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Provider 1205800638

NPI: 1205800638Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,415,283

Total Claims

1.8M

Beneficiaries

1.0M

1.7 claims/patient

Avg Cost/Claim

$6

Monthly Spending Trend

Yearly Spending

2018
$95K
+686%
2019
$743K
+32%
2020
$984K
+79%
2021
$1.8M
+26%
2022
$2.2M
+24%
2023
$2.8M
-33%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (87633 (Respiratory virus detection, 12-25 targets, nucleic acid)) accounts for 16% of total spending.

87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$1.6M

16K claims · 15.7%

Your Cost: $100.65/claim|Median: $169.17
0.6× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$1.3M

7,944 claims · 12.2%

Your Cost: $160.52/claim|Median: $35.80
4.5× median
82805Normal range

$1.2M

71K claims · 11.9%

Your Cost: $17.42/claim|Median: $17.63
1.0× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$939K

67K claims · 9.0%

Your Cost: $14.05/claim|Median: $30.04
0.5× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$717K

29K claims · 6.9%

Your Cost: $24.89/claim|Median: $26.72
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$607K

41K claims · 5.8%

Your Cost: $14.86/claim|Median: $28.46
0.5× median
87507Normal range

$493K

6,212 claims · 4.7%

Your Cost: $79.36/claim|Median: $157.44
0.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$490K

26K claims · 4.7%

Your Cost: $18.90/claim|Median: $39.70
0.5× median
87804Normal range

Influenza virus detection, rapid test

$397K

154K claims · 3.8%

Your Cost: $2.59/claim|Median: $12.59
0.2× median
80048Normal range

Basic metabolic panel

$194K

67K claims · 1.9%

Your Cost: $2.92/claim|Median: $5.78
0.5× median
U0002Normal range

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

$186K

11K claims · 1.8%

Your Cost: $16.24/claim|Median: $34.62
0.5× median
87486Normal range

$134K

25K claims · 1.3%

Your Cost: $5.35/claim|Median: $19.16
0.3× median
87581Normal range

$130K

27K claims · 1.2%

Your Cost: $4.75/claim|Median: $17.13
0.3× median
85027Normal range

Complete blood count (CBC), automated

$121K

127K claims · 1.2%

Your Cost: $0.95/claim|Median: $3.72
0.3× median
80053Normal range

Comprehensive metabolic panel

$120K

48K claims · 1.1%

Your Cost: $2.49/claim|Median: $7.24
0.3× median
82330Normal range

$81K

34K claims · 0.8%

Your Cost: $2.38/claim|Median: $4.93
0.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$79K

1,192 claims · 0.8%

Your Cost: $66.25/claim|Median: $65.64
1.0× median
82947Normal range

Blood glucose level test

$71K

54K claims · 0.7%

Your Cost: $1.31/claim|Median: $2.38
0.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$70K

17K claims · 0.7%

Your Cost: $3.99/claim|Median: $11.48
0.3× median
87807Normal range

$68K

21K claims · 0.7%

Your Cost: $3.20/claim|Median: $10.06
0.3× median
80306Top 25%

$62K

4,085 claims · 0.6%

Your Cost: $15.27/claim|Median: $10.29
1.5× median
81001Normal range

Urinalysis, automated, with microscopy

$55K

56K claims · 0.5%

Your Cost: $0.97/claim|Median: $2.03
0.5× median
88312Normal range

$54K

3,642 claims · 0.5%

Your Cost: $14.84/claim|Median: $24.56
0.6× median
87040Normal range

$54K

25K claims · 0.5%

Your Cost: $2.13/claim|Median: $5.54
0.4× median
83605Normal range

$52K

28K claims · 0.5%

Your Cost: $1.85/claim|Median: $4.66
0.4× median
85007Normal range

$51K

99K claims · 0.5%

Your Cost: $0.51/claim|Median: $1.77
0.3× median
86140Normal range

$47K

51K claims · 0.5%

Your Cost: $0.91/claim|Median: $3.02
0.3× median
87186Normal range

Antimicrobial susceptibility testing, microdilution, per agent

$45K

13K claims · 0.4%

Your Cost: $3.57/claim|Median: $4.65
0.8× median
88304Normal range

$45K

3,381 claims · 0.4%

Your Cost: $13.16/claim|Median: $12.88
1.0× median
83735Normal range

Magnesium blood level test

$44K

41K claims · 0.4%

Your Cost: $1.08/claim|Median: $2.77
0.4× median
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