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⚖️ Compare🖨️ Print Report

Unknown Provider 1962725275

NPI: 1962725275SharePrint ReportML Risk: 83%
View on Risk Watchlist →

Total Paid

$157K

$156,613

Total Claims

2,204

Beneficiaries

1,450

1.5 claims/patient

Avg Cost/Claim

$71

🔍 Analysis

Provider Overview

is a Medicaid provider based in Unknown location. From the 2018–2024 period, this provider received $157K in Medicaid payments across 2K claims serving 1K beneficiaries.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 68% of total spending.

B4035Normal range

Enteral feeding supply kit, pump fed, per day

$106K

714 claims · 67.7%

Your Cost: $148.45/claim|Median: $117.24
1.3× median
B9002Normal range

$16K

380 claims · 9.9%

Your Cost: $40.79/claim|Median: $54.41
0.7× median
A4222Normal range

$11K

151 claims · 6.7%

Your Cost: $69.64/claim|Median: $62.70
1.1× median
B4034Normal range

$8K

127 claims · 4.9%

Your Cost: $60.93/claim|Median: $46.28
1.3× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$5K

423 claims · 3.5%

Your Cost: $12.88/claim|Median: $16.19
0.8× median
B4088Normal range

$5K

178 claims · 2.9%

Your Cost: $25.62/claim|Median: $73.20
0.3× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$3K

117 claims · 2.1%

Your Cost: $27.62/claim|Median: $92.20
0.3× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$2K

60 claims · 1.4%

Your Cost: $37.85/claim|Median: $89.79
0.4× median
E0781Normal range

$1K

16 claims · 0.9%

Your Cost: $84.62/claim|Median: $54.38
1.6× median
A4223Normal range

$0

38 claims · 0.0%

Your Cost: $0.00/claim|Median: $60.92
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