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Provider 1235213463

NPI: 1235213463Share
Active Billing Period:2018-03→2024-10(80 months)

Total Paid

$11.0M

$11,040,887

Total Claims

241K

Beneficiaries

45K

5.4 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$327K
+26%
2019
$411K
+112%
2020
$872K
+136%
2021
$2.1M
+51%
2022
$3.1M
+10%
2023
$3.4M
-76%
2024
$829K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 50% of total spending.

90999Normal range

Unlisted dialysis procedure

$5.5M

61K claims · 50.2%

Your Cost: $90.56/claim|Median: $63.73
1.4× median
J0882Top 25%

Injection, darbepoetin alfa, one microgram, ESRD use

$2.5M

13K claims · 22.9%

Your Cost: $200.33/claim|Median: $49.66
4.0× median
J0606Top 25%

$1.9M

16K claims · 17.4%

Your Cost: $122.73/claim|Median: $25.87
4.7× median
J1756Top 25%

Injection, iron sucrose, 1 mg

$292K

7,744 claims · 2.6%

Your Cost: $37.70/claim|Median: $4.58
8.2× median
J1644Top 10%

$283K

27K claims · 2.6%

Your Cost: $10.49/claim|Median: $0.37
28.4× median
0250Normal range

$228K

77K claims · 2.1%

Your Cost: $2.94/claim|Median: $3.70
0.8× median
82728Normal range

Ferritin

$35K

4,541 claims · 0.3%

Your Cost: $7.66/claim|Median: $6.00
1.3× median
J3490Normal range

Unclassified drugs

$35K

3,935 claims · 0.3%

Your Cost: $8.78/claim|Median: $5.70
1.5× median
85027Normal range

Complete blood count (CBC), automated

$34K

8,796 claims · 0.3%

Your Cost: $3.85/claim|Median: $3.72
1.0× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$28K

1,838 claims · 0.3%

Your Cost: $15.27/claim|Median: $10.20
1.5× median
80069Normal range

Renal function panel

$22K

3,582 claims · 0.2%

Your Cost: $6.24/claim|Median: $4.12
1.5× median
83550Normal range

$21K

4,532 claims · 0.2%

Your Cost: $4.54/claim|Median: $3.49
1.3× median
86803Normal range

Hepatitis C antibody

$6K

779 claims · 0.1%

Your Cost: $8.18/claim|Median: $10.17
0.8× median
80061Normal range

Lipid panel

$6K

769 claims · 0.1%

Your Cost: $7.75/claim|Median: $8.41
0.9× median
87340Normal range

Hepatitis B surface antigen detection

$6K

1,009 claims · 0.1%

Your Cost: $5.71/claim|Median: $5.52
1.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$5K

76 claims · 0.0%

Your Cost: $70.19/claim|Median: $63.08
1.1× median
86706Normal range

$5K

837 claims · 0.0%

Your Cost: $5.80/claim|Median: $5.39
1.1× median
86481Normal range

$4K

112 claims · 0.0%

Your Cost: $38.67/claim|Median: $52.45
0.7× median
90686Top 5%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

182 claims · 0.0%

Your Cost: $23.54/claim|Median: $7.18
3.3× median
84520Normal range

$4K

2,996 claims · 0.0%

Your Cost: $1.34/claim|Median: $0.89
1.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$4K

989 claims · 0.0%

Your Cost: $4.00/claim|Median: $5.50
0.7× median
82948Normal range

$3K

1,551 claims · 0.0%

Your Cost: $1.78/claim|Median: $1.78
1.0× median
90746Top 1%

Hepatitis B vaccine, adult

$2K

12 claims · 0.0%

Your Cost: $186.47/claim|Median: $48.85
3.8× median
84100Normal range

$2K

489 claims · 0.0%

Your Cost: $3.10/claim|Median: $1.34
2.3× median
82565Normal range

Creatinine blood test

$1K

415 claims · 0.0%

Your Cost: $3.47/claim|Median: $1.94
1.8× median
J1580Top 10%

$1K

153 claims · 0.0%

Your Cost: $8.49/claim|Median: $1.13
7.5× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$1K

207 claims · 0.0%

Your Cost: $6.04/claim|Median: $28.63
0.2× median
85045Normal range

$923

378 claims · 0.0%

Your Cost: $2.44/claim|Median: $1.64
1.5× median
82310Top 25%

$731

207 claims · 0.0%

Your Cost: $3.53/claim|Median: $0.91
3.9× median
85610Normal range

Prothrombin time (PT) blood clotting test

$600

215 claims · 0.0%

Your Cost: $2.79/claim|Median: $2.14
1.3× median
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