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Provider 1063619922

NPI: 1063619922Share
Active Billing Period:2018-01→2024-10(80 months)

Total Paid

$9.7M

$9,710,470

Total Claims

512K

Beneficiaries

412K

1.2 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$991K
+40%
2019
$1.4M
+71%
2020
$2.4M
-7%
2021
$2.2M
-45%
2022
$1.2M
+12%
2023
$1.3M
-87%
2024
$181K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (87798 (Infectious agent detection, nucleic acid, not otherwise specified)) accounts for 14% of total spending.

87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$1.4M

70K claims · 14.4%

Your Cost: $20.05/claim|Median: $26.72
0.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$1.2M

65K claims · 12.7%

Your Cost: $18.86/claim|Median: $24.95
0.8× median
87481Normal range

$1.1M

53K claims · 11.5%

Your Cost: $21.16/claim|Median: $22.38
0.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.1M

65K claims · 11.3%

Your Cost: $16.86/claim|Median: $23.39
0.7× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$962K

56K claims · 9.9%

Your Cost: $17.06/claim|Median: $21.08
0.8× median
81420Normal range

Fetal chromosomal aneuploidy genomic sequence analysis

$719K

3,925 claims · 7.4%

Your Cost: $183.18/claim|Median: $358.21
0.5× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$551K

44K claims · 5.7%

Your Cost: $12.56/claim|Median: $19.06
0.7× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$516K

32K claims · 5.3%

Your Cost: $16.13/claim|Median: $25.57
0.6× median
81220Normal range

CFTR gene analysis, common variants

$387K

2,776 claims · 4.0%

Your Cost: $139.34/claim|Median: $183.31
0.8× median
87511Normal range

$320K

30K claims · 3.3%

Your Cost: $10.72/claim|Median: $16.46
0.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$259K

6,396 claims · 2.7%

Your Cost: $40.48/claim|Median: $35.80
1.1× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$254K

5,482 claims · 2.6%

Your Cost: $46.40/claim|Median: $60.05
0.8× median
81443Normal range

$223K

345 claims · 2.3%

Your Cost: $646.85/claim|Median: $309.20
2.1× median
87653Normal range

$163K

8,518 claims · 1.7%

Your Cost: $19.17/claim|Median: $19.33
1.0× median
88141Normal range

$108K

8,684 claims · 1.1%

Your Cost: $12.40/claim|Median: $14.87
0.8× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$54K

4,814 claims · 0.6%

Your Cost: $11.21/claim|Median: $15.76
0.7× median
87625Normal range

$45K

3,115 claims · 0.5%

Your Cost: $14.36/claim|Median: $20.47
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$41K

1,920 claims · 0.4%

Your Cost: $21.16/claim|Median: $39.70
0.5× median
88142Normal range

$37K

4,044 claims · 0.4%

Your Cost: $9.11/claim|Median: $14.75
0.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$36K

1,139 claims · 0.4%

Your Cost: $31.65/claim|Median: $63.08
0.5× median
87529Normal range

$32K

945 claims · 0.3%

Your Cost: $33.77/claim|Median: $24.98
1.4× median
87563Normal range

$29K

1,769 claims · 0.3%

Your Cost: $16.16/claim|Median: $16.98
1.0× median
88112Normal range

$25K

3,064 claims · 0.3%

Your Cost: $8.26/claim|Median: $19.79
0.4× median
88342Normal range

$10K

270 claims · 0.1%

Your Cost: $38.64/claim|Median: $23.66
1.6× median
88377Normal range

$10K

67 claims · 0.1%

Your Cost: $146.87/claim|Median: $83.23
1.8× median
87640Top 25%

$8K

318 claims · 0.1%

Your Cost: $24.47/claim|Median: $8.39
2.9× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$7K

774 claims · 0.1%

Your Cost: $9.64/claim|Median: $18.03
0.5× median
81329Normal range

$6K

2,502 claims · 0.1%

Your Cost: $2.23/claim|Median: $48.02
0.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$4K

864 claims · 0.0%

Your Cost: $4.50/claim|Median: $9.87
0.5× median
87660Normal range

$4K

211 claims · 0.0%

Your Cost: $17.12/claim|Median: $13.84
1.2× median
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