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Provider 1285805119

NPI: 1285805119Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.8M

$11,762,066

Total Claims

624K

Beneficiaries

600K

1.0 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+39%
2019
$1.4M
+31%
2020
$1.8M
+49%
2021
$2.7M
-19%
2022
$2.2M
-20%
2023
$1.8M
-58%
2024
$744K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0004 (COVID-19 test, nucleic acid detection, CDC lab only)) accounts for 18% of total spending.

U0004Top 25%

COVID-19 test, nucleic acid detection, CDC lab only

$2.2M

26K claims · 18.4%

Your Cost: $81.82/claim|Median: $60.05
1.4× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$826K

20K claims · 7.0%

Your Cost: $41.01/claim|Median: $24.95
1.6× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$820K

20K claims · 7.0%

Your Cost: $40.80/claim|Median: $23.39
1.7× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$813K

7,279 claims · 6.9%

Your Cost: $111.69/claim|Median: $37.56
3.0× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$617K

9,945 claims · 5.2%

Your Cost: $62.07/claim|Median: $35.43
1.8× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$430K

27K claims · 3.7%

Your Cost: $15.85/claim|Median: $9.87
1.6× median
80061Top 25%

Lipid panel

$305K

22K claims · 2.6%

Your Cost: $13.65/claim|Median: $8.41
1.6× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$287K

12K claims · 2.4%

Your Cost: $24.13/claim|Median: $18.03
1.3× median
88305Normal range

Surgical pathology, gross and microscopic examination

$274K

5,226 claims · 2.3%

Your Cost: $52.41/claim|Median: $35.80
1.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$267K

33K claims · 2.3%

Your Cost: $7.99/claim|Median: $5.50
1.5× median
80050Normal range

General health panel

$246K

7,073 claims · 2.1%

Your Cost: $34.82/claim|Median: $25.59
1.4× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$245K

32K claims · 2.1%

Your Cost: $7.70/claim|Median: $4.71
1.6× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$215K

5,972 claims · 1.8%

Your Cost: $35.95/claim|Median: $25.57
1.4× median
80053Normal range

Comprehensive metabolic panel

$215K

21K claims · 1.8%

Your Cost: $10.11/claim|Median: $7.24
1.4× median
82728Top 25%

Ferritin

$207K

15K claims · 1.8%

Your Cost: $13.62/claim|Median: $6.00
2.3× median
87086Top 25%

Urine culture, colony count, with identification

$181K

23K claims · 1.5%

Your Cost: $8.05/claim|Median: $5.31
1.5× median
86003Top 25%

Allergen specific IgE blood test, each allergen

$157K

1,563 claims · 1.3%

Your Cost: $100.61/claim|Median: $40.67
2.5× median
82607Top 25%

Cyanocobalamin (vitamin B-12)

$147K

9,810 claims · 1.3%

Your Cost: $14.99/claim|Median: $8.72
1.7× median
88142Top 25%

$139K

5,730 claims · 1.2%

Your Cost: $24.29/claim|Median: $14.75
1.6× median
86803Normal range

Hepatitis C antibody

$127K

9,017 claims · 1.1%

Your Cost: $14.13/claim|Median: $10.17
1.4× median
84403Top 25%

Testosterone, total blood test

$124K

4,866 claims · 1.1%

Your Cost: $25.43/claim|Median: $17.03
1.5× median
80081Top 25%

$117K

1,491 claims · 1.0%

Your Cost: $78.59/claim|Median: $59.44
1.3× median
82274Top 10%

$112K

6,697 claims · 1.0%

Your Cost: $16.78/claim|Median: $12.83
1.3× median
86480Top 25%

Tuberculosis test, cell-mediated immunity

$108K

1,775 claims · 0.9%

Your Cost: $61.02/claim|Median: $38.35
1.6× median
83550Top 25%

$108K

12K claims · 0.9%

Your Cost: $8.72/claim|Median: $3.49
2.5× median
87077Top 25%

Bacterial culture, aerobic, additional methods required

$98K

11K claims · 0.8%

Your Cost: $8.76/claim|Median: $4.52
1.9× median
80048Normal range

Basic metabolic panel

$93K

11K claims · 0.8%

Your Cost: $8.22/claim|Median: $5.78
1.4× median
82565Top 25%

Creatinine blood test

$88K

17K claims · 0.7%

Your Cost: $5.24/claim|Median: $1.94
2.7× median
83540Top 25%

Iron blood level test

$80K

12K claims · 0.7%

Your Cost: $6.45/claim|Median: $2.93
2.2× median
82306Normal range

Vitamin D, 25 hydroxy

$78K

13K claims · 0.7%

Your Cost: $6.16/claim|Median: $18.18
0.3× median
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