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Provider 1265892012

NPI: 1265892012Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.1M

$15,107,036

Total Claims

104K

Beneficiaries

96K

1.1 claims/patient

Avg Cost/Claim

$145

Monthly Spending Trend

Yearly Spending

2018
$3.3M
-67%
2019
$1.1M
-25%
2020
$823K
+93%
2021
$1.6M
+27%
2022
$2.0M
+42%
2023
$2.9M
+21%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0480 (Drug test, definitive, 1-7 drug classes)) accounts for 33% of total spending.

G0480Top 1%

Drug test, definitive, 1-7 drug classes

$5.0M

10K claims · 33.0%

Your Cost: $491.94/claim|Median: $37.56
13.1× median
82306Top 1%

Vitamin D, 25 hydroxy

$1.6M

4,478 claims · 10.5%

Your Cost: $355.33/claim|Median: $18.18
19.5× median
80307Top 1%

Drug test, presumptive, by chemistry analyzers

$1.5M

9,613 claims · 9.8%

Your Cost: $154.47/claim|Median: $35.43
4.4× median
36415Top 1%

Collection of venous blood by venipuncture

$1.1M

11K claims · 7.1%

Your Cost: $95.76/claim|Median: $1.57
61.0× median
80305Top 1%

$878K

9,242 claims · 5.8%

Your Cost: $95.00/claim|Median: $7.44
12.8× median
84443Top 1%

Thyroid stimulating hormone (TSH)

$833K

5,465 claims · 5.5%

Your Cost: $152.49/claim|Median: $9.87
15.5× median
83036Top 1%

Hemoglobin A1c (glycated hemoglobin)

$503K

6,218 claims · 3.3%

Your Cost: $80.85/claim|Median: $5.50
14.7× median
85025Top 1%

Complete blood count (CBC) with differential, automated

$471K

2,793 claims · 3.1%

Your Cost: $168.57/claim|Median: $4.71
35.8× median
G2023Top 1%

Specimen collection for COVID-19 testing

$324K

944 claims · 2.1%

Your Cost: $342.84/claim|Median: $17.15
20.0× median
81003Top 1%

Urinalysis, automated without microscopy

$322K

1,725 claims · 2.1%

Your Cost: $186.66/claim|Median: $1.48
126.1× median
87635Top 1%

COVID-19 SARS-CoV-2 amplified probe detection

$299K

589 claims · 2.0%

Your Cost: $508.33/claim|Median: $39.70
12.8× median
80074Top 1%

$281K

982 claims · 1.9%

Your Cost: $285.87/claim|Median: $27.54
10.4× median
80061Top 5%

Lipid panel

$251K

5,248 claims · 1.7%

Your Cost: $47.77/claim|Median: $8.41
5.7× median
86703Top 1%

$245K

963 claims · 1.6%

Your Cost: $254.29/claim|Median: $10.37
24.5× median
85027Top 5%

Complete blood count (CBC), automated

$228K

4,108 claims · 1.5%

Your Cost: $55.58/claim|Median: $3.72
14.9× median
0241UTop 1%

Proprietary lab analysis, genomic sequencing

$176K

273 claims · 1.2%

Your Cost: $643.86/claim|Median: $91.47
7.0× median
36416Top 1%

$166K

770 claims · 1.1%

Your Cost: $215.79/claim|Median: $1.31
164.7× median
84436Top 1%

Total thyroxine blood test

$128K

2,056 claims · 0.9%

Your Cost: $62.49/claim|Median: $4.77
13.1× median
80053Top 25%

Comprehensive metabolic panel

$120K

7,660 claims · 0.8%

Your Cost: $15.72/claim|Median: $7.24
2.2× median
99000Top 1%

$93K

608 claims · 0.6%

Your Cost: $153.71/claim|Median: $2.30
66.8× median
83735Top 5%

Magnesium blood level test

$74K

767 claims · 0.5%

Your Cost: $95.84/claim|Median: $2.77
34.6× median
82043Top 1%

Urine albumin, microalbumin, quantitative test

$56K

403 claims · 0.4%

Your Cost: $139.92/claim|Median: $4.02
34.8× median
82728Top 10%

Ferritin

$56K

2,224 claims · 0.4%

Your Cost: $25.01/claim|Median: $6.00
4.2× median
87651Top 1%

Streptococcus Group A detection, nucleic acid, amplified probe

$56K

232 claims · 0.4%

Your Cost: $239.25/claim|Median: $28.46
8.4× median
87491Top 1%

Chlamydia detection, nucleic acid, amplified probe

$53K

79 claims · 0.4%

Your Cost: $673.49/claim|Median: $24.95
27.0× median
82607Top 10%

Cyanocobalamin (vitamin B-12)

$49K

2,356 claims · 0.3%

Your Cost: $20.86/claim|Median: $8.72
2.4× median
82746Top 10%

$45K

2,325 claims · 0.3%

Your Cost: $19.57/claim|Median: $6.83
2.9× median
80048Top 1%

Basic metabolic panel

$44K

142 claims · 0.3%

Your Cost: $306.83/claim|Median: $5.78
53.1× median
87502Top 1%

Influenza virus detection, reverse transcription, amplified probe

$41K

60 claims · 0.3%

Your Cost: $678.92/claim|Median: $65.64
10.3× median
81025Top 1%

Urine pregnancy test

$40K

193 claims · 0.3%

Your Cost: $204.93/claim|Median: $4.81
42.6× median
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