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Provider 1043309735

NPI: 1043309735Share
Active Billing Period:2018-012024-11(80 months)

Total Paid

$18.1M

$18,051,885

Total Claims

12K

Beneficiaries

5,298

2.3 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2018
$43K
+13581%
2019
$5.9M
+86%
2020
$11.0M
-95%
2021
$524K
-47%
2022
$277K
+22%
2023
$339K
-99%
2024
$2K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (J2326 (Nusinersen (Spinraza), 12 mg intrathecal injection)) accounts for 91% of total spending.

J2326Top 1%

Nusinersen (Spinraza), 12 mg intrathecal injection

$16.5M

126 claims · 91.2%

Your Cost: $130,645.14/claim|Median: $99,695.50
1.3× median
J1325Normal range

$1.0M

2,677 claims · 5.7%

Your Cost: $383.45/claim|Median: $732.53
0.5× median
J3285Normal range

$302K

175 claims · 1.7%

Your Cost: $1,727.40/claim|Median: $4,178.96
0.4× median
J0585Top 10%

Injection, onabotulinumtoxinA, 1 unit

$111K

90 claims · 0.6%

Your Cost: $1,229.52/claim|Median: $470.36
2.6× median
A4222Normal range

$109K

3,156 claims · 0.6%

Your Cost: $34.50/claim|Median: $62.70
0.6× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$28K

4,178 claims · 0.2%

Your Cost: $6.70/claim|Median: $16.19
0.4× median
K0455Normal range

$13K

986 claims · 0.1%

Your Cost: $13.52/claim|Median: $27.80
0.5× median
J7507Top 25%

Tacrolimus, immediate release, oral, per milligram

$535

35 claims · 0.0%

Your Cost: $15.29/claim|Median: $7.69
2.0× median
K0552Normal range

$356

721 claims · 0.0%

Your Cost: $0.49/claim|Median: $19.78
0.0× median
Q0512Normal range

$34

176 claims · 0.0%

Your Cost: $0.19/claim|Median: $1.14
0.2× median