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Provider 1285029264

NPI: 1285029264Share
Active Billing Period:2018-01→2023-03(62 months)
Billing appears to have stoppedLast active: 2023-03

Total Paid

$10.3M

$10,251,241

Total Claims

70K

Beneficiaries

27K

2.6 claims/patient

Avg Cost/Claim

$146

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+45%
2019
$2.9M
-12%
2020
$2.6M
-66%
2021
$875K
+69%
2022
$1.5M
-72%
2023
$421K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 32% of total spending.

90999Top 25%

Unlisted dialysis procedure

$3.2M

21K claims · 31.6%

Your Cost: $153.47/claim|Median: $63.73
2.4× median
A4657Top 10%

Syringe with needle, each

$1.1M

6,287 claims · 11.1%

Your Cost: $180.31/claim|Median: $2.19
82.3× median
85018Top 1%

$740K

5,476 claims · 7.2%

Your Cost: $135.13/claim|Median: $1.71
79.0× median
84520Top 5%

$600K

4,286 claims · 5.9%

Your Cost: $140.07/claim|Median: $0.89
157.4× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$530K

3,781 claims · 5.2%

Your Cost: $140.28/claim|Median: $4.58
30.6× median
84100Top 5%

$506K

3,671 claims · 4.9%

Your Cost: $137.89/claim|Median: $1.34
102.9× median
82310Top 5%

$498K

3,528 claims · 4.9%

Your Cost: $141.13/claim|Median: $0.91
155.1× median
J0887Top 25%

Injection, epoetin alfa, non-ESRD, 1000 units

$446K

2,565 claims · 4.4%

Your Cost: $173.97/claim|Median: $30.48
5.7× median
84132Top 5%

$293K

2,341 claims · 2.9%

Your Cost: $125.06/claim|Median: $1.09
114.7× median
82040Top 5%

$291K

2,148 claims · 2.8%

Your Cost: $135.58/claim|Median: $0.92
147.4× median
82374Top 5%

$282K

2,112 claims · 2.8%

Your Cost: $133.59/claim|Median: $0.58
230.3× median
83540Top 5%

Iron blood level test

$282K

2,140 claims · 2.7%

Your Cost: $131.73/claim|Median: $2.93
45.0× median
85027Top 1%

Complete blood count (CBC), automated

$278K

2,054 claims · 2.7%

Your Cost: $135.56/claim|Median: $3.72
36.4× median
82565Top 5%

Creatinine blood test

$274K

2,142 claims · 2.7%

Your Cost: $128.01/claim|Median: $1.94
66.0× median
83550Top 5%

$261K

2,077 claims · 2.5%

Your Cost: $125.47/claim|Median: $3.49
36.0× median
87340Top 5%

Hepatitis B surface antigen detection

$144K

976 claims · 1.4%

Your Cost: $147.32/claim|Median: $5.52
26.7× median
86706Top 5%

$120K

852 claims · 1.2%

Your Cost: $140.58/claim|Median: $5.39
26.1× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$117K

903 claims · 1.1%

Your Cost: $129.43/claim|Median: $10.20
12.7× median
82728Top 5%

Ferritin

$92K

707 claims · 0.9%

Your Cost: $130.01/claim|Median: $6.00
21.7× median
83735Top 1%

Magnesium blood level test

$89K

673 claims · 0.9%

Your Cost: $131.99/claim|Median: $2.77
47.7× median
G0008Top 5%

$17K

123 claims · 0.2%

Your Cost: $139.36/claim|Median: $2.54
54.9× median
90688Top 1%

$10K

33 claims · 0.1%

Your Cost: $300.26/claim|Median: $9.00
33.4× median
86803Top 1%

Hepatitis C antibody

$6K

26 claims · 0.1%

Your Cost: $244.77/claim|Median: $10.17
24.1× median
84075Top 10%

$4K

55 claims · 0.0%

Your Cost: $72.72/claim|Median: $0.72
101.0× median
J1644Normal range

$0

79 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.37
0064ANormal range

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.17
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