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Provider 1205834769

NPI: 1205834769Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.7M

$9,727,428

Total Claims

138K

Beneficiaries

130K

1.1 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$870K
+36%
2019
$1.2M
-0%
2020
$1.2M
+18%
2021
$1.4M
+27%
2022
$1.8M
+9%
2023
$1.9M
-30%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0026U) accounts for 45% of total spending.

0026UTop 1%

$4.3M

5,215 claims · 44.6%

Your Cost: $831.32/claim|Median: $831.32
1.0× median
88305Normal range

Surgical pathology, gross and microscopic examination

$2.5M

66K claims · 25.8%

Your Cost: $37.91/claim|Median: $35.80
1.1× median
88173Normal range

$686K

18K claims · 7.0%

Your Cost: $37.48/claim|Median: $38.77
1.0× median
88342Normal range

$673K

17K claims · 6.9%

Your Cost: $39.36/claim|Median: $23.66
1.7× median
88341Top 25%

$445K

5,484 claims · 4.6%

Your Cost: $81.21/claim|Median: $45.31
1.8× median
88361Normal range

$232K

3,035 claims · 2.4%

Your Cost: $76.38/claim|Median: $65.22
1.2× median
88185Normal range

$207K

902 claims · 2.1%

Your Cost: $229.94/claim|Median: $119.02
1.9× median
88304Top 25%

$115K

5,007 claims · 1.2%

Your Cost: $22.88/claim|Median: $12.88
1.8× median
88360Normal range

$76K

2,494 claims · 0.8%

Your Cost: $30.54/claim|Median: $40.50
0.8× median
88313Normal range

$74K

2,628 claims · 0.8%

Your Cost: $28.02/claim|Median: $18.95
1.5× median
88312Normal range

$70K

2,127 claims · 0.7%

Your Cost: $32.69/claim|Median: $24.56
1.3× median
88112Normal range

$50K

2,176 claims · 0.5%

Your Cost: $23.03/claim|Median: $19.79
1.2× median
81545Top 1%

$35K

14 claims · 0.4%

Your Cost: $2,480.00/claim|Median: $1,744.43
1.4× median
81311Normal range

$30K

421 claims · 0.3%

Your Cost: $70.99/claim|Median: $57.29
1.2× median
88120Normal range

$28K

366 claims · 0.3%

Your Cost: $77.22/claim|Median: $122.39
0.6× median
81404Normal range

$25K

373 claims · 0.3%

Your Cost: $66.47/claim|Median: $48.77
1.4× median
81405Normal range

$22K

370 claims · 0.2%

Your Cost: $59.28/claim|Median: $55.02
1.1× median
81210Normal range

$18K

470 claims · 0.2%

Your Cost: $37.41/claim|Median: $31.33
1.2× median
88184Normal range

$17K

903 claims · 0.2%

Your Cost: $18.77/claim|Median: $29.41
0.6× median
81275Normal range

$17K

421 claims · 0.2%

Your Cost: $39.26/claim|Median: $39.82
1.0× median
81403Normal range

$14K

388 claims · 0.1%

Your Cost: $35.87/claim|Median: $42.54
0.8× median
81401Normal range

$12K

391 claims · 0.1%

Your Cost: $30.32/claim|Median: $30.88
1.0× median
88189Normal range

$11K

409 claims · 0.1%

Your Cost: $26.69/claim|Median: $45.87
0.6× median
88377Top 25%

$8K

44 claims · 0.1%

Your Cost: $180.89/claim|Median: $83.23
2.2× median
81322Normal range

$5K

386 claims · 0.1%

Your Cost: $13.92/claim|Median: $13.92
1.0× median
88365Normal range

$5K

62 claims · 0.0%

Your Cost: $78.37/claim|Median: $38.20
2.1× median
88311Top 25%

$5K

400 claims · 0.0%

Your Cost: $11.46/claim|Median: $5.68
2.0× median
87070Normal range

Bacterial culture, any source except blood or urine

$4K

873 claims · 0.0%

Your Cost: $4.23/claim|Median: $5.89
0.7× median
88364Top 25%

$999

12 claims · 0.0%

Your Cost: $83.26/claim|Median: $43.89
1.9× median
87077Normal range

Bacterial culture, aerobic, additional methods required

$898

132 claims · 0.0%

Your Cost: $6.80/claim|Median: $4.52
1.5× median
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