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Provider 1063880854

NPI: 1063880854Share
Active Billing Period:2018-01→2024-10(80 months)

Total Paid

$10.7M

$10,670,999

Total Claims

108K

Beneficiaries

11K

9.4 claims/patient

Avg Cost/Claim

$99

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+39%
2019
$2.8M
+38%
2020
$3.8M
-66%
2021
$1.3M
-61%
2022
$501K
-67%
2023
$166K
-20%
2024
$133K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (Q4081 (Injection, epoetin alfa, 100 units (non-ESRD))) accounts for 31% of total spending.

Q4081Top 10%

Injection, epoetin alfa, 100 units (non-ESRD)

$3.3M

34K claims · 31.1%

Your Cost: $98.44/claim|Median: $4.98
19.8× median
90999Normal range

Unlisted dialysis procedure

$3.1M

31K claims · 29.2%

Your Cost: $99.40/claim|Median: $63.73
1.6× median
J1270Top 10%

Injection, doxercalciferol, 1 mcg

$1.6M

18K claims · 15.3%

Your Cost: $91.06/claim|Median: $0.73
124.7× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$949K

11K claims · 8.9%

Your Cost: $84.18/claim|Median: $4.58
18.4× median
A4657Top 10%

Syringe with needle, each

$740K

4,890 claims · 6.9%

Your Cost: $151.37/claim|Median: $2.19
69.1× median
85048Top 25%

$173K

1,483 claims · 1.6%

Your Cost: $116.88/claim|Median: $0.81
144.3× median
85041Top 25%

$173K

1,572 claims · 1.6%

Your Cost: $110.26/claim|Median: $0.76
145.1× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$165K

1,385 claims · 1.5%

Your Cost: $119.24/claim|Median: $10.20
11.7× median
83550Top 5%

$109K

990 claims · 1.0%

Your Cost: $109.96/claim|Median: $3.49
31.5× median
83540Top 5%

Iron blood level test

$109K

990 claims · 1.0%

Your Cost: $109.96/claim|Median: $2.93
37.5× median
82728Top 5%

Ferritin

$101K

903 claims · 1.0%

Your Cost: $112.32/claim|Median: $6.00
18.7× median
G0499Normal range

$44K

629 claims · 0.4%

Your Cost: $69.56/claim|Median: $2.76
25.2× median
82108Top 10%

$16K

111 claims · 0.2%

Your Cost: $147.69/claim|Median: $2.12
69.7× median
82306Top 1%

Vitamin D, 25 hydroxy

$13K

58 claims · 0.1%

Your Cost: $216.96/claim|Median: $18.18
11.9× median
J0887Normal range

Injection, epoetin alfa, non-ESRD, 1000 units

$6K

294 claims · 0.1%

Your Cost: $20.22/claim|Median: $30.48
0.7× median
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