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Provider 1265854855

NPI: 1265854855Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.5M

$14,463,988

Total Claims

559K

Beneficiaries

336K

1.7 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$659K
-12%
2019
$583K
+100%
2020
$1.2M
+44%
2021
$1.7M
+69%
2022
$2.8M
+97%
2023
$5.6M
-65%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 37% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$5.4M

99K claims · 37.1%

Your Cost: $54.21/claim|Median: $63.08
0.9× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$1.9M

20K claims · 13.3%

Your Cost: $96.73/claim|Median: $90.89
1.1× median
G2023Normal range

Specimen collection for COVID-19 testing

$951K

51K claims · 6.6%

Your Cost: $18.75/claim|Median: $17.15
1.1× median
G0482Normal range

Drug test, definitive, 15-21 drug classes

$948K

10K claims · 6.6%

Your Cost: $90.94/claim|Median: $75.26
1.2× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$813K

17K claims · 5.6%

Your Cost: $49.18/claim|Median: $26.72
1.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$659K

26K claims · 4.6%

Your Cost: $25.07/claim|Median: $35.43
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$362K

9,317 claims · 2.5%

Your Cost: $38.85/claim|Median: $39.70
1.0× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$340K

34K claims · 2.3%

Your Cost: $10.06/claim|Median: $15.76
0.6× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$246K

6,178 claims · 1.7%

Your Cost: $39.88/claim|Median: $64.72
0.6× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$166K

2,760 claims · 1.1%

Your Cost: $60.13/claim|Median: $100.62
0.6× median
87486Normal range

$155K

8,803 claims · 1.1%

Your Cost: $17.65/claim|Median: $19.16
0.9× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$122K

5,644 claims · 0.8%

Your Cost: $21.56/claim|Median: $65.64
0.3× median
87150Normal range

$113K

3,846 claims · 0.8%

Your Cost: $29.44/claim|Median: $25.98
1.1× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$106K

1,486 claims · 0.7%

Your Cost: $71.16/claim|Median: $169.17
0.4× median
87640Normal range

$87K

11K claims · 0.6%

Your Cost: $7.76/claim|Median: $8.39
0.9× median
87496Normal range

$82K

12K claims · 0.6%

Your Cost: $7.06/claim|Median: $10.20
0.7× median
87532Normal range

$78K

11K claims · 0.5%

Your Cost: $6.75/claim|Median: $6.82
1.0× median
87581Normal range

$75K

8,603 claims · 0.5%

Your Cost: $8.69/claim|Median: $17.13
0.5× median
87541Normal range

$74K

8,607 claims · 0.5%

Your Cost: $8.65/claim|Median: $7.29
1.2× median
87500Normal range

$68K

11K claims · 0.5%

Your Cost: $6.10/claim|Median: $8.53
0.7× median
87634Normal range

$62K

5,148 claims · 0.4%

Your Cost: $12.03/claim|Median: $48.78
0.2× median
87481Normal range

$61K

8,935 claims · 0.4%

Your Cost: $6.86/claim|Median: $22.38
0.3× median
87653Normal range

$55K

11K claims · 0.4%

Your Cost: $4.95/claim|Median: $19.33
0.3× median
87641Normal range

$54K

11K claims · 0.4%

Your Cost: $5.00/claim|Median: $12.38
0.4× median
83992Top 25%

$52K

3,631 claims · 0.4%

Your Cost: $14.24/claim|Median: $5.65
2.5× median
87498Normal range

$51K

5,891 claims · 0.3%

Your Cost: $8.58/claim|Median: $10.02
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$50K

10K claims · 0.3%

Your Cost: $5.02/claim|Median: $28.46
0.2× median
80349Top 25%

$49K

3,974 claims · 0.3%

Your Cost: $12.36/claim|Median: $5.96
2.1× median
80358Top 25%

$49K

3,970 claims · 0.3%

Your Cost: $12.37/claim|Median: $5.06
2.4× median
80354Top 25%

$49K

3,973 claims · 0.3%

Your Cost: $12.37/claim|Median: $5.61
2.2× median
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