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Provider 1265700264

NPI: 1265700264Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$7.6M

$7,582,660

Total Claims

260K

Beneficiaries

73K

3.6 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-27%
2019
$1.6M
-33%
2020
$1.1M
-19%
2021
$850K
+13%
2022
$964K
-35%
2023
$625K
-46%
2024
$336K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90935 (Hemodialysis, one evaluation)) accounts for 53% of total spending.

90935Top 10%

Hemodialysis, one evaluation

$4.0M

25K claims · 52.8%

Your Cost: $159.54/claim|Median: $23.72
6.7× median
90999Normal range

Unlisted dialysis procedure

$1.3M

30K claims · 16.9%

Your Cost: $43.06/claim|Median: $63.73
0.7× median
A4657Top 25%

Syringe with needle, each

$814K

48K claims · 10.7%

Your Cost: $16.80/claim|Median: $2.19
7.7× median
85018Top 5%

$197K

14K claims · 2.6%

Your Cost: $14.15/claim|Median: $1.71
8.3× median
J1270Top 25%

Injection, doxercalciferol, 1 mcg

$138K

13K claims · 1.8%

Your Cost: $10.28/claim|Median: $0.73
14.1× median
82310Top 25%

$126K

7,333 claims · 1.7%

Your Cost: $17.16/claim|Median: $0.91
18.9× median
84520Top 10%

$126K

7,342 claims · 1.7%

Your Cost: $17.13/claim|Median: $0.89
19.2× median
84100Top 10%

$120K

6,864 claims · 1.6%

Your Cost: $17.54/claim|Median: $1.34
13.1× median
80051Top 25%

Electrolyte panel blood test

$64K

4,185 claims · 0.8%

Your Cost: $15.37/claim|Median: $1.56
9.9× median
83550Top 25%

$64K

4,287 claims · 0.8%

Your Cost: $14.97/claim|Median: $3.49
4.3× median
83540Top 25%

Iron blood level test

$64K

4,297 claims · 0.8%

Your Cost: $14.94/claim|Median: $2.93
5.1× median
82565Top 10%

Creatinine blood test

$64K

4,303 claims · 0.8%

Your Cost: $14.91/claim|Median: $1.94
7.7× median
82040Top 25%

$64K

4,160 claims · 0.8%

Your Cost: $15.43/claim|Median: $0.92
16.8× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$63K

4,331 claims · 0.8%

Your Cost: $14.66/claim|Median: $10.20
1.4× median
84460Top 10%

$63K

3,754 claims · 0.8%

Your Cost: $16.84/claim|Median: $2.58
6.5× median
84155Top 25%

$63K

4,274 claims · 0.8%

Your Cost: $14.79/claim|Median: $0.60
24.7× median
G0306Top 25%

$61K

2,678 claims · 0.8%

Your Cost: $22.71/claim|Median: $1.77
12.8× median
87340Top 25%

Hepatitis B surface antigen detection

$58K

4,135 claims · 0.8%

Your Cost: $14.06/claim|Median: $5.52
2.5× median
82728Top 25%

Ferritin

$21K

1,502 claims · 0.3%

Your Cost: $14.13/claim|Median: $6.00
2.4× median
86706Top 10%

$21K

841 claims · 0.3%

Your Cost: $24.68/claim|Median: $5.39
4.6× median
83735Top 10%

Magnesium blood level test

$21K

1,321 claims · 0.3%

Your Cost: $15.59/claim|Median: $2.77
5.6× median
J1756Normal range

Injection, iron sucrose, 1 mg

$20K

9,645 claims · 0.3%

Your Cost: $2.09/claim|Median: $4.58
0.5× median
84075Top 25%

$20K

1,293 claims · 0.3%

Your Cost: $15.19/claim|Median: $0.72
21.1× median
J0887Normal range

Injection, epoetin alfa, non-ESRD, 1000 units

$14K

3,419 claims · 0.2%

Your Cost: $3.96/claim|Median: $30.48
0.1× median
82108Normal range

$11K

646 claims · 0.1%

Your Cost: $17.00/claim|Median: $2.12
8.0× median
86704Top 25%

$7K

549 claims · 0.1%

Your Cost: $12.34/claim|Median: $7.48
1.6× median
82746Top 10%

$7K

289 claims · 0.1%

Your Cost: $22.78/claim|Median: $6.83
3.3× median
84132Normal range

$7K

2,350 claims · 0.1%

Your Cost: $2.80/claim|Median: $1.09
2.6× median
86803Top 25%

Hepatitis C antibody

$3K

150 claims · 0.0%

Your Cost: $17.50/claim|Median: $10.17
1.7× median
0064ANormal range

$40

21 claims · 0.0%

Your Cost: $1.90/claim|Median: $34.17
0.1× median
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