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Provider 1225316482

NPI: 1225316482Share
Active Billing Period:2018-08→2024-12(76 months)

Total Paid

$11.0M

$10,984,699

Total Claims

160K

Beneficiaries

147K

1.1 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$9K
+13588%
2019
$1.2M
+52%
2020
$1.8M
+31%
2021
$2.4M
+17%
2022
$2.7M
-50%
2023
$1.4M
+12%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (87150) accounts for 27% of total spending.

87150Top 5%

$3.0M

14K claims · 27.4%

Your Cost: $219.20/claim|Median: $25.98
8.4× median
87798Top 5%

Infectious agent detection, nucleic acid, not otherwise specified

$2.5M

10K claims · 22.6%

Your Cost: $239.86/claim|Median: $26.72
9.0× median
88325Top 25%

$1.2M

14K claims · 10.5%

Your Cost: $83.20/claim|Median: $55.24
1.5× median
81514Normal range

$615K

3,107 claims · 5.6%

Your Cost: $197.83/claim|Median: $143.67
1.4× median
87481Top 25%

$388K

8,910 claims · 3.5%

Your Cost: $43.51/claim|Median: $22.38
1.9× median
87640Top 10%

$365K

13K claims · 3.3%

Your Cost: $28.21/claim|Median: $8.39
3.4× median
87500Top 10%

$350K

14K claims · 3.2%

Your Cost: $24.64/claim|Median: $8.53
2.9× median
87653Top 10%

$342K

7,734 claims · 3.1%

Your Cost: $44.16/claim|Median: $19.33
2.3× median
87556Top 25%

$324K

11K claims · 3.0%

Your Cost: $28.71/claim|Median: $9.43
3.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$278K

11K claims · 2.5%

Your Cost: $25.83/claim|Median: $23.39
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$276K

11K claims · 2.5%

Your Cost: $25.89/claim|Median: $24.95
1.0× median
87801Top 5%

Infectious agent detection, amplified probe, multiple organisms

$247K

2,203 claims · 2.3%

Your Cost: $112.32/claim|Median: $38.79
2.9× median
87633Top 25%

Respiratory virus detection, 12-25 targets, nucleic acid

$223K

652 claims · 2.0%

Your Cost: $341.30/claim|Median: $169.17
2.0× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$163K

6,831 claims · 1.5%

Your Cost: $23.82/claim|Median: $21.08
1.1× median
87800Top 25%

$136K

3,274 claims · 1.2%

Your Cost: $41.64/claim|Median: $29.47
1.4× median
U0004Normal range

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

$132K

4,862 claims · 1.2%

Your Cost: $27.08/claim|Median: $60.05
0.5× median
84630Top 1%

$126K

3,351 claims · 1.1%

Your Cost: $37.51/claim|Median: $7.49
5.0× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$72K

2,731 claims · 0.7%

Your Cost: $26.25/claim|Median: $65.45
0.4× median
87581Normal range

$60K

3,361 claims · 0.6%

Your Cost: $17.99/claim|Median: $17.13
1.1× median
87486Normal range

$57K

3,232 claims · 0.5%

Your Cost: $17.49/claim|Median: $19.16
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$39K

2,260 claims · 0.4%

Your Cost: $17.09/claim|Median: $28.46
0.6× median
87498Normal range

$38K

2,245 claims · 0.3%

Your Cost: $17.11/claim|Median: $10.02
1.7× median
87186Top 1%

Antimicrobial susceptibility testing, microdilution, per agent

$31K

517 claims · 0.3%

Your Cost: $59.20/claim|Median: $4.65
12.7× median
87532Normal range

$25K

1,818 claims · 0.2%

Your Cost: $14.01/claim|Median: $6.82
2.1× median
87530Normal range

$14K

644 claims · 0.1%

Your Cost: $22.12/claim|Median: $20.14
1.1× median
86635Normal range

$13K

2,283 claims · 0.1%

Your Cost: $5.52/claim|Median: $6.15
0.9× median
87496Normal range

$11K

644 claims · 0.1%

Your Cost: $17.35/claim|Median: $10.20
1.7× median
87482Normal range

$4K

274 claims · 0.0%

Your Cost: $16.31/claim|Median: $11.99
1.4× median
81105Normal range

$2K

41 claims · 0.0%

Your Cost: $49.78/claim|Median: $52.94
0.9× median
81401Normal range

$1K

78 claims · 0.0%

Your Cost: $13.56/claim|Median: $30.88
0.4× median
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