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Provider 1043277015

NPI: 1043277015Share
Active Billing Period:2018-01→2023-03(63 months)
Billing appears to have stoppedLast active: 2023-03

Total Paid

$15.3M

$15,308,347

Total Claims

93K

Beneficiaries

12K

7.5 claims/patient

Avg Cost/Claim

$165

Monthly Spending Trend

Yearly Spending

2018
$3.3M
+41%
2019
$4.6M
-6%
2020
$4.3M
-71%
2021
$1.3M
+21%
2022
$1.5M
-80%
2023
$307K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 31% of total spending.

90999Top 10%

Unlisted dialysis procedure

$4.8M

27K claims · 31.2%

Your Cost: $178.07/claim|Median: $63.73
2.8× median
Q4081Top 5%

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

$4.5M

29K claims · 29.1%

Your Cost: $151.44/claim|Median: $4.98
30.4× median
J1270Top 5%

Injection, doxercalciferol, 1 mcg

$3.1M

21K claims · 20.4%

Your Cost: $150.30/claim|Median: $0.73
205.9× median
A4657Top 10%

Syringe with needle, each

$886K

4,419 claims · 5.8%

Your Cost: $200.58/claim|Median: $2.19
91.6× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$477K

3,467 claims · 3.1%

Your Cost: $137.53/claim|Median: $4.58
30.0× median
82728Top 1%

Ferritin

$245K

1,149 claims · 1.6%

Your Cost: $212.92/claim|Median: $6.00
35.5× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$244K

1,301 claims · 1.6%

Your Cost: $187.31/claim|Median: $10.20
18.4× median
85041Top 5%

$242K

1,356 claims · 1.6%

Your Cost: $178.72/claim|Median: $0.76
235.2× median
85048Top 5%

$241K

1,342 claims · 1.6%

Your Cost: $179.27/claim|Median: $0.81
221.3× median
83540Top 1%

Iron blood level test

$228K

1,140 claims · 1.5%

Your Cost: $200.36/claim|Median: $2.93
68.4× median
83550Top 1%

$204K

963 claims · 1.3%

Your Cost: $211.41/claim|Median: $3.49
60.6× median
J0604Top 10%

$114K

441 claims · 0.7%

Your Cost: $259.07/claim|Median: $11.09
23.4× median
90674Top 1%

$21K

58 claims · 0.1%

Your Cost: $360.84/claim|Median: $15.16
23.8× median
G0499Top 5%

$18K

86 claims · 0.1%

Your Cost: $207.86/claim|Median: $2.76
75.3× median
G0008Top 1%

$16K

63 claims · 0.1%

Your Cost: $261.59/claim|Median: $2.54
103.0× median
82108Top 5%

$9K

35 claims · 0.1%

Your Cost: $270.88/claim|Median: $2.12
127.8× median
82306Top 5%

Vitamin D, 25 hydroxy

$3K

30 claims · 0.0%

Your Cost: $90.90/claim|Median: $18.18
5.0× median
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