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Provider 1063454619

NPI: 1063454619Share
Active Billing Period:2019-102024-11(62 months)

Total Paid

$10.1M

$10,050,995

Total Claims

184K

Beneficiaries

27K

6.8 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2019
$735K
+251%
2020
$2.6M
-30%
2021
$1.8M
+18%
2022
$2.1M
-26%
2023
$1.6M
-24%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 37% of total spending.

90999Top 10%

Unlisted dialysis procedure

$3.8M

19K claims · 37.3%

Your Cost: $194.88/claim|Median: $63.73
3.1× median
S9335Normal range

$3.2M

19K claims · 31.8%

Your Cost: $169.37/claim|Median: $91.08
1.9× median
J0882Top 10%

Injection, darbepoetin alfa, one microgram, ESRD use

$1.1M

4,521 claims · 11.3%

Your Cost: $251.53/claim|Median: $49.66
5.1× median
A4657Normal range

Syringe with needle, each

$817K

80K claims · 8.1%

Your Cost: $10.23/claim|Median: $2.19
4.7× median
Q5105Top 25%

$739K

13K claims · 7.3%

Your Cost: $56.31/claim|Median: $17.05
3.3× median
J1756Normal range

Injection, iron sucrose, 1 mg

$125K

7,546 claims · 1.2%

Your Cost: $16.55/claim|Median: $4.58
3.6× median
J1644Top 25%

$84K

19K claims · 0.8%

Your Cost: $4.56/claim|Median: $0.37
12.3× median
80069Top 25%

Renal function panel

$74K

5,975 claims · 0.7%

Your Cost: $12.36/claim|Median: $4.12
3.0× median
83970Top 25%

Parathormone (parathyroid hormone) blood test

$53K

1,626 claims · 0.5%

Your Cost: $32.55/claim|Median: $10.20
3.2× median
87340Normal range

Hepatitis B surface antigen detection

$11K

1,489 claims · 0.1%

Your Cost: $7.10/claim|Median: $5.52
1.3× median
80053Top 25%

Comprehensive metabolic panel

$10K

893 claims · 0.1%

Your Cost: $11.13/claim|Median: $7.24
1.5× median
85018Normal range

$8K

3,944 claims · 0.1%

Your Cost: $2.05/claim|Median: $1.71
1.2× median
85027Normal range

Complete blood count (CBC), automated

$8K

1,695 claims · 0.1%

Your Cost: $4.59/claim|Median: $3.72
1.2× median
84520Normal range

$6K

2,528 claims · 0.1%

Your Cost: $2.53/claim|Median: $0.89
2.8× median
82728Normal range

Ferritin

$6K

603 claims · 0.1%

Your Cost: $9.81/claim|Median: $6.00
1.6× median
84460Normal range

$6K

1,450 claims · 0.1%

Your Cost: $3.85/claim|Median: $2.58
1.5× median
J2916Top 25%

$4K

164 claims · 0.0%

Your Cost: $25.42/claim|Median: $6.31
4.0× median
83550Normal range

$4K

603 claims · 0.0%

Your Cost: $6.28/claim|Median: $3.49
1.8× median
83540Normal range

Iron blood level test

$3K

604 claims · 0.0%

Your Cost: $4.65/claim|Median: $2.93
1.6× median
86803Normal range

Hepatitis C antibody

$2K

214 claims · 0.0%

Your Cost: $11.38/claim|Median: $10.17
1.1× median
G0008Top 5%

$2K

67 claims · 0.0%

Your Cost: $28.31/claim|Median: $2.54
11.1× median
86706Normal range

$1K

159 claims · 0.0%

Your Cost: $7.08/claim|Median: $5.39
1.3× median
90662Top 25%

$894

42 claims · 0.0%

Your Cost: $21.30/claim|Median: $6.55
3.3× median
86481Normal range

$771

19 claims · 0.0%

Your Cost: $40.59/claim|Median: $52.45
0.8× median
90688Top 5%

$738

30 claims · 0.0%

Your Cost: $24.60/claim|Median: $9.00
2.7× median
84100Normal range

$530

174 claims · 0.0%

Your Cost: $3.04/claim|Median: $1.34
2.3× median
90682Normal range

$287

12 claims · 0.0%

Your Cost: $23.89/claim|Median: $34.72
0.7× median
82310Normal range

$22

16 claims · 0.0%

Your Cost: $1.39/claim|Median: $0.91
1.5× median
82040Normal range

$21

16 claims · 0.0%

Your Cost: $1.33/claim|Median: $0.92
1.4× median