41
0.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$338K

6,169 claims · 3.3%

Your Cost: $54.74/claim|Median: $92.20
0.6× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$125K

3,018 claims · 1.2%

Your Cost: $41.30/claim|Median: $89.79
0.5× median
B4088Normal range

$121K

4,202 claims · 1.2%

Your Cost: $28.80/claim|Median: $73.20
0.4× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$114K

3,184 claims · 1.1%

Your Cost: $35.74/claim|Median: $51.67
0.7× median
S9343Normal range

$88K

506 claims · 0.9%

Your Cost: $174.89/claim|Median: $99.47
1.8× median
B4158Normal range

$87K

1,540 claims · 0.8%

Your Cost: $56.40/claim|Median: $145.71
0.4× median
G0151Normal range

Physical therapy services, home health, per visit

$84K

2,195 claims · 0.8%

Your Cost: $38.34/claim|Median: $67.94
0.6× median
B4154Normal range

$83K

970 claims · 0.8%

Your Cost: $85.68/claim|Median: $132.96
0.6× median
B4034Normal range

$64K

2,278 claims · 0.6%

Your Cost: $27.99/claim|Median: $46.28
0.6× median
S9502Normal range

$60K

353 claims · 0.6%

Your Cost: $169.69/claim|Median: $165.71
1.0× median
B4155Normal range

$40K

2,900 claims · 0.4%

Your Cost: $13.94/claim|Median: $46.72
0.3× median
B4185Normal range

$38K

459 claims · 0.4%

Your Cost: $83.04/claim|Median: $134.70
0.6× median
B4153Normal range

$34K

191 claims · 0.3%

Your Cost: $180.55/claim|Median: $410.73
0.4× median
S9330Normal range

$33K

370 claims · 0.3%

Your Cost: $88.45/claim|Median: $113.82
0.8× median
S5501Normal range

$26K

255 claims · 0.3%

Your Cost: $102.98/claim|Median: $43.74
2.4× median
B4103Normal range

$22K

506 claims · 0.2%

Your Cost: $43.56/claim|Median: $82.54
0.5× median
S9379Top 25%

$16K

82 claims · 0.2%

Your Cost: $191.34/claim|Median: $70.89
2.7× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$10K

130 claims · 0.1%

Your Cost: $74.88/claim|Median: $41.92
1.8× median
J9190Normal range

$9K

606 claims · 0.1%

Your Cost: $15.38/claim|Median: $9.86
1.6× median
S9501Normal range

$8K

38 claims · 0.1%

Your Cost: $207.64/claim|Median: $160.52
1.3× median
J3370Top 10%

$7K

182 claims · 0.1%

Your Cost: $37.26/claim|Median: $2.40
15.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$6K

284 claims · 0.1%

Your Cost: $19.48/claim|Median: $9.56
2.0× median
J0696Top 25%

$500

64 claims · 0.0%

Your Cost: $7.81/claim|Median: $1.34
5.8× median
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