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Provider 1194930693

NPI: 1194930693Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$8.8M

$8,774,384

Total Claims

360K

Beneficiaries

95K

3.8 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+8%
2019
$1.5M
+7%
2020
$1.6M
-22%
2021
$1.3M
-6%
2022
$1.2M
-14%
2023
$1.0M
-28%
2024
$740K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90935 (Hemodialysis, one evaluation)) accounts for 48% of total spending.

90935Top 25%

Hemodialysis, one evaluation

$4.3M

39K claims · 48.5%

Your Cost: $109.26/claim|Median: $23.72
4.6× median
J0882Normal range

Injection, darbepoetin alfa, one microgram, ESRD use

$1.1M

23K claims · 12.8%

Your Cost: $49.40/claim|Median: $49.66
1.0× median
90999Normal range

Unlisted dialysis procedure

$961K

45K claims · 10.9%

Your Cost: $21.55/claim|Median: $63.73
0.3× median
90945Normal range

$907K

38K claims · 10.3%

Your Cost: $23.73/claim|Median: $46.59
0.5× median
90947Normal range

$620K

18K claims · 7.1%

Your Cost: $34.51/claim|Median: $58.16
0.6× median
J0604Top 5%

$483K

1,647 claims · 5.5%

Your Cost: $293.25/claim|Median: $11.09
26.4× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$64K

3,460 claims · 0.7%

Your Cost: $18.60/claim|Median: $10.20
1.8× median
82728Normal range

Ferritin

$37K

4,572 claims · 0.4%

Your Cost: $8.13/claim|Median: $6.00
1.4× median
J2916Normal range

$24K

4,056 claims · 0.3%

Your Cost: $6.01/claim|Median: $6.31
1.0× median
84520Normal range

$22K

9,274 claims · 0.2%

Your Cost: $2.36/claim|Median: $0.89
2.7× median
84466Normal range

Transferrin blood test

$21K

4,664 claims · 0.2%

Your Cost: $4.55/claim|Median: $4.53
1.0× median
82310Normal range

$17K

6,652 claims · 0.2%

Your Cost: $2.60/claim|Median: $0.91
2.9× median
J1270Normal range

Injection, doxercalciferol, 1 mcg

$16K

26K claims · 0.2%

Your Cost: $0.62/claim|Median: $0.73
0.9× median
84075Normal range

$16K

5,960 claims · 0.2%

Your Cost: $2.69/claim|Median: $0.72
3.7× median
J0881Normal range

Injection, darbepoetin alfa, one microgram, non-ESRD

$15K

350 claims · 0.2%

Your Cost: $42.23/claim|Median: $109.46
0.4× median
84295Normal range

Sodium blood level test

$15K

5,984 claims · 0.2%

Your Cost: $2.42/claim|Median: $0.88
2.8× median
85027Top 25%

Complete blood count (CBC), automated

$14K

2,453 claims · 0.2%

Your Cost: $5.83/claim|Median: $3.72
1.6× median
82435Normal range

$14K

5,864 claims · 0.2%

Your Cost: $2.33/claim|Median: $0.69
3.4× median
84132Normal range

$14K

5,999 claims · 0.2%

Your Cost: $2.27/claim|Median: $1.09
2.1× median
82565Normal range

Creatinine blood test

$13K

6,009 claims · 0.2%

Your Cost: $2.21/claim|Median: $1.94
1.1× median
83540Normal range

Iron blood level test

$12K

4,739 claims · 0.1%

Your Cost: $2.54/claim|Median: $2.93
0.9× median
84100Normal range

$10K

4,824 claims · 0.1%

Your Cost: $2.07/claim|Median: $1.34
1.5× median
82040Normal range

$9K

4,752 claims · 0.1%

Your Cost: $2.00/claim|Median: $0.92
2.2× median
82374Normal range

$9K

4,788 claims · 0.1%

Your Cost: $1.98/claim|Median: $0.58
3.4× median
J1756Normal range

Injection, iron sucrose, 1 mg

$9K

5,408 claims · 0.1%

Your Cost: $1.71/claim|Median: $4.58
0.4× median
90747Top 25%

$8K

95 claims · 0.1%

Your Cost: $84.53/claim|Median: $36.38
2.3× median
84155Normal range

$7K

4,232 claims · 0.1%

Your Cost: $1.73/claim|Median: $0.60
2.9× median
82108Normal range

$7K

525 claims · 0.1%

Your Cost: $13.86/claim|Median: $2.12
6.5× median
J2501Normal range

$7K

13K claims · 0.1%

Your Cost: $0.56/claim|Median: $1.13
0.5× median
85045Normal range

$7K

3,990 claims · 0.1%

Your Cost: $1.76/claim|Median: $1.64
1.1× median