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Provider 1053423806

NPI: 1053423806Share
Active Billing Period:2018-01→2024-09(80 months)

Total Paid

$14.5M

$14,519,740

Total Claims

94K

Beneficiaries

25K

3.8 claims/patient

Avg Cost/Claim

$154

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+79%
2019
$4.2M
-23%
2020
$3.3M
-47%
2021
$1.7M
+36%
2022
$2.4M
-79%
2023
$502K
-83%
2024
$83K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 28% of total spending.

90999Top 25%

Unlisted dialysis procedure

$4.1M

24K claims · 28.4%

Your Cost: $172.07/claim|Median: $63.73
2.7× median
A4657Top 10%

Syringe with needle, each

$3.1M

19K claims · 21.5%

Your Cost: $162.15/claim|Median: $2.19
74.0× median
J1270Top 5%

Injection, doxercalciferol, 1 mcg

$1.7M

11K claims · 12.0%

Your Cost: $163.57/claim|Median: $0.73
224.1× median
85018Top 1%

$714K

4,893 claims · 4.9%

Your Cost: $145.91/claim|Median: $1.71
85.3× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$595K

4,764 claims · 4.1%

Your Cost: $124.83/claim|Median: $4.58
27.3× median
82310Top 5%

$532K

3,733 claims · 3.7%

Your Cost: $142.58/claim|Median: $0.91
156.7× median
84100Top 5%

$503K

3,615 claims · 3.5%

Your Cost: $139.21/claim|Median: $1.34
103.9× median
84520Top 5%

$454K

3,322 claims · 3.1%

Your Cost: $136.76/claim|Median: $0.89
153.7× median
J0887Top 25%

Injection, epoetin alfa, non-ESRD, 1000 units

$376K

2,193 claims · 2.6%

Your Cost: $171.24/claim|Median: $30.48
5.6× median
85027Top 1%

Complete blood count (CBC), automated

$251K

1,806 claims · 1.7%

Your Cost: $139.20/claim|Median: $3.72
37.4× median
83540Top 5%

Iron blood level test

$250K

1,917 claims · 1.7%

Your Cost: $130.44/claim|Median: $2.93
44.5× median
83550Top 5%

$249K

1,849 claims · 1.7%

Your Cost: $134.83/claim|Median: $3.49
38.6× median
84155Top 5%

$246K

1,873 claims · 1.7%

Your Cost: $131.57/claim|Median: $0.60
219.3× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$245K

1,781 claims · 1.7%

Your Cost: $137.56/claim|Median: $10.20
13.5× median
82040Top 5%

$231K

1,784 claims · 1.6%

Your Cost: $129.47/claim|Median: $0.92
140.7× median
82728Top 5%

Ferritin

$195K

1,620 claims · 1.3%

Your Cost: $120.66/claim|Median: $6.00
20.1× median
87340Top 5%

Hepatitis B surface antigen detection

$190K

1,443 claims · 1.3%

Your Cost: $131.97/claim|Median: $5.52
23.9× median
82565Top 5%

Creatinine blood test

$139K

1,237 claims · 1.0%

Your Cost: $111.97/claim|Median: $1.94
57.7× median
80051Top 5%

Electrolyte panel blood test

$130K

1,101 claims · 0.9%

Your Cost: $117.74/claim|Median: $1.56
75.5× median
84075Top 5%

$86K

669 claims · 0.6%

Your Cost: $128.00/claim|Median: $0.72
177.8× median
80048Top 1%

Basic metabolic panel

$60K

343 claims · 0.4%

Your Cost: $175.07/claim|Median: $5.78
30.3× median
86706Top 5%

$31K

232 claims · 0.2%

Your Cost: $134.80/claim|Median: $5.39
25.0× median
82108Top 10%

$24K

159 claims · 0.2%

Your Cost: $151.84/claim|Median: $2.12
71.6× median
G0008Top 5%

$12K

107 claims · 0.1%

Your Cost: $112.16/claim|Median: $2.54
44.2× median
86803Top 1%

Hepatitis C antibody

$8K

28 claims · 0.1%

Your Cost: $292.48/claim|Median: $10.17
28.8× median
80069Top 1%

Renal function panel

$8K

39 claims · 0.1%

Your Cost: $207.06/claim|Median: $4.12
50.3× median
90662Top 10%

$904

17 claims · 0.0%

Your Cost: $53.18/claim|Median: $6.55
8.1× median
85049Normal range

$0

30 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.68
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