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Provider 1962463075

NPI: 1962463075Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,326,674

Total Claims

190K

Beneficiaries

171K

1.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-16%
2019
$1.5M
+12%
2020
$1.7M
+8%
2021
$1.8M
-8%
2022
$1.7M
-33%
2023
$1.1M
-35%
2024
$724K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 25% of total spending.

B4035Normal range

Enteral feeding supply kit, pump fed, per day

$2.6M

51K claims · 24.9%

Your Cost: $50.85/claim|Median: $117.24
0.4× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.3M

3,798 claims · 12.2%

Your Cost: $331.98/claim|Median: $465.86
0.7× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$1.2M

26K claims · 11.3%

Your Cost: $44.12/claim|Median: $92.20
0.5× median
B4154Normal range

$1.2M

14K claims · 11.2%

Your Cost: $81.97/claim|Median: $132.96
0.6× median
B4160Normal range

Enteral formula, per 100 calories

$1.0M

6,006 claims · 9.9%

Your Cost: $171.00/claim|Median: $157.30
1.1× median
B4153Normal range

$715K

4,801 claims · 6.9%

Your Cost: $148.87/claim|Median: $410.73
0.4× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$659K

14K claims · 6.4%

Your Cost: $45.69/claim|Median: $89.79
0.5× median
B4034Normal range

$358K

13K claims · 3.5%

Your Cost: $27.47/claim|Median: $46.28
0.6× median
B4100Normal range

$339K

4,672 claims · 3.3%

Your Cost: $72.47/claim|Median: $67.58
1.1× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$209K

8,855 claims · 2.0%

Your Cost: $23.58/claim|Median: $55.51
0.4× median
B9002Normal range

$161K

10K claims · 1.6%

Your Cost: $15.35/claim|Median: $54.41
0.3× median
A4554Top 5%

Disposable underpads, all sizes

$153K

1,787 claims · 1.5%

Your Cost: $85.66/claim|Median: $37.02
2.3× median
A4213Top 5%

$102K

1,630 claims · 1.0%

Your Cost: $62.57/claim|Median: $9.01
6.9× median
B4155Normal range

$96K

4,725 claims · 0.9%

Your Cost: $20.38/claim|Median: $46.72
0.4× median
B4036Normal range

$86K

1,808 claims · 0.8%

Your Cost: $47.38/claim|Median: $74.87
0.6× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$78K

290 claims · 0.8%

Your Cost: $268.47/claim|Median: $300.16
0.9× median
T4522Normal range

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

$68K

772 claims · 0.7%

Your Cost: $88.50/claim|Median: $84.50
1.0× median
E0776Normal range

$26K

9,444 claims · 0.3%

Your Cost: $2.76/claim|Median: $8.13
0.3× median
T4524Normal range

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

$22K

320 claims · 0.2%

Your Cost: $68.04/claim|Median: $108.31
0.6× median
A4335Normal range

Incontinence supply, miscellaneous

$20K

2,275 claims · 0.2%

Your Cost: $8.61/claim|Median: $5.54
1.6× median
A4357Normal range

Bedside drainage bag, day or night

$11K

3,795 claims · 0.1%

Your Cost: $2.84/claim|Median: $7.46
0.4× median
A4414Normal range

$10K

476 claims · 0.1%

Your Cost: $20.01/claim|Median: $48.85
0.4× median
A4314Normal range

$9K

3,596 claims · 0.1%

Your Cost: $2.56/claim|Median: $5.42
0.5× median
A5061Normal range

$8K

396 claims · 0.1%

Your Cost: $19.69/claim|Median: $43.04
0.5× median
A5063Normal range

$4K

323 claims · 0.0%

Your Cost: $13.36/claim|Median: $27.93
0.5× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$4K

177 claims · 0.0%

Your Cost: $22.92/claim|Median: $42.03
0.5× median
A4629Normal range

$3K

494 claims · 0.0%

Your Cost: $5.79/claim|Median: $54.42
0.1× median
A4623Normal range

$2K

169 claims · 0.0%

Your Cost: $12.86/claim|Median: $60.83
0.2× median
B4087Normal range

$2K

210 claims · 0.0%

Your Cost: $7.30/claim|Median: $25.27
0.3× median
T4521Normal range

$1K

14 claims · 0.0%

Your Cost: $90.40/claim|Median: $81.60
1.1× median
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