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Provider 1205819729

NPI: 1205819729Share
Active Billing Period:2018-01→2024-11(75 months)

Total Paid

$12.9M

$12,899,371

Total Claims

16K

Beneficiaries

8,366

1.9 claims/patient

Avg Cost/Claim

$831

Monthly Spending Trend

Yearly Spending

2018
$550K
+339%
2019
$2.4M
-94%
2020
$140K
+884%
2021
$1.4M
+81%
2022
$2.5M
+23%
2023
$3.1M
-6%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (J0178 (Injection, aflibercept, 1 mg)) accounts for 60% of total spending.

J0178Top 5%

Injection, aflibercept, 1 mg

$7.7M

3,849 claims · 59.8%

Your Cost: $2,005.63/claim|Median: $730.09
2.7× median
J9035Top 1%

Injection, bevacizumab, 10 mg

$1.1M

183 claims · 8.7%

Your Cost: $6,124.52/claim|Median: $43.71
140.1× median
J9271Top 10%

Injection, pembrolizumab, 1 mg

$918K

79 claims · 7.1%

Your Cost: $11,614.23/claim|Median: $5,391.55
2.2× median
J9395Top 5%

Injection, fulvestrant, twenty-five milligrams

$713K

476 claims · 5.5%

Your Cost: $1,498.47/claim|Median: $367.29
4.1× median
J9355Top 5%

Injection, trastuzumab, ten milligrams

$631K

136 claims · 4.9%

Your Cost: $4,637.43/claim|Median: $1,942.13
2.4× median
J1569Top 5%

$552K

91 claims · 4.3%

Your Cost: $6,064.94/claim|Median: $1,387.65
4.4× median
J0897Top 5%

Injection, denosumab, one milligram

$465K

218 claims · 3.6%

Your Cost: $2,131.02/claim|Median: $493.25
4.3× median
J9312Top 5%

$152K

21 claims · 1.2%

Your Cost: $7,234.89/claim|Median: $2,705.30
2.7× median
J0585Top 10%

Injection, onabotulinumtoxinA, 1 unit

$149K

130 claims · 1.2%

Your Cost: $1,146.26/claim|Median: $470.36
2.4× median
T1030Normal range

Nursing care, in the home, by RN, per diem

$133K

2,469 claims · 1.0%

Your Cost: $53.94/claim|Median: $85.62
0.6× median
J9264Top 1%

$111K

16 claims · 0.9%

Your Cost: $6,957.43/claim|Median: $941.67
7.4× median
J9299Normal range

Nivolumab (Opdivo) injection, 1 mg

$53K

20 claims · 0.4%

Your Cost: $2,642.47/claim|Median: $3,562.28
0.7× median
J9070Top 5%

$50K

90 claims · 0.4%

Your Cost: $555.51/claim|Median: $163.22
3.4× median
S9379Normal range

$47K

1,645 claims · 0.4%

Your Cost: $28.35/claim|Median: $70.89
0.4× median
J9306Normal range

Injection, pertuzumab, one milligram

$41K

20 claims · 0.3%

Your Cost: $2,044.56/claim|Median: $3,571.19
0.6× median
J3489Top 25%

Injection, zoledronic acid, one milligram

$9K

120 claims · 0.1%

Your Cost: $78.09/claim|Median: $24.58
3.2× median
J2405Normal range

Injection, ondansetron HCl, per one milligram

$5K

2,412 claims · 0.0%

Your Cost: $2.15/claim|Median: $0.58
3.7× median
J1453Top 10%

$5K

17 claims · 0.0%

Your Cost: $279.35/claim|Median: $65.90
4.2× median
J9171Normal range

$5K

46 claims · 0.0%

Your Cost: $102.54/claim|Median: $97.17
1.1× median
J0640Normal range

$4K

210 claims · 0.0%

Your Cost: $20.76/claim|Median: $24.08
0.9× median
J9263Normal range

$4K

39 claims · 0.0%

Your Cost: $94.32/claim|Median: $28.73
3.3× median
J9267Top 10%

$3K

64 claims · 0.0%

Your Cost: $44.98/claim|Median: $13.72
3.3× median
J1100Top 25%

$3K

850 claims · 0.0%

Your Cost: $3.12/claim|Median: $0.52
6.0× median
J1200Top 25%

$3K

1,161 claims · 0.0%

Your Cost: $2.15/claim|Median: $0.60
3.6× median
J9190Normal range

$2K

426 claims · 0.0%

Your Cost: $5.46/claim|Median: $9.86
0.6× median
J9045Normal range

$2K

110 claims · 0.0%

Your Cost: $17.98/claim|Median: $14.63
1.2× median
J9000Top 25%

$510

18 claims · 0.0%

Your Cost: $28.33/claim|Median: $16.21
1.7× median
S0028Normal range

$229

603 claims · 0.0%

Your Cost: $0.38/claim|Median: $0.83
0.5× median
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