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Provider 1003229766

NPI: 1003229766Share
Active Billing Period:2018-01→2024-08(69 months)

Total Paid

$10.6M

$10,596,714

Total Claims

76K

Beneficiaries

9,369

8.1 claims/patient

Avg Cost/Claim

$140

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+29%
2019
$3.3M
-9%
2020
$3.0M
-61%
2021
$1.2M
-51%
2022
$566K
-84%
2023
$91K
-65%
2024
$32K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (Q4081 (Injection, epoetin alfa, 100 units (non-ESRD))) accounts for 32% of total spending.

Q4081Top 10%

Injection, epoetin alfa, 100 units (non-ESRD)

$3.4M

26K claims · 31.7%

Your Cost: $127.59/claim|Median: $4.98
25.6× median
90999Top 25%

Unlisted dialysis procedure

$3.1M

22K claims · 29.4%

Your Cost: $143.87/claim|Median: $63.73
2.3× median
J1270Top 5%

Injection, doxercalciferol, 1 mcg

$2.1M

14K claims · 19.7%

Your Cost: $145.57/claim|Median: $0.73
199.4× median
A4657Top 10%

Syringe with needle, each

$575K

2,827 claims · 5.4%

Your Cost: $203.38/claim|Median: $2.19
92.9× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$563K

4,728 claims · 5.3%

Your Cost: $119.16/claim|Median: $4.58
26.0× median
85048Top 5%

$185K

1,174 claims · 1.7%

Your Cost: $157.18/claim|Median: $0.81
194.0× median
85041Top 5%

$185K

1,172 claims · 1.7%

Your Cost: $157.45/claim|Median: $0.76
207.2× median
G0499Top 25%

$102K

720 claims · 1.0%

Your Cost: $141.45/claim|Median: $2.76
51.2× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$100K

745 claims · 0.9%

Your Cost: $133.74/claim|Median: $10.20
13.1× median
83540Top 5%

Iron blood level test

$88K

645 claims · 0.8%

Your Cost: $136.06/claim|Median: $2.93
46.4× median
83550Top 5%

$88K

641 claims · 0.8%

Your Cost: $136.91/claim|Median: $3.49
39.2× median
82728Top 5%

Ferritin

$81K

587 claims · 0.8%

Your Cost: $137.51/claim|Median: $6.00
22.9× median
J0604Top 5%

$38K

93 claims · 0.4%

Your Cost: $412.29/claim|Median: $11.09
37.2× median
82108Top 5%

$16K

79 claims · 0.2%

Your Cost: $206.72/claim|Median: $2.12
97.5× median
82306Top 1%

Vitamin D, 25 hydroxy

$16K

78 claims · 0.1%

Your Cost: $201.43/claim|Median: $18.18
11.1× median
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