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Provider 1023418035

NPI: 1023418035Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$8,988,703

Total Claims

139K

Beneficiaries

88K

1.6 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$758K
+64%
2019
$1.2M
+46%
2020
$1.8M
+70%
2021
$3.1M
-57%
2022
$1.3M
-63%
2023
$487K
-38%
2024
$302K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (36415 (Collection of venous blood by venipuncture)) accounts for 21% of total spending.

36415Top 1%

Collection of venous blood by venipuncture

$1.8M

10K claims · 20.5%

Your Cost: $176.64/claim|Median: $1.57
112.5× median
96375Top 1%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$1.8M

6,620 claims · 19.7%

Your Cost: $267.93/claim|Median: $14.92
18.0× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$1.4M

3,202 claims · 15.4%

Your Cost: $432.52/claim|Median: $9.56
45.2× median
80053Top 5%

Comprehensive metabolic panel

$1.1M

15K claims · 12.1%

Your Cost: $72.65/claim|Median: $7.24
10.0× median
96365Top 5%

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

$723K

3,821 claims · 8.0%

Your Cost: $189.34/claim|Median: $54.77
3.5× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$698K

6,530 claims · 7.8%

Your Cost: $106.83/claim|Median: $75.28
1.4× median
A9552Top 5%

$474K

696 claims · 5.3%

Your Cost: $681.28/claim|Median: $89.01
7.7× median
36591Top 5%

$239K

1,778 claims · 2.7%

Your Cost: $134.33/claim|Median: $11.16
12.0× median
96361Top 25%

IV infusion, hydration, each additional hour

$165K

1,004 claims · 1.8%

Your Cost: $164.70/claim|Median: $38.92
4.2× median
82962Top 1%

Blood glucose test by monitoring device

$163K

394 claims · 1.8%

Your Cost: $414.66/claim|Median: $1.40
296.2× median
J7040Top 25%

Normal saline solution infusion, 500 cc

$82K

8,209 claims · 0.9%

Your Cost: $10.05/claim|Median: $1.11
9.1× median
96367Normal range

$76K

1,726 claims · 0.8%

Your Cost: $43.98/claim|Median: $29.27
1.5× median
J1642Top 10%

$46K

1,358 claims · 0.5%

Your Cost: $33.74/claim|Median: $1.11
30.4× median
83735Top 25%

Magnesium blood level test

$40K

6,397 claims · 0.4%

Your Cost: $6.22/claim|Median: $2.77
2.2× median
80050Top 1%

General health panel

$30K

67 claims · 0.3%

Your Cost: $445.20/claim|Median: $25.59
17.4× median
J0897Normal range

Injection, denosumab, one milligram

$29K

308 claims · 0.3%

Your Cost: $94.59/claim|Median: $493.25
0.2× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$21K

3,666 claims · 0.2%

Your Cost: $5.61/claim|Median: $0.58
9.7× median
78815Normal range

PET imaging for limited area

$20K

813 claims · 0.2%

Your Cost: $24.23/claim|Median: $325.10
0.1× median
82784Normal range

Immunoglobulin IgA, IgD, IgG, IgM, each

$17K

1,657 claims · 0.2%

Your Cost: $10.03/claim|Median: $8.43
1.2× median
J7050Normal range

Normal saline solution infusion, 250 cc

$14K

7,098 claims · 0.2%

Your Cost: $2.02/claim|Median: $0.82
2.5× median
86900Top 10%

$13K

438 claims · 0.2%

Your Cost: $30.80/claim|Median: $2.55
12.1× median
84439Top 5%

Free thyroxine level blood test

$11K

572 claims · 0.1%

Your Cost: $19.40/claim|Median: $6.31
3.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$5K

16K claims · 0.1%

Your Cost: $0.35/claim|Median: $4.71
0.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$5K

173 claims · 0.1%

Your Cost: $29.91/claim|Median: $12.93
2.3× median
81001Top 5%

Urinalysis, automated, with microscopy

$5K

91 claims · 0.1%

Your Cost: $55.29/claim|Median: $2.03
27.2× median
82728Normal range

Ferritin

$4K

3,828 claims · 0.0%

Your Cost: $1.17/claim|Median: $6.00
0.2× median
82306Normal range

Vitamin D, 25 hydroxy

$4K

774 claims · 0.0%

Your Cost: $5.20/claim|Median: $18.18
0.3× median
77336Normal range

$2K

40 claims · 0.0%

Your Cost: $58.60/claim|Median: $55.04
1.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$2K

261 claims · 0.0%

Your Cost: $7.11/claim|Median: $21.76
0.3× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$996

1,412 claims · 0.0%

Your Cost: $0.71/claim|Median: $8.72
0.1× median
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