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Tenderheart Health Outcomes, Inc.

Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition·Austin, TX·NPI: 1972583078Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$145.2M

$145,154,612

Total Claims

6.7M

Beneficiaries

6.6M

1.0 claims/patient

Avg Cost/Claim

$22

#755 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Tenderheart Health Outcomes, Inc. is a Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition provider based in Austin, TX. From the 2018–2024 period, this provider received $145.2M in Medicaid payments across 6.7M claims.

Why This Matters

This provider received $145.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 18,144 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 129% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$12.4M
+6%
2019
$13.1M
+20%
2020
$15.7M
+45%
2021
$22.8M
+4%
2022
$23.7M
+23%
2023
$29.2M
-3%
2024
$28.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T4527 (Adult-sized disposable incontinence product, large)) accounts for 17% of total spending.

T4527Normal range

Adult-sized disposable incontinence product, large

$24.3M

409K claims · 16.7%

Your Cost: $59.48/claim|Median: $99.53
0.6× median
A4554Normal range

Disposable underpads, all sizes

$19.2M

1.3M claims · 13.2%

Your Cost: $15.05/claim|Median: $37.02
0.4× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$18.3M

370K claims · 12.6%

Your Cost: $49.50/claim|Median: $88.94
0.6× median
T4528Normal range

Adult-sized disposable incontinence product, extra-large

$17.3M

249K claims · 12.0%

Your Cost: $69.69/claim|Median: $105.14
0.7× median
T4535Normal range

Adult-sized disposable underpads/pads, large

$10.0M

569K claims · 6.9%

Your Cost: $17.63/claim|Median: $42.03
0.4× median
T4544Normal range

Pediatric-sized disposable underpads/pads, small

$8.4M

101K claims · 5.8%

Your Cost: $83.68/claim|Median: $171.64
0.5× median
A4335Normal range

Incontinence supply, miscellaneous

$6.7M

1.9M claims · 4.6%

Your Cost: $3.53/claim|Median: $5.54
0.6× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$3.9M

116K claims · 2.7%

Your Cost: $33.47/claim|Median: $110.54
0.3× median
T4523Normal range

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

$3.8M

96K claims · 2.7%

Your Cost: $39.93/claim|Median: $96.13
0.4× median
T4522Normal range

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

$3.3M

92K claims · 2.3%

Your Cost: $35.89/claim|Median: $84.50
0.4× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$3.3M

948K claims · 2.3%

Your Cost: $3.45/claim|Median: $9.88
0.3× median
T4524Normal range

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

$2.9M

54K claims · 2.0%

Your Cost: $53.95/claim|Median: $108.31
0.5× median
T4543Normal range

Pediatric-sized disposable incontinence product, above XL

$2.5M

35K claims · 1.7%

Your Cost: $69.93/claim|Median: $177.75
0.4× median
T4525Normal range

$2.3M

57K claims · 1.6%

Your Cost: $39.46/claim|Median: $79.46
0.5× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$1.9M

14K claims · 1.3%

Your Cost: $129.12/claim|Median: $89.79
1.4× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$1.4M

10K claims · 1.0%

Your Cost: $148.53/claim|Median: $116.15
1.3× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$1.4M

3K claims · 1.0%

Your Cost: $459.20/claim|Median: $508.29
0.9× median
B4160Normal range

Enteral formula, per 100 calories

$1.3M

6K claims · 0.9%

Your Cost: $210.66/claim|Median: $157.30
1.3× median
T4532Normal range

$1.2M

25K claims · 0.8%

Your Cost: $45.33/claim|Median: $116.50
0.4× median
B4154Top 25%

$1.1M

4K claims · 0.8%

Your Cost: $279.68/claim|Median: $132.96
2.1× median
E0240Normal range

$962K

11K claims · 0.7%

Your Cost: $85.68/claim|Median: $62.75
1.4× median
T4530Normal range

$962K

32K claims · 0.7%

Your Cost: $30.44/claim|Median: $83.90
0.4× median
B4152Top 5%

Enteral formula, calorically dense, per 100 calories

$956K

4K claims · 0.7%

Your Cost: $225.82/claim|Median: $92.20
2.5× median
A4670Normal range

$466K

9K claims · 0.3%

Your Cost: $50.01/claim|Median: $50.23
1.0× median
T4521Normal range

$419K

13K claims · 0.3%

Your Cost: $31.96/claim|Median: $81.60
0.4× median
E1399Normal range

Durable medical equipment, miscellaneous

$396K

10K claims · 0.3%

Your Cost: $38.41/claim|Median: $104.06
0.4× median
T2029Normal range

Specialized transportation, waiver, per mile, extra

$395K

5K claims · 0.3%

Your Cost: $81.77/claim|Median: $141.34
0.6× median
A4352Top 25%

Intermittent urinary catheter, Coude tip, each

$368K

839 claims · 0.3%

Your Cost: $438.10/claim|Median: $280.71
1.6× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$363K

3K claims · 0.3%

Your Cost: $123.65/claim|Median: $117.24
1.1× median
B4100Normal range

$336K

4K claims · 0.2%

Your Cost: $92.77/claim|Median: $67.58
1.4× median

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