Is ET CARE INC flagged for Medicaid fraud?

ET CARE INC (NPI: 1992861736) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ET CARE INC bill Medicaid?

ET CARE INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Durable Medical Equipment & Medical Supplies provider. Located in HICKORY, NC.

What is NPI 1992861736?

NPI 1992861736 is the National Provider Identifier for ET CARE INC. They are a Durable Medical Equipment & Medical Supplies provider based in HICKORY, NC. This NPI is registered with the CMS NPI Registry.

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ET CARE INC

Durable Medical Equipment & Medical Supplies·HICKORY, NC·NPI: 1992861736Share

Compared to Durable Medical Equipment & Medical Supplies Peers

Total spending distribution among 35 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.5M is at the below 25th percentile among 35 Durable Medical Equipment & Medical Supplies providers.

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

Total Paid

$35.5M

$35,549,091

Total Claims

528K

Beneficiaries

497K

1.1 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018

$4.7M

+10%

2019

$5.1M

+15%

2020

$5.9M

-17%

2021

$4.9M

+1%

2022

$5.0M

+1%

2023

$5.0M

-3%

2024

$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (A4554 (Disposable underpads, all sizes)) accounts for 21% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

A4554Disposable underpads, all sizesSee all providers →

$7.4M

121K claims

$61.44

$37.02

1.7×

Top 25%

A4554Top 25%

Disposable underpads, all sizes

$7.4M

121K claims · 21.0%

Your Cost: $61.44/claim|Median: $37.02

1.7× median

T4527Adult-sized disposable incontinence product, largeSee all providers →

$7.3M

45K claims

$160.69

$99.53

1.6×

Top 10%

T4527Top 10%

Adult-sized disposable incontinence product, large

$7.3M

45K claims · 20.4%

Your Cost: $160.69/claim|Median: $99.53

1.6× median

T4526Adult-sized disposable incontinence product, mediumSee all providers →

$6.5M

45K claims

$145.76

$88.94

1.6×

Top 10%

T4526Top 10%

Adult-sized disposable incontinence product, medium

$6.5M

45K claims · 18.4%

Your Cost: $145.76/claim|Median: $88.94

1.6× median

A4927Gloves, non-sterile, per 100See all providers →

$6.1M

131K claims

$46.52

$12.90

3.6×

Top 5%

A4927Top 5%

Gloves, non-sterile, per 100

$6.1M

131K claims · 17.2%

Your Cost: $46.52/claim|Median: $12.90

3.6× median

T4528Adult-sized disposable incontinence product, extra-largeSee all providers →

$3.2M

20K claims

$160.85

$105.14

1.5×

Top 25%

T4528Top 25%

Adult-sized disposable incontinence product, extra-large

$3.2M

20K claims · 9.0%

Your Cost: $160.85/claim|Median: $105.14

1.5× median

T4544Pediatric-sized disposable underpads/pads, smallSee all providers →

$1.6M

6,944 claims

$224.15

$171.64

1.3×

Top 25%

T4544Top 25%

Pediatric-sized disposable underpads/pads, small

$1.6M

6,944 claims · 4.4%

Your Cost: $224.15/claim|Median: $171.64

1.3× median

A4335Incontinence supply, miscellaneousSee all providers →

$1.0M

118K claims

$8.86

$5.54

1.6×

Normal range

A4335Normal range

Incontinence supply, miscellaneous

$1.0M

118K claims · 2.9%

Your Cost: $8.86/claim|Median: $5.54

1.6× median

T4543Pediatric-sized disposable incontinence product, above XLSee all providers →

$616K

2,882 claims

$213.88

$177.75

1.2×

Normal range

T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$616K

2,882 claims · 1.7%

Your Cost: $213.88/claim|Median: $177.75

1.2× median

T4523Adult-sized disposable incontinence product, brief/diaper, smallSee all providers →

$548K

4,763 claims

$115.00

$96.13

1.2×

Normal range

T4523Normal range

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

$548K

4,763 claims · 1.5%

Your Cost: $115.00/claim|Median: $96.13

1.2× median

T4525 See all providers →

$493K

4,081 claims

$120.78

$79.46

1.5×

Top 10%

T4525Top 10%

$493K

4,081 claims · 1.4%

Your Cost: $120.78/claim|Median: $79.46

1.5× median

T4522Adult-sized disposable incontinence product, brief/diaper, above XLSee all providers →

$337K

2,560 claims

$131.74

$84.50

1.6×

Top 10%

T4522Top 10%

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

$337K

2,560 claims · 0.9%

Your Cost: $131.74/claim|Median: $84.50

1.6× median

T4524Adult-sized disposable incontinence product, brief/diaper, mediumSee all providers →

$281K

2,226 claims

$126.46

$108.31

1.2×

Normal range

T4524Normal range

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

$281K

2,226 claims · 0.8%

Your Cost: $126.46/claim|Median: $108.31

1.2× median

A4253Blood glucose test stripsSee all providers →

$43K

7,973 claims

$5.37

$6.92

0.8×

Normal range

A4253Normal range

Blood glucose test strips

$43K

7,973 claims · 0.1%

Your Cost: $5.37/claim|Median: $6.92

0.8× median

E0260Hospital bed, semi-electricSee all providers →

$33K

2,873 claims

$11.34

$23.07

0.5×

Normal range

E0260Normal range

Hospital bed, semi-electric

$33K

2,873 claims · 0.1%

Your Cost: $11.34/claim|Median: $23.07

0.5× median

K0001Standard wheelchairSee all providers →

$28K

5,615 claims

$5.03

$12.27

0.4×

Normal range

K0001Normal range

Standard wheelchair

$28K

5,615 claims · 0.1%

Your Cost: $5.03/claim|Median: $12.27

0.4× median

A4256 See all providers →

$3K

6,851 claims

$0.50

$2.85

0.2×

Normal range

A4256Normal range

$3K

6,851 claims · 0.0%

Your Cost: $0.50/claim|Median: $2.85

0.2× median

E0607 See all providers →

$2K

344 claims

$5.06

$23.10

0.2×

Normal range

E0607Normal range

$2K

344 claims · 0.0%

Your Cost: $5.06/claim|Median: $23.10

0.2× median

E0185 See all providers →

$46

23 claims

$1.98

$38.42

0.1×

Normal range

E0185Normal range

$46

23 claims · 0.0%

Your Cost: $1.98/claim|Median: $38.42

0.1× median

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