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Provider 1013238179

NPI: 1013238179Share
Active Billing Period:2018-01→2023-02(62 months)
Billing appears to have stoppedLast active: 2023-02

Total Paid

$8.4M

$8,386,830

Total Claims

90K

Beneficiaries

32K

2.8 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+30%
2019
$1.4M
+113%
2020
$3.1M
-51%
2021
$1.5M
-29%
2022
$1.1M
-78%
2023
$229K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 24% of total spending.

90999Normal range

Unlisted dialysis procedure

$2.0M

21K claims · 24.2%

Your Cost: $96.97/claim|Median: $63.73
1.5× median
A4657Top 25%

Syringe with needle, each

$1.1M

12K claims · 13.3%

Your Cost: $93.64/claim|Median: $2.19
42.8× median
J2501Top 25%

$545K

6,405 claims · 6.5%

Your Cost: $85.09/claim|Median: $1.13
75.3× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$405K

4,177 claims · 4.8%

Your Cost: $96.94/claim|Median: $4.58
21.2× median
J0887Top 25%

Injection, epoetin alfa, non-ESRD, 1000 units

$402K

2,450 claims · 4.8%

Your Cost: $164.28/claim|Median: $30.48
5.4× median
84520Top 10%

$343K

4,169 claims · 4.1%

Your Cost: $82.38/claim|Median: $0.89
92.6× median
85018Top 5%

$292K

3,431 claims · 3.5%

Your Cost: $85.02/claim|Median: $1.71
49.7× median
82040Top 10%

$283K

3,192 claims · 3.4%

Your Cost: $88.51/claim|Median: $0.92
96.2× median
84100Top 5%

$276K

3,116 claims · 3.3%

Your Cost: $88.62/claim|Median: $1.34
66.1× median
85014Top 1%

$270K

3,365 claims · 3.2%

Your Cost: $80.09/claim|Median: $1.38
58.0× median
82310Top 10%

$262K

3,082 claims · 3.1%

Your Cost: $84.86/claim|Median: $0.91
93.2× median
84075Top 10%

$248K

2,440 claims · 3.0%

Your Cost: $101.82/claim|Median: $0.72
141.4× median
83540Top 5%

Iron blood level test

$238K

2,650 claims · 2.8%

Your Cost: $89.71/claim|Median: $2.93
30.6× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$222K

2,437 claims · 2.7%

Your Cost: $91.28/claim|Median: $4.71
19.4× median
84155Top 10%

$221K

2,392 claims · 2.6%

Your Cost: $92.39/claim|Median: $0.60
154.0× median
82565Top 5%

Creatinine blood test

$219K

2,430 claims · 2.6%

Your Cost: $90.17/claim|Median: $1.94
46.5× median
80051Top 10%

Electrolyte panel blood test

$196K

1,980 claims · 2.3%

Your Cost: $99.02/claim|Median: $1.56
63.5× median
84466Top 5%

Transferrin blood test

$193K

2,197 claims · 2.3%

Your Cost: $87.86/claim|Median: $4.53
19.4× median
87340Top 5%

Hepatitis B surface antigen detection

$147K

1,654 claims · 1.8%

Your Cost: $88.80/claim|Median: $5.52
16.1× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$101K

1,210 claims · 1.2%

Your Cost: $83.87/claim|Median: $10.20
8.2× median
82728Top 10%

Ferritin

$79K

880 claims · 0.9%

Your Cost: $89.40/claim|Median: $6.00
14.9× median
83550Top 10%

$40K

422 claims · 0.5%

Your Cost: $94.03/claim|Median: $3.49
26.9× median
82435Top 5%

$28K

382 claims · 0.3%

Your Cost: $73.63/claim|Median: $0.69
106.7× median
84132Top 5%

$28K

396 claims · 0.3%

Your Cost: $71.02/claim|Median: $1.09
65.2× median
84295Top 5%

Sodium blood level test

$28K

382 claims · 0.3%

Your Cost: $73.63/claim|Median: $0.88
83.7× median
82374Top 10%

$28K

385 claims · 0.3%

Your Cost: $73.05/claim|Median: $0.58
126.0× median
82108Top 25%

$16K

225 claims · 0.2%

Your Cost: $72.85/claim|Median: $2.12
34.4× median
86706Top 10%

$16K

225 claims · 0.2%

Your Cost: $72.10/claim|Median: $5.39
13.4× median
82746Top 5%

$16K

236 claims · 0.2%

Your Cost: $68.74/claim|Median: $6.83
10.1× median
83735Top 5%

Magnesium blood level test

$16K

236 claims · 0.2%

Your Cost: $68.74/claim|Median: $2.77
24.8× median
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