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Provider 1053412643

NPI: 1053412643Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.4M

$15,422,919

Total Claims

35K

Beneficiaries

24K

1.5 claims/patient

Avg Cost/Claim

$437

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+61%
2019
$2.3M
-3%
2020
$2.2M
+49%
2021
$3.2M
+0%
2022
$3.3M
-29%
2023
$2.3M
-65%
2024
$805K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (J1745 (Injection, infliximab, excludes biosimilar, 10 mg)) accounts for 48% of total spending.

J1745Top 5%

Injection, infliximab, excludes biosimilar, 10 mg

$7.5M

1,510 claims · 48.4%

Your Cost: $4,939.05/claim|Median: $1,587.53
3.1× median
J3380Normal range

Injection, vedolizumab, one milligram

$4.3M

845 claims · 27.7%

Your Cost: $5,050.30/claim|Median: $4,027.41
1.3× median
99601Normal range

$1.2M

17K claims · 8.0%

Your Cost: $72.72/claim|Median: $82.41
0.9× median
Q5103Top 25%

$1.1M

464 claims · 7.1%

Your Cost: $2,371.78/claim|Median: $1,075.28
2.2× median
Q5121Normal range

$448K

253 claims · 2.9%

Your Cost: $1,772.15/claim|Median: $1,326.64
1.3× median
99602Normal range

$294K

4,931 claims · 1.9%

Your Cost: $59.65/claim|Median: $84.91
0.7× median
S9500Normal range

$245K

1,376 claims · 1.6%

Your Cost: $177.93/claim|Median: $144.40
1.2× median
S9379Normal range

$227K

5,052 claims · 1.5%

Your Cost: $45.01/claim|Median: $70.89
0.6× median
A4222Normal range

$72K

1,189 claims · 0.5%

Your Cost: $60.80/claim|Median: $62.70
1.0× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$38K

2,076 claims · 0.2%

Your Cost: $18.45/claim|Median: $16.19
1.1× median
S9359Normal range

$32K

643 claims · 0.2%

Your Cost: $50.51/claim|Median: $62.59
0.8× median
S9502Top 25%

$12K

42 claims · 0.1%

Your Cost: $285.71/claim|Median: $165.71
1.7× median
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