Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1982653523

NPI: 1982653523Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.8M

$9,844,347

Total Claims

158K

Beneficiaries

150K

1.1 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+31%
2019
$1.5M
-2%
2020
$1.5M
-8%
2021
$1.4M
-8%
2022
$1.3M
+18%
2023
$1.5M
+5%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S5199 (Personal care item, NOS, each)) accounts for 21% of total spending.

S5199Top 25%

Personal care item, NOS, each

$2.1M

34K claims · 21.2%

Your Cost: $60.53/claim|Median: $10.82
5.6× median
T4526Top 25%

Adult-sized disposable incontinence product, medium

$960K

8,327 claims · 9.7%

Your Cost: $115.25/claim|Median: $88.94
1.3× median
T4523Normal range

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

$943K

8,174 claims · 9.6%

Your Cost: $115.37/claim|Median: $96.13
1.2× median
T4527Normal range

Adult-sized disposable incontinence product, large

$938K

7,790 claims · 9.5%

Your Cost: $120.47/claim|Median: $99.53
1.2× median
A4554Normal range

Disposable underpads, all sizes

$852K

20K claims · 8.7%

Your Cost: $42.53/claim|Median: $37.02
1.1× median
T4522Normal range

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

$679K

6,817 claims · 6.9%

Your Cost: $99.66/claim|Median: $84.50
1.2× median
B4152Top 5%

Enteral formula, calorically dense, per 100 calories

$647K

3,011 claims · 6.6%

Your Cost: $214.84/claim|Median: $92.20
2.3× median
B4150Top 10%

Enteral formula, nutritionally complete with fiber, per 100 calories

$557K

2,989 claims · 5.7%

Your Cost: $186.51/claim|Median: $89.79
2.1× median
A4927Normal range

Gloves, non-sterile, per 100

$506K

36K claims · 5.1%

Your Cost: $14.12/claim|Median: $12.90
1.1× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$484K

4,362 claims · 4.9%

Your Cost: $110.98/claim|Median: $105.14
1.1× median
T4524Normal range

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

$347K

2,733 claims · 3.5%

Your Cost: $127.03/claim|Median: $108.31
1.2× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$237K

2,101 claims · 2.4%

Your Cost: $112.63/claim|Median: $110.54
1.0× median
A9900Normal range

$183K

4,722 claims · 1.9%

Your Cost: $38.66/claim|Median: $58.14
0.7× median
T4525Top 25%

$177K

1,647 claims · 1.8%

Your Cost: $107.33/claim|Median: $79.46
1.4× median
B4160Normal range

Enteral formula, per 100 calories

$90K

490 claims · 0.9%

Your Cost: $183.38/claim|Median: $157.30
1.2× median
A4253Normal range

Blood glucose test strips

$86K

3,933 claims · 0.9%

Your Cost: $21.90/claim|Median: $6.92
3.2× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$43K

1,286 claims · 0.4%

Your Cost: $33.32/claim|Median: $42.03
0.8× median
J7626Normal range

$10K

441 claims · 0.1%

Your Cost: $21.64/claim|Median: $9.81
2.2× median
A4259Normal range

Lancets for blood glucose testing

$9K

1,973 claims · 0.1%

Your Cost: $4.34/claim|Median: $2.27
1.9× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$3K

16 claims · 0.0%

Your Cost: $186.82/claim|Median: $171.64
1.1× median
B4034Normal range

$2K

483 claims · 0.0%

Your Cost: $4.08/claim|Median: $46.28
0.1× median
A4215Normal range

Sterile needle, each

$1K

360 claims · 0.0%

Your Cost: $4.14/claim|Median: $20.71
0.2× median
J7613Top 25%

Albuterol inhalation solution, concentrated, per milligram

$1K

1,025 claims · 0.0%

Your Cost: $1.16/claim|Median: $0.08
14.6× median
B4155Normal range

$981

18 claims · 0.0%

Your Cost: $54.47/claim|Median: $46.72
1.2× median
E0607Normal range

$366

15 claims · 0.0%

Your Cost: $24.38/claim|Median: $23.10
1.1× median
G0008Normal range

$0

1,605 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
90656Normal range

$0

262 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
90480Normal range

$0

262 claims · 0.0%

Your Cost: $0.00/claim|Median: $25.29
Q0513Normal range

$0

1,149 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.61
G0009Normal range

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.11