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Provider 1154537132

NPI: 1154537132Share
Active Billing Period:2018-08→2024-11(76 months)

Total Paid

$12.7M

$12,677,670

Total Claims

153K

Beneficiaries

18K

8.3 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$61K
+1178%
2019
$777K
+257%
2020
$2.8M
+13%
2021
$3.1M
-12%
2022
$2.8M
-29%
2023
$2.0M
-39%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 64% of total spending.

90999Top 5%

Unlisted dialysis procedure

$8.1M

32K claims · 63.7%

Your Cost: $251.48/claim|Median: $63.73
3.9× median
90935Top 5%

Hemodialysis, one evaluation

$4.3M

18K claims · 33.7%

Your Cost: $239.46/claim|Median: $23.72
10.1× median
A4657Normal range

Syringe with needle, each

$272K

37K claims · 2.1%

Your Cost: $7.41/claim|Median: $2.19
3.4× median
Q4081Normal range

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

$39K

28K claims · 0.3%

Your Cost: $1.40/claim|Median: $4.98
0.3× median
J1756Normal range

Injection, iron sucrose, 1 mg

$2K

14K claims · 0.0%

Your Cost: $0.14/claim|Median: $4.58
0.0× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$2K

247 claims · 0.0%

Your Cost: $7.94/claim|Median: $10.20
0.8× median
90674Normal range

$1K

129 claims · 0.0%

Your Cost: $10.17/claim|Median: $15.16
0.7× median
J1270Normal range

Injection, doxercalciferol, 1 mcg

$849

21K claims · 0.0%

Your Cost: $0.04/claim|Median: $0.73
0.1× median
G0008Normal range

$769

179 claims · 0.0%

Your Cost: $4.30/claim|Median: $2.54
1.7× median
90661Top 10%

$537

16 claims · 0.0%

Your Cost: $33.55/claim|Median: $14.37
2.3× median
85041Normal range

$504

259 claims · 0.0%

Your Cost: $1.95/claim|Median: $0.76
2.6× median
85048Normal range

$424

256 claims · 0.0%

Your Cost: $1.65/claim|Median: $0.81
2.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$176

21 claims · 0.0%

Your Cost: $8.38/claim|Median: $33.85
0.2× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$115

19 claims · 0.0%

Your Cost: $6.07/claim|Median: $25.93
0.2× median
G0499Normal range

$13

15 claims · 0.0%

Your Cost: $0.89/claim|Median: $2.76
0.3× median
90747Normal range

$0

14 claims · 0.0%

Your Cost: $0.01/claim|Median: $36.38
0.0× median
G0010Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.83
82728Normal range

Ferritin

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.00
J0887Normal range

Injection, epoetin alfa, non-ESRD, 1000 units

$0

1,541 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.48
83540Normal range

Iron blood level test

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.93
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