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Provider 1013292689

NPI: 1013292689Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.5M

$7,546,396

Total Claims

248K

Beneficiaries

176K

1.4 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$230K
+260%
2019
$828K
+24%
2020
$1.0M
+24%
2021
$1.3M
+30%
2022
$1.7M
+2%
2023
$1.7M
-50%
2024
$852K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 45% of total spending.

99214Top 10%

Office/outpatient visit, est. patient, mod-high complexity

$3.4M

31K claims · 44.6%

Your Cost: $110.20/claim|Median: $53.41
2.1× median
J1568Top 25%

Injection, immune globulin (OCTAGAM), intravenous, non-lyophilized

$807K

263 claims · 10.7%

Your Cost: $3,067.27/claim|Median: $1,911.51
1.6× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$771K

6,696 claims · 10.2%

Your Cost: $115.15/claim|Median: $35.30
3.3× median
80050Normal range

General health panel

$363K

13K claims · 4.8%

Your Cost: $27.82/claim|Median: $25.59
1.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$171K

7,769 claims · 2.3%

Your Cost: $22.03/claim|Median: $14.92
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$152K

1,293 claims · 2.0%

Your Cost: $117.22/claim|Median: $74.09
1.6× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$143K

548 claims · 1.9%

Your Cost: $260.74/claim|Median: $111.09
2.3× median
T1015Top 10%

Clinic visit/encounter, all-inclusive

$135K

472 claims · 1.8%

Your Cost: $287.03/claim|Median: $121.16
2.4× median
99245Top 10%

Office consultation, high complexity

$128K

576 claims · 1.7%

Your Cost: $221.65/claim|Median: $143.30
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$101K

18K claims · 1.3%

Your Cost: $5.79/claim|Median: $4.71
1.2× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$90K

893 claims · 1.2%

Your Cost: $100.84/claim|Median: $57.85
1.7× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$90K

1,322 claims · 1.2%

Your Cost: $67.76/claim|Median: $37.81
1.8× median
76000Top 25%

$87K

1,712 claims · 1.2%

Your Cost: $51.03/claim|Median: $17.70
2.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$87K

730 claims · 1.2%

Your Cost: $119.22/claim|Median: $75.28
1.6× median
82977Normal range

$75K

14K claims · 1.0%

Your Cost: $5.44/claim|Median: $3.95
1.4× median
96409Normal range

$74K

1,026 claims · 1.0%

Your Cost: $72.14/claim|Median: $72.14
1.0× median
83735Top 25%

Magnesium blood level test

$71K

14K claims · 0.9%

Your Cost: $5.16/claim|Median: $2.77
1.9× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$69K

1,324 claims · 0.9%

Your Cost: $51.76/claim|Median: $54.77
0.9× median
99223Top 5%

Initial hospital care, per day, high complexity

$68K

309 claims · 0.9%

Your Cost: $219.66/claim|Median: $67.32
3.3× median
83615Normal range

$64K

14K claims · 0.8%

Your Cost: $4.65/claim|Median: $2.75
1.7× median
84478Normal range

$58K

14K claims · 0.8%

Your Cost: $4.26/claim|Median: $2.29
1.9× median
82248Normal range

Bilirubin, direct blood test

$53K

14K claims · 0.7%

Your Cost: $3.87/claim|Median: $2.55
1.5× median
99244Top 10%

Office or other outpatient consultation, moderate complexity

$53K

264 claims · 0.7%

Your Cost: $200.72/claim|Median: $121.58
1.7× median
99204Top 5%

Office/outpatient visit, new patient, mod-high complexity

$53K

305 claims · 0.7%

Your Cost: $173.39/claim|Median: $84.03
2.1× median
84100Top 25%

$50K

14K claims · 0.7%

Your Cost: $3.65/claim|Median: $1.34
2.7× median
84550Normal range

$48K

14K claims · 0.6%

Your Cost: $3.48/claim|Median: $2.51
1.4× median
82728Normal range

Ferritin

$46K

4,179 claims · 0.6%

Your Cost: $11.12/claim|Median: $6.00
1.9× median
82465Normal range

$44K

14K claims · 0.6%

Your Cost: $3.20/claim|Median: $3.41
0.9× median
85045Top 25%

$33K

11K claims · 0.4%

Your Cost: $3.15/claim|Median: $1.64
1.9× median
96361Normal range

IV infusion, hydration, each additional hour

$29K

1,174 claims · 0.4%

Your Cost: $24.92/claim|Median: $38.92
0.6× median
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