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Provider 1265400501

NPI: 1265400501Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.6M

$11,601,815

Total Claims

121K

Beneficiaries

16K

7.4 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$2.8M
-18%
2019
$2.3M
+52%
2020
$3.6M
-67%
2021
$1.2M
-13%
2022
$1.0M
-56%
2023
$453K
-53%
2024
$213K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 32% of total spending.

90999Normal range

Unlisted dialysis procedure

$3.7M

36K claims · 31.5%

Your Cost: $102.65/claim|Median: $63.73
1.6× median
Q4081Top 25%

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

$2.9M

37K claims · 25.1%

Your Cost: $78.42/claim|Median: $4.98
15.7× median
J1270Top 25%

Injection, doxercalciferol, 1 mcg

$2.1M

23K claims · 17.8%

Your Cost: $88.17/claim|Median: $0.73
120.8× median
A4657Top 10%

Syringe with needle, each

$1.0M

5,460 claims · 8.7%

Your Cost: $183.97/claim|Median: $2.19
84.0× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$552K

6,485 claims · 4.8%

Your Cost: $85.18/claim|Median: $4.58
18.6× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$193K

1,919 claims · 1.7%

Your Cost: $100.54/claim|Median: $10.20
9.9× median
82728Top 10%

Ferritin

$190K

1,876 claims · 1.6%

Your Cost: $101.06/claim|Median: $6.00
16.8× median
83550Top 5%

$185K

1,882 claims · 1.6%

Your Cost: $98.53/claim|Median: $3.49
28.2× median
83540Top 5%

Iron blood level test

$185K

1,872 claims · 1.6%

Your Cost: $98.75/claim|Median: $2.93
33.7× median
85041Top 25%

$156K

1,552 claims · 1.3%

Your Cost: $100.68/claim|Median: $0.76
132.5× median
85048Top 25%

$153K

1,510 claims · 1.3%

Your Cost: $101.63/claim|Median: $0.81
125.5× median
85045Top 5%

$148K

1,470 claims · 1.3%

Your Cost: $100.61/claim|Median: $1.64
61.3× median
J0604Top 10%

$104K

382 claims · 0.9%

Your Cost: $271.63/claim|Median: $11.09
24.5× median
82108Top 25%

$49K

443 claims · 0.4%

Your Cost: $111.73/claim|Median: $2.12
52.7× median
J0887Top 25%

Injection, epoetin alfa, non-ESRD, 1000 units

$28K

177 claims · 0.2%

Your Cost: $155.72/claim|Median: $30.48
5.1× median
G0499Normal range

$20K

263 claims · 0.2%

Your Cost: $75.24/claim|Median: $2.76
27.3× median
J2405Top 1%

Injection, ondansetron HCl, per one milligram

$8K

37 claims · 0.1%

Your Cost: $215.95/claim|Median: $0.58
372.3× median
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