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Provider 1174065809

NPI: 1174065809Share
Active Billing Period:2021-102024-10(37 months)

Total Paid

$7.9M

$7,931,662

Total Claims

3,961

Beneficiaries

2,313

1.7 claims/patient

Avg Cost/Claim

$2K

Monthly Spending Trend

Yearly Spending

2021
$430K
+577%
2022
$2.9M
-2%
2023
$2.9M
-39%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (0658 (Revenue code, pharmacy, generic drugs)) accounts for 71% of total spending.

0658Top 10%

Revenue code, pharmacy, generic drugs

$5.6M

803 claims · 71.0%

Your Cost: $7,010.82/claim|Median: $4,158.95
1.7× median
T2025Top 25%

Waiver services, NOS; per 15 min

$1.2M

1,912 claims · 15.7%

Your Cost: $651.57/claim|Median: $124.39
5.2× median
Q5001Top 10%

Injection, filgrastim-sndz, biosimilar, 1 mcg

$1.1M

1,246 claims · 13.3%

Your Cost: $847.65/claim|Median: $23.43
36.2× median