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Provider 1164775862

NPI: 1164775862Share
Active Billing Period:2018-01→2024-06(78 months)

Total Paid

$14.4M

$14,375,505

Total Claims

244K

Beneficiaries

219K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$4.1M
+3%
2019
$4.2M
-45%
2020
$2.3M
-0%
2021
$2.3M
-67%
2022
$769K
-39%
2023
$469K
-63%
2024
$171K

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 29% of total spending.

87798Top 10%

Infectious agent detection, nucleic acid, not otherwise specified

$4.2M

30K claims · 29.1%

Your Cost: $138.08/claim|Median: $26.72
5.2× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$3.4M

17K claims · 23.5%

Your Cost: $194.58/claim|Median: $169.17
1.2× median
87801Top 25%

Infectious agent detection, amplified probe, multiple organisms

$1.3M

20K claims · 8.9%

Your Cost: $63.61/claim|Median: $38.79
1.6× median
U0004Normal range

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

$935K

16K claims · 6.5%

Your Cost: $59.53/claim|Median: $60.05
1.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$638K

15K claims · 4.4%

Your Cost: $43.20/claim|Median: $65.64
0.7× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$624K

4,685 claims · 4.3%

Your Cost: $133.17/claim|Median: $90.89
1.5× median
87507Normal range

$476K

2,709 claims · 3.3%

Your Cost: $175.76/claim|Median: $157.44
1.1× median
87581Normal range

$473K

19K claims · 3.3%

Your Cost: $24.85/claim|Median: $17.13
1.5× median
87149Normal range

$328K

16K claims · 2.3%

Your Cost: $20.68/claim|Median: $8.78
2.4× median
87561Normal range

$297K

12K claims · 2.1%

Your Cost: $24.59/claim|Median: $9.23
2.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$294K

12K claims · 2.0%

Your Cost: $24.89/claim|Median: $28.46
0.9× median
87486Normal range

$232K

9,536 claims · 1.6%

Your Cost: $24.32/claim|Median: $19.16
1.3× median
G0482Normal range

Drug test, definitive, 15-21 drug classes

$152K

1,455 claims · 1.1%

Your Cost: $104.24/claim|Median: $75.26
1.4× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$116K

6,232 claims · 0.8%

Your Cost: $18.68/claim|Median: $15.76
1.2× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$110K

2,204 claims · 0.8%

Your Cost: $49.96/claim|Median: $37.56
1.3× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$82K

1,529 claims · 0.6%

Your Cost: $53.84/claim|Median: $65.45
0.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$62K

1,377 claims · 0.4%

Your Cost: $44.69/claim|Median: $35.43
1.3× median
87799Normal range

$61K

4,472 claims · 0.4%

Your Cost: $13.53/claim|Median: $21.87
0.6× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$58K

1,694 claims · 0.4%

Your Cost: $33.97/claim|Median: $23.39
1.5× median
87592Top 10%

$57K

1,397 claims · 0.4%

Your Cost: $40.73/claim|Median: $15.89
2.6× median
87498Top 25%

$54K

2,740 claims · 0.4%

Your Cost: $19.83/claim|Median: $10.02
2.0× median
87147Normal range

$53K

12K claims · 0.4%

Your Cost: $4.59/claim|Median: $2.86
1.6× median
82306Normal range

Vitamin D, 25 hydroxy

$45K

1,997 claims · 0.3%

Your Cost: $22.51/claim|Median: $18.18
1.2× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$45K

2,420 claims · 0.3%

Your Cost: $18.42/claim|Median: $9.87
1.9× median
80053Normal range

Comprehensive metabolic panel

$37K

3,830 claims · 0.3%

Your Cost: $9.58/claim|Median: $7.24
1.3× median
87511Normal range

$36K

1,640 claims · 0.2%

Your Cost: $21.80/claim|Median: $16.46
1.3× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$33K

1,960 claims · 0.2%

Your Cost: $16.91/claim|Median: $21.08
0.8× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$33K

1,010 claims · 0.2%

Your Cost: $32.56/claim|Median: $34.62
0.9× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$30K

3,777 claims · 0.2%

Your Cost: $7.97/claim|Median: $4.71
1.7× median
87503Normal range

$26K

2,821 claims · 0.2%

Your Cost: $9.26/claim|Median: $9.26
1.0× median
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