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Provider 1245236876

NPI: 1245236876Share
Active Billing Period:2018-01→2024-07(73 months)

Total Paid

$10.5M

$10,509,203

Total Claims

100K

Beneficiaries

17K

6.1 claims/patient

Avg Cost/Claim

$105

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-8%
2019
$1.5M
+154%
2020
$3.9M
-54%
2021
$1.8M
-22%
2022
$1.4M
-76%
2023
$333K
-98%
2024
$7K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (A4657 (Syringe with needle, each)) accounts for 38% of total spending.

A4657Top 25%

Syringe with needle, each

$4.0M

39K claims · 37.6%

Your Cost: $101.86/claim|Median: $2.19
46.5× median
90999Top 25%

Unlisted dialysis procedure

$1.9M

13K claims · 18.0%

Your Cost: $142.73/claim|Median: $63.73
2.2× median
J1644Top 5%

$1.8M

20K claims · 17.5%

Your Cost: $90.39/claim|Median: $0.37
244.3× median
90935Top 25%

Hemodialysis, one evaluation

$527K

5,393 claims · 5.0%

Your Cost: $97.69/claim|Median: $23.72
4.1× median
85018Top 1%

$209K

1,363 claims · 2.0%

Your Cost: $153.65/claim|Median: $1.71
89.9× median
84132Top 5%

$197K

2,025 claims · 1.9%

Your Cost: $97.36/claim|Median: $1.09
89.3× median
J0887Top 25%

Injection, epoetin alfa, non-ESRD, 1000 units

$186K

1,283 claims · 1.8%

Your Cost: $145.23/claim|Median: $30.48
4.8× median
84295Top 5%

Sodium blood level test

$172K

1,873 claims · 1.6%

Your Cost: $91.63/claim|Median: $0.88
104.1× median
84155Top 10%

$171K

1,869 claims · 1.6%

Your Cost: $91.73/claim|Median: $0.60
152.9× median
87340Top 5%

Hepatitis B surface antigen detection

$167K

1,300 claims · 1.6%

Your Cost: $128.20/claim|Median: $5.52
23.2× median
82728Top 10%

Ferritin

$167K

1,916 claims · 1.6%

Your Cost: $86.93/claim|Median: $6.00
14.5× median
84520Top 10%

$159K

1,698 claims · 1.5%

Your Cost: $93.89/claim|Median: $0.89
105.5× median
84100Top 5%

$159K

1,659 claims · 1.5%

Your Cost: $95.59/claim|Median: $1.34
71.3× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$154K

1,465 claims · 1.5%

Your Cost: $105.32/claim|Median: $4.58
23.0× median
J0606Top 10%

$129K

464 claims · 1.2%

Your Cost: $278.77/claim|Median: $25.87
10.8× median
83540Top 5%

Iron blood level test

$109K

1,196 claims · 1.0%

Your Cost: $91.41/claim|Median: $2.93
31.2× median
82947Top 1%

Blood glucose level test

$99K

1,226 claims · 0.9%

Your Cost: $81.00/claim|Median: $2.38
34.0× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$98K

1,186 claims · 0.9%

Your Cost: $82.33/claim|Median: $10.20
8.1× median
83550Top 5%

$50K

352 claims · 0.5%

Your Cost: $143.03/claim|Median: $3.49
41.0× median
86803Top 5%

Hepatitis C antibody

$26K

343 claims · 0.2%

Your Cost: $74.95/claim|Median: $10.17
7.4× median
86706Top 10%

$22K

327 claims · 0.2%

Your Cost: $66.66/claim|Median: $5.39
12.4× median
86580Top 1%

Tuberculosis (TB) skin test

$8K

50 claims · 0.1%

Your Cost: $150.06/claim|Median: $4.46
33.6× median
G0008Top 5%

$4K

39 claims · 0.0%

Your Cost: $107.92/claim|Median: $2.54
42.5× median
90688Top 1%

$4K

39 claims · 0.0%

Your Cost: $107.92/claim|Median: $9.00
12.0× median
J0882Normal range

Injection, darbepoetin alfa, one microgram, ESRD use

$1K

169 claims · 0.0%

Your Cost: $8.82/claim|Median: $49.66
0.2× median
J2501Normal range

$0

516 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.13
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