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Provider 1972534154

NPI: 1972534154Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,528,850

Total Claims

162K

Beneficiaries

85K

1.9 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+28%
2019
$1.9M
+3%
2020
$1.9M
-6%
2021
$1.8M
-6%
2022
$1.7M
+6%
2023
$1.8M
+8%
2024
$2.0M

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 27% of total spending.

B4035Normal range

Enteral feeding supply kit, pump fed, per day

$3.4M

26K claims · 26.9%

Your Cost: $129.49/claim|Median: $117.24
1.1× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$2.3M

9,077 claims · 18.6%

Your Cost: $256.20/claim|Median: $300.16
0.9× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$1.3M

3,975 claims · 10.4%

Your Cost: $326.61/claim|Median: $465.86
0.7× median
B4160Normal range

Enteral formula, per 100 calories

$1.1M

8,731 claims · 8.5%

Your Cost: $122.64/claim|Median: $157.30
0.8× median
B4088Normal range

$834K

14K claims · 6.7%

Your Cost: $60.82/claim|Median: $73.20
0.8× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$716K

5,445 claims · 5.7%

Your Cost: $131.57/claim|Median: $89.79
1.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$588K

7,005 claims · 4.7%

Your Cost: $84.01/claim|Median: $92.20
0.9× median
B4153Normal range

$478K

1,253 claims · 3.8%

Your Cost: $381.78/claim|Median: $410.73
0.9× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$322K

25K claims · 2.6%

Your Cost: $12.90/claim|Median: $28.63
0.5× median
B4154Normal range

$302K

1,480 claims · 2.4%

Your Cost: $204.36/claim|Median: $132.96
1.5× median
B4036Normal range

$292K

4,728 claims · 2.3%

Your Cost: $61.85/claim|Median: $74.87
0.8× median
S9500Top 25%

$227K

772 claims · 1.8%

Your Cost: $294.42/claim|Median: $144.40
2.0× median
99601Top 25%

$169K

1,574 claims · 1.3%

Your Cost: $107.08/claim|Median: $82.41
1.3× median
B4034Normal range

$134K

17K claims · 1.1%

Your Cost: $7.68/claim|Median: $46.28
0.2× median
B4158Normal range

$72K

1,046 claims · 0.6%

Your Cost: $68.80/claim|Median: $145.71
0.5× median
B4155Normal range

$65K

2,400 claims · 0.5%

Your Cost: $27.22/claim|Median: $46.72
0.6× median
A6402Normal range

$63K

6,865 claims · 0.5%

Your Cost: $9.19/claim|Median: $7.69
1.2× median
A4305Normal range

$57K

823 claims · 0.5%

Your Cost: $69.20/claim|Median: $76.95
0.9× median
B9002Normal range

$39K

1,209 claims · 0.3%

Your Cost: $32.15/claim|Median: $54.41
0.6× median
E0776Top 25%

$31K

535 claims · 0.2%

Your Cost: $57.02/claim|Median: $8.13
7.0× median
A4213Normal range

$20K

4,585 claims · 0.2%

Your Cost: $4.32/claim|Median: $9.01
0.5× median
S1015Normal range

$11K

2,020 claims · 0.1%

Your Cost: $5.50/claim|Median: $5.10
1.1× median
A6222Normal range

$10K

3,809 claims · 0.1%

Your Cost: $2.64/claim|Median: $23.17
0.1× median
A4452Normal range

$10K

4,630 claims · 0.1%

Your Cost: $2.16/claim|Median: $9.98
0.2× median
A4322Normal range

$10K

1,906 claims · 0.1%

Your Cost: $5.12/claim|Median: $14.10
0.4× median
A4209Normal range

$4K

2,227 claims · 0.0%

Your Cost: $1.98/claim|Median: $1.41
1.4× median
A4450Normal range

$4K

1,714 claims · 0.0%

Your Cost: $2.07/claim|Median: $3.14
0.7× median
A6258Normal range

$2K

376 claims · 0.0%

Your Cost: $5.00/claim|Median: $28.94
0.2× median
A6234Normal range

$2K

110 claims · 0.0%

Your Cost: $14.80/claim|Median: $42.35
0.3× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$1K

1,066 claims · 0.0%

Your Cost: $1.33/claim|Median: $176.25
0.0× median
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