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Provider 1194744805

NPI: 1194744805Share
Active Billing Period:2019-06→2024-12(67 months)

Total Paid

$12.7M

$12,689,225

Total Claims

355K

Beneficiaries

273K

1.3 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2019
$15K
+15448%
2020
$2.3M
+184%
2021
$6.5M
-78%
2022
$1.4M
+2%
2023
$1.5M
-33%
2024
$988K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J9271 (Injection, pembrolizumab, 1 mg)) accounts for 18% of total spending.

J9271Normal range

Injection, pembrolizumab, 1 mg

$2.3M

1,127 claims · 18.3%

Your Cost: $2,056.49/claim|Median: $5,391.55
0.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.5M

9,232 claims · 12.0%

Your Cost: $164.95/claim|Median: $85.65
1.9× median
99284Top 25%

Emergency dept visit, high complexity

$1.4M

8,949 claims · 11.0%

Your Cost: $156.17/claim|Median: $69.51
2.2× median
G0378Top 25%

Hospital observation service, per hour

$1.1M

1,936 claims · 8.8%

Your Cost: $578.38/claim|Median: $99.39
5.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.1M

7,741 claims · 8.6%

Your Cost: $140.24/claim|Median: $42.48
3.3× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$960K

14K claims · 7.6%

Your Cost: $67.38/claim|Median: $121.16
0.6× median
J9035Top 5%

Injection, bevacizumab, 10 mg

$603K

325 claims · 4.8%

Your Cost: $1,855.57/claim|Median: $43.71
42.5× median
J9299Normal range

Nivolumab (Opdivo) injection, 1 mg

$430K

313 claims · 3.4%

Your Cost: $1,373.52/claim|Median: $3,562.28
0.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$354K

3,466 claims · 2.8%

Your Cost: $101.99/claim|Median: $75.28
1.4× median
J2505Normal range

$234K

109 claims · 1.8%

Your Cost: $2,148.45/claim|Median: $1,842.27
1.2× median
Q5108Top 25%

$224K

83 claims · 1.8%

Your Cost: $2,703.07/claim|Median: $1,251.70
2.2× median
J0897Normal range

Injection, denosumab, one milligram

$153K

420 claims · 1.2%

Your Cost: $365.24/claim|Median: $493.25
0.7× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$139K

7,983 claims · 1.1%

Your Cost: $17.41/claim|Median: $21.76
0.8× median
80053Normal range

Comprehensive metabolic panel

$109K

15K claims · 0.9%

Your Cost: $7.07/claim|Median: $7.24
1.0× median
Q5111Top 10%

$103K

29 claims · 0.8%

Your Cost: $3,538.67/claim|Median: $1,602.88
2.2× median
74177Normal range

CT abdomen and pelvis with contrast

$101K

1,024 claims · 0.8%

Your Cost: $98.87/claim|Median: $65.76
1.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$91K

5,945 claims · 0.7%

Your Cost: $15.39/claim|Median: $14.92
1.0× median
96417Top 25%

$83K

1,083 claims · 0.7%

Your Cost: $76.99/claim|Median: $37.60
2.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$80K

23K claims · 0.6%

Your Cost: $3.40/claim|Median: $4.71
0.7× median
J9355Normal range

Injection, trastuzumab, ten milligrams

$77K

170 claims · 0.6%

Your Cost: $450.99/claim|Median: $1,942.13
0.2× median
J0185Normal range

$53K

976 claims · 0.4%

Your Cost: $54.57/claim|Median: $125.72
0.4× median
96416Normal range

$49K

335 claims · 0.4%

Your Cost: $147.04/claim|Median: $118.51
1.2× median
43239Normal range

Upper GI endoscopy with biopsy

$43K

297 claims · 0.3%

Your Cost: $145.95/claim|Median: $151.68
1.0× median
J1756Normal range

Injection, iron sucrose, 1 mg

$39K

4,739 claims · 0.3%

Your Cost: $8.29/claim|Median: $4.58
1.8× median
J9202Normal range

$38K

111 claims · 0.3%

Your Cost: $341.22/claim|Median: $483.75
0.7× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$38K

1,471 claims · 0.3%

Your Cost: $25.71/claim|Median: $54.77
0.5× median
J1439Normal range

$35K

176 claims · 0.3%

Your Cost: $198.88/claim|Median: $477.34
0.4× median
96415Normal range

Chemotherapy infusion, each additional hour

$32K

740 claims · 0.3%

Your Cost: $43.66/claim|Median: $43.68
1.0× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$32K

1,176 claims · 0.3%

Your Cost: $27.03/claim|Median: $18.03
1.5× median
99282Top 25%

Emergency dept visit, low complexity

$32K

292 claims · 0.2%

Your Cost: $108.30/claim|Median: $37.72
2.9× median
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