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Provider 1245208057

NPI: 1245208057Share
Active Billing Period:2018-01→2024-05(71 months)
Billing appears to have stoppedLast active: 2024-05

Total Paid

$16.5M

$16,455,242

Total Claims

140K

Beneficiaries

17K

8.5 claims/patient

Avg Cost/Claim

$117

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+53%
2019
$4.2M
+15%
2020
$4.9M
-55%
2021
$2.2M
-15%
2022
$1.9M
-74%
2023
$482K
-95%
2024
$26K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (Q4081 (Injection, epoetin alfa, 100 units (non-ESRD))) accounts for 32% of total spending.

Q4081Top 10%

Injection, epoetin alfa, 100 units (non-ESRD)

$5.3M

49K claims · 32.4%

Your Cost: $108.18/claim|Median: $4.98
21.7× median
90999Top 25%

Unlisted dialysis procedure

$4.8M

36K claims · 29.2%

Your Cost: $133.79/claim|Median: $63.73
2.1× median
J1270Top 10%

Injection, doxercalciferol, 1 mcg

$2.9M

28K claims · 17.8%

Your Cost: $103.87/claim|Median: $0.73
142.3× median
A4657Top 10%

Syringe with needle, each

$1.2M

6,973 claims · 7.0%

Your Cost: $166.26/claim|Median: $2.19
75.9× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$638K

7,768 claims · 3.9%

Your Cost: $82.08/claim|Median: $4.58
17.9× median
85041Top 25%

$249K

2,125 claims · 1.5%

Your Cost: $117.37/claim|Median: $0.76
154.4× median
85048Top 10%

$248K

2,104 claims · 1.5%

Your Cost: $117.90/claim|Median: $0.81
145.6× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$245K

1,880 claims · 1.5%

Your Cost: $130.42/claim|Median: $10.20
12.8× median
82728Top 5%

Ferritin

$213K

1,510 claims · 1.3%

Your Cost: $141.16/claim|Median: $6.00
23.5× median
83540Top 5%

Iron blood level test

$210K

1,453 claims · 1.3%

Your Cost: $144.28/claim|Median: $2.93
49.2× median
85045Top 5%

$189K

1,586 claims · 1.1%

Your Cost: $119.21/claim|Median: $1.64
72.7× median
83550Top 5%

$177K

1,182 claims · 1.1%

Your Cost: $149.33/claim|Median: $3.49
42.8× median
J0604Top 25%

$40K

221 claims · 0.2%

Your Cost: $183.20/claim|Median: $11.09
16.5× median
G0499Top 25%

$18K

121 claims · 0.1%

Your Cost: $144.81/claim|Median: $2.76
52.5× median
90674Top 1%

$7K

23 claims · 0.0%

Your Cost: $322.87/claim|Median: $15.16
21.3× median
G0008Top 5%

$6K

39 claims · 0.0%

Your Cost: $147.47/claim|Median: $2.54
58.1× median
J0887Normal range

Injection, epoetin alfa, non-ESRD, 1000 units

$0

59 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.48
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