Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1275771891

NPI: 1275771891Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$15.9M

$15,862,463

Total Claims

109K

Beneficiaries

16K

7.0 claims/patient

Avg Cost/Claim

$145

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+45%
2019
$4.1M
+24%
2020
$5.1M
-69%
2021
$1.6M
-1%
2022
$1.6M
-69%
2023
$478K
-44%
2024
$267K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 32% of total spending.

90999Top 25%

Unlisted dialysis procedure

$5.0M

34K claims · 31.7%

Your Cost: $146.18/claim|Median: $63.73
2.3× median
Q4081Top 5%

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

$4.8M

33K claims · 30.0%

Your Cost: $142.54/claim|Median: $4.98
28.6× median
J1270Top 5%

Injection, doxercalciferol, 1 mcg

$2.7M

19K claims · 16.7%

Your Cost: $139.33/claim|Median: $0.73
190.9× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$815K

6,031 claims · 5.1%

Your Cost: $135.08/claim|Median: $4.58
29.5× median
A4657Top 10%

Syringe with needle, each

$801K

4,531 claims · 5.1%

Your Cost: $176.80/claim|Median: $2.19
80.7× median
85041Top 5%

$286K

1,820 claims · 1.8%

Your Cost: $157.18/claim|Median: $0.76
206.8× median
85048Top 5%

$285K

1,808 claims · 1.8%

Your Cost: $157.85/claim|Median: $0.81
194.9× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$268K

1,611 claims · 1.7%

Your Cost: $166.10/claim|Median: $10.20
16.3× median
J0604Top 25%

$225K

1,421 claims · 1.4%

Your Cost: $158.13/claim|Median: $11.09
14.3× median
83540Top 5%

Iron blood level test

$213K

1,328 claims · 1.3%

Your Cost: $160.31/claim|Median: $2.93
54.7× median
83550Top 5%

$213K

1,259 claims · 1.3%

Your Cost: $168.89/claim|Median: $3.49
48.4× median
82728Top 5%

Ferritin

$205K

1,311 claims · 1.3%

Your Cost: $156.11/claim|Median: $6.00
26.0× median
J0887Top 25%

Injection, epoetin alfa, non-ESRD, 1000 units

$52K

572 claims · 0.3%

Your Cost: $91.13/claim|Median: $30.48
3.0× median
82108Top 10%

$20K

121 claims · 0.1%

Your Cost: $168.01/claim|Median: $2.12
79.2× median
G0499Top 25%

$18K

129 claims · 0.1%

Your Cost: $143.34/claim|Median: $2.76
51.9× median
G0008Top 5%

$8K

83 claims · 0.1%

Your Cost: $101.18/claim|Median: $2.54
39.8× median
90674Top 1%

$8K

38 claims · 0.1%

Your Cost: $209.00/claim|Median: $15.16
13.8× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$4K

25 claims · 0.0%

Your Cost: $144.36/claim|Median: $33.72
4.3× median
J2501Normal range

$0

98 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.13