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Provider 1265789416

NPI: 1265789416Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.9M

$7,853,477

Total Claims

120K

Beneficiaries

96K

1.3 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$66K
-56%
2019
$29K
-41%
2020
$17K
+217%
2021
$54K
+3974%
2022
$2.2M
+100%
2023
$4.4M
-75%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0482 (Drug test, definitive, 15-21 drug classes)) accounts for 44% of total spending.

G0482Normal range

Drug test, definitive, 15-21 drug classes

$3.5M

30K claims · 44.2%

Your Cost: $115.56/claim|Median: $75.26
1.5× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$1.8M

20K claims · 22.4%

Your Cost: $88.33/claim|Median: $64.72
1.4× median
G0483Top 25%

Drug test, definitive, 22+ drug classes

$1.5M

9,427 claims · 18.5%

Your Cost: $154.48/claim|Median: $90.89
1.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$707K

28K claims · 9.0%

Your Cost: $25.52/claim|Median: $35.43
0.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$278K

4,060 claims · 3.5%

Your Cost: $68.44/claim|Median: $63.08
1.1× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$51K

1,263 claims · 0.6%

Your Cost: $40.06/claim|Median: $37.56
1.1× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$25K

1,679 claims · 0.3%

Your Cost: $15.17/claim|Median: $15.76
1.0× median
80050Normal range

General health panel

$15K

764 claims · 0.2%

Your Cost: $19.82/claim|Median: $25.59
0.8× median
82306Normal range

Vitamin D, 25 hydroxy

$8K

1,074 claims · 0.1%

Your Cost: $7.46/claim|Median: $18.18
0.4× median
84403Top 25%

Testosterone, total blood test

$6K

216 claims · 0.1%

Your Cost: $25.61/claim|Median: $17.03
1.5× median
84402Top 25%

$5K

215 claims · 0.1%

Your Cost: $25.27/claim|Median: $17.08
1.5× median
82627Top 25%

$5K

207 claims · 0.1%

Your Cost: $22.58/claim|Median: $15.81
1.4× median
84270Top 10%

$5K

214 claims · 0.1%

Your Cost: $21.55/claim|Median: $13.06
1.7× median
84481Normal range

$4K

723 claims · 0.1%

Your Cost: $5.73/claim|Median: $9.37
0.6× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$4K

1,025 claims · 0.1%

Your Cost: $3.92/claim|Median: $8.72
0.4× median
83002Top 25%

$4K

207 claims · 0.0%

Your Cost: $18.89/claim|Median: $12.75
1.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$4K

684 claims · 0.0%

Your Cost: $5.66/claim|Median: $9.87
0.6× median
80061Normal range

Lipid panel

$4K

1,022 claims · 0.0%

Your Cost: $3.64/claim|Median: $8.41
0.4× median
82533Top 25%

$3K

234 claims · 0.0%

Your Cost: $14.88/claim|Median: $10.19
1.5× median
82746Normal range

$3K

855 claims · 0.0%

Your Cost: $3.90/claim|Median: $6.83
0.6× median
82728Normal range

Ferritin

$3K

855 claims · 0.0%

Your Cost: $3.62/claim|Median: $6.00
0.6× median
86141Normal range

C-reactive protein, high sensitivity blood test

$3K

641 claims · 0.0%

Your Cost: $4.50/claim|Median: $6.50
0.7× median
80053Normal range

Comprehensive metabolic panel

$3K

921 claims · 0.0%

Your Cost: $3.06/claim|Median: $7.24
0.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$3K

1,127 claims · 0.0%

Your Cost: $2.50/claim|Median: $5.50
0.5× median
84153Normal range

Prostate specific antigen (PSA) blood test

$3K

231 claims · 0.0%

Your Cost: $11.06/claim|Median: $12.67
0.9× median
83525Top 25%

$2K

207 claims · 0.0%

Your Cost: $11.66/claim|Median: $8.83
1.3× median
84439Normal range

Free thyroxine level blood test

$2K

954 claims · 0.0%

Your Cost: $2.36/claim|Median: $6.31
0.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$2K

726 claims · 0.0%

Your Cost: $2.79/claim|Median: $4.71
0.6× median
G2023Normal range

Specimen collection for COVID-19 testing

$2K

107 claims · 0.0%

Your Cost: $18.91/claim|Median: $17.15
1.1× median
83735Normal range

Magnesium blood level test

$2K

1,027 claims · 0.0%

Your Cost: $1.77/claim|Median: $2.77
0.6× median
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