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Provider 1255313664

NPI: 1255313664Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.0M

$11,013,547

Total Claims

4.5M

Beneficiaries

2.9M

1.5 claims/patient

Avg Cost/Claim

$2

Monthly Spending Trend

Yearly Spending

2018
$54K
+2754%
2019
$1.5M
+3%
2020
$1.6M
+42%
2021
$2.2M
+7%
2022
$2.4M
-4%
2023
$2.3M
-59%
2024
$940K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (80053 (Comprehensive metabolic panel)) accounts for 14% of total spending.

80053Normal range

Comprehensive metabolic panel

$1.6M

415K claims · 14.3%

Your Cost: $3.79/claim|Median: $7.24
0.5× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$1.5M

40K claims · 13.2%

Your Cost: $36.31/claim|Median: $169.17
0.2× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.3M

29K claims · 11.4%

Your Cost: $42.55/claim|Median: $35.80
1.2× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$721K

24K claims · 6.5%

Your Cost: $29.74/claim|Median: $39.70
0.7× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$499K

9,567 claims · 4.5%

Your Cost: $52.17/claim|Median: $59.38
0.9× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$470K

23K claims · 4.3%

Your Cost: $20.37/claim|Median: $97.61
0.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$462K

25K claims · 4.2%

Your Cost: $18.71/claim|Median: $35.43
0.5× median
80048Normal range

Basic metabolic panel

$404K

223K claims · 3.7%

Your Cost: $1.81/claim|Median: $5.78
0.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$353K

478K claims · 3.2%

Your Cost: $0.74/claim|Median: $4.71
0.2× median
84484Normal range

Troponin, quantitative

$321K

98K claims · 2.9%

Your Cost: $3.28/claim|Median: $4.84
0.7× median
82947Normal range

Blood glucose level test

$254K

238K claims · 2.3%

Your Cost: $1.06/claim|Median: $2.38
0.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$203K

41K claims · 1.8%

Your Cost: $4.93/claim|Median: $28.46
0.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$153K

37K claims · 1.4%

Your Cost: $4.08/claim|Median: $24.95
0.2× median
85027Normal range

Complete blood count (CBC), automated

$134K

177K claims · 1.2%

Your Cost: $0.75/claim|Median: $3.72
0.2× median
82803Normal range

$128K

26K claims · 1.2%

Your Cost: $4.94/claim|Median: $8.90
0.6× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$117K

9,640 claims · 1.1%

Your Cost: $12.11/claim|Median: $26.72
0.5× median
88189Top 25%

$113K

1,678 claims · 1.0%

Your Cost: $67.19/claim|Median: $45.87
1.5× median
83735Normal range

Magnesium blood level test

$103K

161K claims · 0.9%

Your Cost: $0.64/claim|Median: $2.77
0.2× median
88312Normal range

$91K

6,277 claims · 0.8%

Your Cost: $14.52/claim|Median: $24.56
0.6× median
87040Normal range

$90K

45K claims · 0.8%

Your Cost: $2.01/claim|Median: $5.54
0.4× median
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$83K

125K claims · 0.8%

Your Cost: $0.66/claim|Median: $4.20
0.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$77K

37K claims · 0.7%

Your Cost: $2.06/claim|Median: $23.39
0.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$70K

2,925 claims · 0.6%

Your Cost: $23.94/claim|Median: $100.62
0.2× median
83880Normal range

$66K

27K claims · 0.6%

Your Cost: $2.45/claim|Median: $11.81
0.2× median
83605Normal range

$61K

64K claims · 0.6%

Your Cost: $0.95/claim|Median: $4.66
0.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$59K

36K claims · 0.5%

Your Cost: $1.64/claim|Median: $9.87
0.2× median
81025Normal range

Urine pregnancy test

$57K

47K claims · 0.5%

Your Cost: $1.20/claim|Median: $4.81
0.3× median
87088Normal range

$53K

57K claims · 0.5%

Your Cost: $0.92/claim|Median: $5.45
0.2× median
86922Normal range

$53K

3,394 claims · 0.5%

Your Cost: $15.62/claim|Median: $20.85
0.7× median
85730Normal range

$47K

71K claims · 0.4%

Your Cost: $0.66/claim|Median: $2.83
0.2× median
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