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Provider 1164590089

NPI: 1164590089Share
Active Billing Period:2018-012024-11(79 months)

Total Paid

$8.9M

$8,897,217

Total Claims

72K

Beneficiaries

4,226

17.0 claims/patient

Avg Cost/Claim

$124

Monthly Spending Trend

Yearly Spending

2018
$250K
+133%
2019
$583K
+49%
2020
$868K
+16%
2021
$1.0M
-8%
2022
$928K
+232%
2023
$3.1M
-29%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (Q5001 (Injection, filgrastim-sndz, biosimilar, 1 mcg)) accounts for 84% of total spending.

Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$7.5M

62K claims · 84.1%

Your Cost: $121.35/claim|Median: $23.43
5.2× median
T2046Normal range

Habilitation, residential, waiver; per month

$889K

4,094 claims · 10.0%

Your Cost: $217.12/claim|Median: $1,795.74
0.1× median
0651Normal range

$205K

2,236 claims · 2.3%

Your Cost: $91.69/claim|Median: $210.85
0.4× median
0658Normal range

Revenue code, pharmacy, generic drugs

$202K

92 claims · 2.3%

Your Cost: $2,196.53/claim|Median: $4,158.95
0.5× median
Q5003Normal range

Injection, infliximab-dyyb, biosimilar, 10 mg

$49K

1,151 claims · 0.6%

Your Cost: $42.89/claim|Median: $177.99
0.2× median
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$17K

649 claims · 0.2%

Your Cost: $26.68/claim|Median: $45.50
0.6× median
0659Normal range

Revenue code, clinic services

$16K

299 claims · 0.2%

Your Cost: $53.49/claim|Median: $421.95
0.1× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$15K

701 claims · 0.2%

Your Cost: $20.86/claim|Median: $51.67
0.4× median
0650Normal range

$9K

361 claims · 0.1%

Your Cost: $24.78/claim|Median: $453.45
0.1× median
G0156Normal range

Home health aide services, per visit

$5K

313 claims · 0.1%

Your Cost: $16.88/claim|Median: $39.42
0.4× median
G0155Normal range

Services of clinical social worker in home health, per 15 min

$3K

208 claims · 0.0%

Your Cost: $13.59/claim|Median: $7.04
1.9× median
0571Top 25%

$293

147 claims · 0.0%

Your Cost: $1.99/claim|Median: $0.48
4.1× median
0250Normal range

$0

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.70