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Provider 1235199316

NPI: 1235199316Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,673,634

Total Claims

51K

Beneficiaries

29K

1.7 claims/patient

Avg Cost/Claim

$151

Monthly Spending Trend

Yearly Spending

2018
$131K
-4%
2019
$125K
+327%
2020
$535K
+135%
2021
$1.3M
+129%
2022
$2.9M
-25%
2023
$2.2M
-73%
2024
$584K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J9271 (Injection, pembrolizumab, 1 mg)) accounts for 72% of total spending.

J9271Top 25%

Injection, pembrolizumab, 1 mg

$5.5M

692 claims · 72.2%

Your Cost: $8,003.33/claim|Median: $5,391.55
1.5× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$540K

8,039 claims · 7.0%

Your Cost: $67.19/claim|Median: $75.28
0.9× median
99214Normal range

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

$384K

7,549 claims · 5.0%

Your Cost: $50.93/claim|Median: $53.41
1.0× median
J1454Normal range

$248K

886 claims · 3.2%

Your Cost: $279.83/claim|Median: $286.68
1.0× median
99213Normal range

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

$231K

6,475 claims · 3.0%

Your Cost: $35.66/claim|Median: $37.81
0.9× median
J0897Top 25%

Injection, denosumab, one milligram

$113K

96 claims · 1.5%

Your Cost: $1,175.56/claim|Median: $493.25
2.4× median
99215Normal range

Office/outpatient visit, high complexity

$112K

1,698 claims · 1.5%

Your Cost: $66.09/claim|Median: $74.09
0.9× median
J1437Normal range

$97K

105 claims · 1.3%

Your Cost: $922.61/claim|Median: $979.19
0.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$91K

5,892 claims · 1.2%

Your Cost: $15.48/claim|Median: $14.92
1.0× median
96417Normal range

$77K

2,020 claims · 1.0%

Your Cost: $38.18/claim|Median: $37.60
1.0× median
96365Normal range

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

$49K

1,636 claims · 0.6%

Your Cost: $30.17/claim|Median: $54.77
0.6× median
96367Normal range

$42K

2,576 claims · 0.5%

Your Cost: $16.38/claim|Median: $29.27
0.6× median
J1453Normal range

$34K

436 claims · 0.4%

Your Cost: $77.63/claim|Median: $65.90
1.2× median
J2469Normal range

Injection, palonosetron HCl, twenty-five micrograms

$23K

1,393 claims · 0.3%

Your Cost: $16.86/claim|Median: $25.23
0.7× median
96415Normal range

Chemotherapy infusion, each additional hour

$19K

1,147 claims · 0.2%

Your Cost: $16.42/claim|Median: $43.68
0.4× median
99204Normal range

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

$17K

232 claims · 0.2%

Your Cost: $74.73/claim|Median: $84.03
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$14K

1,526 claims · 0.2%

Your Cost: $9.00/claim|Median: $9.56
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$9K

72 claims · 0.1%

Your Cost: $120.98/claim|Median: $111.09
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$7K

218 claims · 0.1%

Your Cost: $32.83/claim|Median: $23.99
1.4× median
99233Normal range

Subsequent hospital care, per day, high complexity

$5K

131 claims · 0.1%

Your Cost: $40.26/claim|Median: $35.30
1.1× median
99223Top 25%

Initial hospital care, per day, high complexity

$5K

47 claims · 0.1%

Your Cost: $103.36/claim|Median: $67.32
1.5× median
J1100Normal range

$4K

5,381 claims · 0.0%

Your Cost: $0.69/claim|Median: $0.52
1.3× median
96411Normal range

$3K

89 claims · 0.0%

Your Cost: $31.92/claim|Median: $33.16
1.0× median
96401Normal range

$3K

76 claims · 0.0%

Your Cost: $33.79/claim|Median: $40.24
0.8× median
99203Normal range

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

$2K

31 claims · 0.0%

Your Cost: $66.26/claim|Median: $57.85
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$2K

22 claims · 0.0%

Your Cost: $72.88/claim|Median: $51.25
1.4× median
J9045Normal range

$1K

117 claims · 0.0%

Your Cost: $11.88/claim|Median: $14.63
0.8× median
J1200Normal range

$748

1,798 claims · 0.0%

Your Cost: $0.42/claim|Median: $0.60
0.7× median
96366Normal range

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

$598

54 claims · 0.0%

Your Cost: $11.08/claim|Median: $40.12
0.3× median
96361Normal range

IV infusion, hydration, each additional hour

$593

52 claims · 0.0%

Your Cost: $11.40/claim|Median: $38.92
0.3× median
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