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Provider 1023253556

NPI: 1023253556Share
Active Billing Period:2018-01→2024-03(75 months)
Billing appears to have stoppedLast active: 2024-03

Total Paid

$12.0M

$12,000,431

Total Claims

700K

Beneficiaries

639K

1.1 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-57%
2019
$1.1M
+34%
2020
$1.5M
+55%
2021
$2.3M
+10%
2022
$2.5M
-35%
2023
$1.7M
-81%
2024
$318K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 24% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$2.9M

42K claims · 24.2%

Your Cost: $68.53/claim|Median: $63.08
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$1.4M

49K claims · 12.0%

Your Cost: $29.33/claim|Median: $24.95
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.4M

49K claims · 11.9%

Your Cost: $29.23/claim|Median: $23.39
1.2× median
G2023Normal range

Specimen collection for COVID-19 testing

$685K

36K claims · 5.7%

Your Cost: $19.03/claim|Median: $17.15
1.1× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$657K

34K claims · 5.5%

Your Cost: $19.49/claim|Median: $18.03
1.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$425K

8,857 claims · 3.5%

Your Cost: $48.02/claim|Median: $35.43
1.4× median
87798Top 5%

Infectious agent detection, nucleic acid, not otherwise specified

$396K

2,404 claims · 3.3%

Your Cost: $164.77/claim|Median: $26.72
6.2× median
80061Normal range

Lipid panel

$296K

34K claims · 2.5%

Your Cost: $8.59/claim|Median: $8.41
1.0× median
88142Normal range

$272K

16K claims · 2.3%

Your Cost: $17.25/claim|Median: $14.75
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$254K

15K claims · 2.1%

Your Cost: $17.52/claim|Median: $18.18
1.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$245K

24K claims · 2.0%

Your Cost: $10.41/claim|Median: $9.87
1.1× median
80053Normal range

Comprehensive metabolic panel

$243K

37K claims · 2.0%

Your Cost: $6.63/claim|Median: $7.24
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$233K

46K claims · 1.9%

Your Cost: $5.04/claim|Median: $4.71
1.1× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$219K

658 claims · 1.8%

Your Cost: $333.54/claim|Median: $169.17
2.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$210K

32K claims · 1.8%

Your Cost: $6.65/claim|Median: $5.50
1.2× median
80055Normal range

$187K

5,790 claims · 1.6%

Your Cost: $32.26/claim|Median: $28.10
1.1× median
86592Normal range

$146K

40K claims · 1.2%

Your Cost: $3.66/claim|Median: $3.35
1.1× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$116K

10K claims · 1.0%

Your Cost: $11.23/claim|Median: $15.76
0.7× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$99K

3,370 claims · 0.8%

Your Cost: $29.31/claim|Median: $25.57
1.1× median
U0002Top 5%

COVID-19 lab test, non-CDC, nucleic acid

$73K

969 claims · 0.6%

Your Cost: $75.63/claim|Median: $34.62
2.2× median
84702Normal range

$69K

5,817 claims · 0.6%

Your Cost: $11.81/claim|Median: $8.25
1.4× median
81001Normal range

Urinalysis, automated, with microscopy

$58K

20K claims · 0.5%

Your Cost: $2.92/claim|Median: $2.03
1.4× median
87086Normal range

Urine culture, colony count, with identification

$57K

10K claims · 0.5%

Your Cost: $5.52/claim|Median: $5.31
1.0× median
84153Normal range

Prostate specific antigen (PSA) blood test

$56K

5,500 claims · 0.5%

Your Cost: $10.23/claim|Median: $12.67
0.8× median
87077Top 25%

Bacterial culture, aerobic, additional methods required

$53K

7,150 claims · 0.4%

Your Cost: $7.45/claim|Median: $4.52
1.6× median
84439Normal range

Free thyroxine level blood test

$52K

8,682 claims · 0.4%

Your Cost: $5.96/claim|Median: $6.31
0.9× median
84436Normal range

Total thyroxine blood test

$48K

7,845 claims · 0.4%

Your Cost: $6.10/claim|Median: $4.77
1.3× median
86481Normal range

$47K

798 claims · 0.4%

Your Cost: $58.45/claim|Median: $52.45
1.1× median
87186Top 25%

Antimicrobial susceptibility testing, microdilution, per agent

$44K

5,373 claims · 0.4%

Your Cost: $8.28/claim|Median: $4.65
1.8× median
80074Normal range

$36K

1,211 claims · 0.3%

Your Cost: $29.99/claim|Median: $27.54
1.1× median
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