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Provider 1255644357

NPI: 1255644357Share
Active Billing Period:2018-01→2024-11(76 months)

Total Paid

$8.1M

$8,077,225

Total Claims

21K

Beneficiaries

15K

1.4 claims/patient

Avg Cost/Claim

$388

Monthly Spending Trend

Yearly Spending

2018
$326K
+215%
2019
$1.0M
+98%
2020
$2.0M
+77%
2021
$3.6M
-98%
2022
$59K
+623%
2023
$426K
+38%
2024
$588K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J0135 (Injection, adalimumab, twenty milligrams)) accounts for 14% of total spending.

J0135Normal range

Injection, adalimumab, twenty milligrams

$1.1M

547 claims · 13.8%

Your Cost: $2,044.06/claim|Median: $2,044.06
1.0× median
J7324Top 5%

$968K

894 claims · 12.0%

Your Cost: $1,082.56/claim|Median: $56.65
19.1× median
J3490Top 5%

Unclassified drugs

$650K

1,843 claims · 8.0%

Your Cost: $352.59/claim|Median: $5.70
61.9× median
J0897Top 25%

Injection, denosumab, one milligram

$642K

457 claims · 7.9%

Your Cost: $1,404.38/claim|Median: $493.25
2.8× median
J7325Top 5%

Synvisc or synvisc-one injection for joint supplementation

$603K

591 claims · 7.5%

Your Cost: $1,020.57/claim|Median: $85.94
11.9× median
J3590Top 25%

Unclassified biologic drug injection

$577K

666 claims · 7.1%

Your Cost: $866.15/claim|Median: $24.77
35.0× median
J9355Normal range

Injection, trastuzumab, ten milligrams

$515K

182 claims · 6.4%

Your Cost: $2,831.14/claim|Median: $1,942.13
1.5× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$496K

66 claims · 6.1%

Your Cost: $7,512.97/claim|Median: $5,391.55
1.4× median
J9217Top 5%

$324K

252 claims · 4.0%

Your Cost: $1,283.89/claim|Median: $211.50
6.1× median
99601Normal range

$315K

3,832 claims · 3.9%

Your Cost: $82.09/claim|Median: $82.41
1.0× median
J1100Top 1%

$275K

1,173 claims · 3.4%

Your Cost: $234.63/claim|Median: $0.52
451.2× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$251K

397 claims · 3.1%

Your Cost: $633.29/claim|Median: $470.36
1.3× median
J9035Top 5%

Injection, bevacizumab, 10 mg

$222K

61 claims · 2.7%

Your Cost: $3,633.65/claim|Median: $43.71
83.1× median
J1200Top 1%

$183K

810 claims · 2.3%

Your Cost: $226.52/claim|Median: $0.60
377.5× median
J2405Top 1%

Injection, ondansetron HCl, per one milligram

$150K

769 claims · 1.9%

Your Cost: $195.62/claim|Median: $0.58
337.3× median
J1726Normal range

$138K

77 claims · 1.7%

Your Cost: $1,789.51/claim|Median: $789.74
2.3× median
J9306Normal range

Injection, pertuzumab, one milligram

$126K

36 claims · 1.6%

Your Cost: $3,506.78/claim|Median: $3,571.19
1.0× median
B4160Normal range

Enteral formula, per 100 calories

$86K

595 claims · 1.1%

Your Cost: $144.48/claim|Median: $157.30
0.9× median
J1438Normal range

$70K

63 claims · 0.9%

Your Cost: $1,111.44/claim|Median: $1,184.84
0.9× median
S9500Top 5%

$53K

77 claims · 0.7%

Your Cost: $685.98/claim|Median: $144.40
4.8× median
90750Normal range

$51K

478 claims · 0.6%

Your Cost: $106.78/claim|Median: $96.16
1.1× median
J1453Top 10%

$50K

178 claims · 0.6%

Your Cost: $280.46/claim|Median: $65.90
4.3× median
J1626Top 1%

$32K

40 claims · 0.4%

Your Cost: $801.95/claim|Median: $2.63
304.9× median
S9542Normal range

$28K

783 claims · 0.4%

Your Cost: $36.21/claim|Median: $43.71
0.8× median
S0028Top 5%

$28K

290 claims · 0.3%

Your Cost: $96.37/claim|Median: $0.83
116.1× median
J3489Top 5%

Injection, zoledronic acid, one milligram

$26K

162 claims · 0.3%

Your Cost: $160.48/claim|Median: $24.58
6.5× median
A4223Normal range

$26K

1,073 claims · 0.3%

Your Cost: $24.15/claim|Median: $60.92
0.4× median
J7321Top 5%

Hyaluronan injection for knee joint supplement

$20K

38 claims · 0.3%

Your Cost: $537.97/claim|Median: $24.72
21.8× median
90715Top 5%

Tdap vaccine

$16K

351 claims · 0.2%

Your Cost: $44.87/claim|Median: $10.32
4.3× median
S9374Normal range

$9K

65 claims · 0.1%

Your Cost: $142.50/claim|Median: $136.10
1.0× median
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