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METRO INFECTIOUS DISEASE CONSULTANTS, LLC

Internal Medicine, Infectious Disease·BURR RIDGE, IL·NPI: 1235125717Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$44.3M

$44,342,020

Total Claims

208K

Beneficiaries

105K

2.0 claims/patient

Avg Cost/Claim

$213

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+74%
2019
$4.3M
+21%
2020
$5.2M
+52%
2021
$7.9M
+16%
2022
$9.2M
+3%
2023
$9.4M
-39%
2024
$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 35 distinct procedure codes. The top code (J3380 (Injection, vedolizumab, one milligram)) accounts for 23% of total spending.

J3380Normal range

Injection, vedolizumab, one milligram

$10.2M

2,137 claims · 23.1%

Your Cost: $4,794.62/claim|Median: $4,027.41
1.2× median
J2350Top 25%

Ocrelizumab (Ocrevus) injection, 1 mg

$8.6M

365 claims · 19.5%

Your Cost: $23,696.75/claim|Median: $17,264.74
1.4× median
Q5103Normal range

$4.9M

4,484 claims · 11.1%

Your Cost: $1,096.50/claim|Median: $1,075.28
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$4.6M

91K claims · 10.3%

Your Cost: $50.15/claim|Median: $35.30
1.4× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$3.9M

3,174 claims · 8.9%

Your Cost: $1,236.92/claim|Median: $1,587.53
0.8× median
J2323Top 25%

Injection, natalizumab, one milligram

$2.7M

564 claims · 6.2%

Your Cost: $4,859.75/claim|Median: $2,797.07
1.7× median
J2357Normal range

Injection, omalizumab, 5 mg

$2.3M

1,534 claims · 5.3%

Your Cost: $1,526.14/claim|Median: $920.37
1.7× median
J2182Normal range

Injection, mepolizumab, one milligram

$1.4M

641 claims · 3.2%

Your Cost: $2,194.13/claim|Median: $1,614.23
1.4× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.2M

33K claims · 2.7%

Your Cost: $36.10/claim|Median: $23.99
1.5× median
99223Normal range

Initial hospital care, per day, high complexity

$847K

8,929 claims · 1.9%

Your Cost: $94.86/claim|Median: $67.32
1.4× median
Q5104Normal range

$728K

726 claims · 1.6%

Your Cost: $1,002.34/claim|Median: $1,412.69
0.7× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$553K

8,871 claims · 1.2%

Your Cost: $62.38/claim|Median: $75.28
0.8× median
99255Normal range

$532K

4,930 claims · 1.2%

Your Cost: $107.90/claim|Median: $90.45
1.2× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$482K

19K claims · 1.1%

Your Cost: $25.79/claim|Median: $54.77
0.5× median
J1569Top 25%

$425K

135 claims · 1.0%

Your Cost: $3,148.93/claim|Median: $1,387.65
2.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$175K

2,485 claims · 0.4%

Your Cost: $70.25/claim|Median: $51.25
1.4× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$141K

2,312 claims · 0.3%

Your Cost: $61.15/claim|Median: $53.41
1.1× median
96415Normal range

Chemotherapy infusion, each additional hour

$105K

6,557 claims · 0.2%

Your Cost: $16.01/claim|Median: $43.68
0.4× median
99254Normal range

$100K

1,183 claims · 0.2%

Your Cost: $84.82/claim|Median: $81.43
1.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$43K

1,067 claims · 0.1%

Your Cost: $39.94/claim|Median: $37.81
1.1× median
J1335Normal range

$41K

1,370 claims · 0.1%

Your Cost: $29.75/claim|Median: $100.54
0.3× median
99215Normal range

Office/outpatient visit, high complexity

$32K

372 claims · 0.1%

Your Cost: $84.75/claim|Median: $74.09
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$30K

2,832 claims · 0.1%

Your Cost: $10.59/claim|Median: $9.56
1.1× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$30K

1,353 claims · 0.1%

Your Cost: $22.01/claim|Median: $40.12
0.5× median
J2930Top 10%

$21K

1,411 claims · 0.0%

Your Cost: $14.58/claim|Median: $3.03
4.8× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$18K

2,395 claims · 0.0%

Your Cost: $7.58/claim|Median: $14.92
0.5× median
96401Normal range

$18K

704 claims · 0.0%

Your Cost: $25.05/claim|Median: $40.24
0.6× median
J0878Normal range

$14K

278 claims · 0.0%

Your Cost: $51.09/claim|Median: $130.03
0.4× median
36415Top 25%

Collection of venous blood by venipuncture

$6K

2,308 claims · 0.0%

Your Cost: $2.67/claim|Median: $1.57
1.7× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$6K

70 claims · 0.0%

Your Cost: $82.89/claim|Median: $84.03
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$4K

172 claims · 0.0%

Your Cost: $20.90/claim|Median: $16.77
1.2× median
J1720Normal range

$817

67 claims · 0.0%

Your Cost: $12.19/claim|Median: $7.26
1.7× median
J1200Normal range

$716

1,236 claims · 0.0%

Your Cost: $0.58/claim|Median: $0.60
1.0× median
J2920Normal range

$587

149 claims · 0.0%

Your Cost: $3.94/claim|Median: $2.93
1.3× median
J2919Normal range

$538

93 claims · 0.0%

Your Cost: $5.79/claim|Median: $1.77
3.3× median

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