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Provider 1215917588

NPI: 1215917588Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$13.7M

$13,717,166

Total Claims

748K

Beneficiaries

539K

1.4 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+53%
2019
$1.6M
+1%
2020
$1.6M
+41%
2021
$2.3M
+9%
2022
$2.5M
-2%
2023
$2.4M
-7%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (88305 (Surgical pathology, gross and microscopic examination)) accounts for 25% of total spending.

88305Top 25%

Surgical pathology, gross and microscopic examination

$3.5M

60K claims · 25.4%

Your Cost: $58.20/claim|Median: $35.80
1.6× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$927K

66K claims · 6.8%

Your Cost: $14.07/claim|Median: $19.06
0.7× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$899K

39K claims · 6.6%

Your Cost: $23.19/claim|Median: $24.95
0.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$868K

37K claims · 6.3%

Your Cost: $23.42/claim|Median: $23.39
1.0× median
88307Top 25%

Surgical pathology, gross and microscopic, complex

$686K

8,002 claims · 5.0%

Your Cost: $85.74/claim|Median: $59.38
1.4× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$564K

32K claims · 4.1%

Your Cost: $17.85/claim|Median: $21.08
0.8× median
80050Normal range

General health panel

$432K

22K claims · 3.2%

Your Cost: $19.92/claim|Median: $25.59
0.8× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$410K

9,304 claims · 3.0%

Your Cost: $44.06/claim|Median: $38.79
1.1× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$408K

16K claims · 3.0%

Your Cost: $25.88/claim|Median: $25.57
1.0× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$408K

5,901 claims · 3.0%

Your Cost: $69.14/claim|Median: $60.05
1.2× median
88304Top 25%

$374K

13K claims · 2.7%

Your Cost: $29.63/claim|Median: $12.88
2.3× median
88342Normal range

$366K

11K claims · 2.7%

Your Cost: $33.27/claim|Median: $23.66
1.4× median
88141Normal range

$339K

23K claims · 2.5%

Your Cost: $14.90/claim|Median: $14.87
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$263K

6,205 claims · 1.9%

Your Cost: $42.32/claim|Median: $35.43
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$243K

13K claims · 1.8%

Your Cost: $18.23/claim|Median: $18.18
1.0× median
80061Normal range

Lipid panel

$200K

24K claims · 1.5%

Your Cost: $8.27/claim|Median: $8.41
1.0× median
87150Normal range

$173K

7,278 claims · 1.3%

Your Cost: $23.71/claim|Median: $25.98
0.9× median
87389Normal range

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

$168K

10K claims · 1.2%

Your Cost: $16.45/claim|Median: $18.03
0.9× median
84443Normal range

Thyroid stimulating hormone (TSH)

$168K

16K claims · 1.2%

Your Cost: $10.77/claim|Median: $9.87
1.1× median
80053Normal range

Comprehensive metabolic panel

$159K

22K claims · 1.2%

Your Cost: $7.37/claim|Median: $7.24
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$139K

26K claims · 1.0%

Your Cost: $5.27/claim|Median: $4.71
1.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$109K

17K claims · 0.8%

Your Cost: $6.36/claim|Median: $5.50
1.2× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$96K

5,899 claims · 0.7%

Your Cost: $16.30/claim|Median: $15.76
1.0× median
84439Normal range

Free thyroxine level blood test

$95K

16K claims · 0.7%

Your Cost: $6.15/claim|Median: $6.31
1.0× median
87086Normal range

Urine culture, colony count, with identification

$94K

18K claims · 0.7%

Your Cost: $5.23/claim|Median: $5.31
1.0× median
87506Top 25%

$90K

488 claims · 0.7%

Your Cost: $184.30/claim|Median: $102.96
1.8× median
87088Normal range

$87K

17K claims · 0.6%

Your Cost: $5.21/claim|Median: $5.45
1.0× median
86780Normal range

$86K

9,315 claims · 0.6%

Your Cost: $9.21/claim|Median: $9.83
0.9× median
86003Normal range

Allergen specific IgE blood test, each allergen

$70K

4,292 claims · 0.5%

Your Cost: $16.35/claim|Median: $40.67
0.4× median
86803Normal range

Hepatitis C antibody

$69K

6,405 claims · 0.5%

Your Cost: $10.73/claim|Median: $10.17
1.1× median