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Provider 1255579629

NPI: 1255579629Share
Active Billing Period:2018-01→2023-03(63 months)
Billing appears to have stoppedLast active: 2023-03

Total Paid

$13.2M

$13,224,201

Total Claims

117K

Beneficiaries

15K

7.9 claims/patient

Avg Cost/Claim

$113

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+33%
2019
$3.2M
+36%
2020
$4.4M
-60%
2021
$1.7M
-30%
2022
$1.2M
-83%
2023
$207K

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 31% of total spending.

Q4081Top 10%

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

$4.1M

36K claims · 31.3%

Your Cost: $114.26/claim|Median: $4.98
22.9× median
90999Normal range

Unlisted dialysis procedure

$3.7M

34K claims · 28.3%

Your Cost: $110.58/claim|Median: $63.73
1.7× median
J1270Top 10%

Injection, doxercalciferol, 1 mcg

$2.4M

22K claims · 18.1%

Your Cost: $111.10/claim|Median: $0.73
152.2× median
A4657Top 10%

Syringe with needle, each

$832K

4,233 claims · 6.3%

Your Cost: $196.53/claim|Median: $2.19
89.7× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$616K

6,889 claims · 4.7%

Your Cost: $89.44/claim|Median: $4.58
19.5× median
J0604Top 25%

$344K

2,987 claims · 2.6%

Your Cost: $115.10/claim|Median: $11.09
10.4× median
85041Top 25%

$238K

2,504 claims · 1.8%

Your Cost: $95.06/claim|Median: $0.76
125.1× median
85048Top 25%

$230K

2,388 claims · 1.7%

Your Cost: $96.46/claim|Median: $0.81
119.1× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$227K

2,030 claims · 1.7%

Your Cost: $111.96/claim|Median: $10.20
11.0× median
83540Top 5%

Iron blood level test

$126K

1,229 claims · 1.0%

Your Cost: $102.81/claim|Median: $2.93
35.1× median
82728Top 5%

Ferritin

$120K

1,081 claims · 0.9%

Your Cost: $110.65/claim|Median: $6.00
18.4× median
83550Top 5%

$117K

1,082 claims · 0.9%

Your Cost: $108.27/claim|Median: $3.49
31.0× median
G0499Normal range

$47K

657 claims · 0.4%

Your Cost: $71.77/claim|Median: $2.76
26.0× median
82108Top 25%

$29K

268 claims · 0.2%

Your Cost: $106.49/claim|Median: $2.12
50.2× median
G0008Top 5%

$13K

117 claims · 0.1%

Your Cost: $108.83/claim|Median: $2.54
42.8× median
90662Top 5%

$6K

51 claims · 0.0%

Your Cost: $115.85/claim|Median: $6.55
17.7× median
90674Top 1%

$6K

45 claims · 0.0%

Your Cost: $123.52/claim|Median: $15.16
8.1× median
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