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Provider 1053597666

NPI: 1053597666Share
Active Billing Period:2018-01→2023-08(66 months)
Billing appears to have stoppedLast active: 2023-08

Total Paid

$10.2M

$10,150,522

Total Claims

42K

Beneficiaries

6,837

6.2 claims/patient

Avg Cost/Claim

$239

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-5%
2019
$3.5M
-52%
2020
$1.7M
-67%
2021
$558K
-11%
2022
$495K
-60%
2023
$197K

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 40% of total spending.

90999Top 10%

Unlisted dialysis procedure

$4.1M

20K claims · 40.0%

Your Cost: $206.83/claim|Median: $63.73
3.2× median
A4657Top 5%

Syringe with needle, each

$2.6M

9,972 claims · 25.9%

Your Cost: $263.90/claim|Median: $2.19
120.5× median
J1270Top 1%

Injection, doxercalciferol, 1 mcg

$1.9M

6,216 claims · 19.0%

Your Cost: $310.87/claim|Median: $0.73
425.8× median
J0887Top 10%

Injection, epoetin alfa, non-ESRD, 1000 units

$305K

1,281 claims · 3.0%

Your Cost: $238.30/claim|Median: $30.48
7.8× median
J0882Top 10%

Injection, darbepoetin alfa, one microgram, ESRD use

$257K

926 claims · 2.5%

Your Cost: $277.20/claim|Median: $49.66
5.6× median
82728Top 1%

Ferritin

$233K

972 claims · 2.3%

Your Cost: $239.30/claim|Median: $6.00
39.9× median
83540Top 1%

Iron blood level test

$226K

961 claims · 2.2%

Your Cost: $235.53/claim|Median: $2.93
80.4× median
84466Top 1%

Transferrin blood test

$224K

951 claims · 2.2%

Your Cost: $235.77/claim|Median: $4.53
52.0× median
J0604Top 10%

$125K

636 claims · 1.2%

Your Cost: $195.78/claim|Median: $11.09
17.7× median
J2916Top 5%

$67K

320 claims · 0.7%

Your Cost: $209.37/claim|Median: $6.31
33.2× median
83970Top 1%

Parathormone (parathyroid hormone) blood test

$54K

190 claims · 0.5%

Your Cost: $284.86/claim|Median: $10.20
27.9× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$20K

207 claims · 0.2%

Your Cost: $96.65/claim|Median: $4.58
21.1× median
G0008Top 1%

$5K

13 claims · 0.1%

Your Cost: $415.84/claim|Median: $2.54
163.7× median
90662Top 1%

$5K

13 claims · 0.1%

Your Cost: $415.84/claim|Median: $6.55
63.5× median
Q5105Normal range

$4K

99 claims · 0.0%

Your Cost: $37.33/claim|Median: $17.05
2.2× median
86580Top 1%

Tuberculosis (TB) skin test

$3K

17 claims · 0.0%

Your Cost: $187.09/claim|Median: $4.46
41.9× median
82306Top 5%

Vitamin D, 25 hydroxy

$2K

17 claims · 0.0%

Your Cost: $99.14/claim|Median: $18.18
5.5× median
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