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Provider 1295021095

NPI: 1295021095Share
Active Billing Period:2018-01→2023-04(64 months)
Billing appears to have stoppedLast active: 2023-04

Total Paid

$9.1M

$9,089,686

Total Claims

109K

Beneficiaries

14K

7.6 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+52%
2019
$2.5M
+40%
2020
$3.5M
-78%
2021
$783K
-24%
2022
$593K
-92%
2023
$50K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 35% of total spending.

90999Normal range

Unlisted dialysis procedure

$3.2M

32K claims · 35.3%

Your Cost: $99.99/claim|Median: $63.73
1.6× median
Q4081Top 25%

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

$2.0M

32K claims · 21.6%

Your Cost: $62.20/claim|Median: $4.98
12.5× median
J1270Top 25%

Injection, doxercalciferol, 1 mcg

$1.5M

19K claims · 16.4%

Your Cost: $78.05/claim|Median: $0.73
106.9× median
A4657Top 10%

Syringe with needle, each

$868K

5,371 claims · 9.6%

Your Cost: $161.63/claim|Median: $2.19
73.8× median
J1756Top 25%

Injection, iron sucrose, 1 mg

$518K

7,872 claims · 5.7%

Your Cost: $65.81/claim|Median: $4.58
14.4× median
85041Top 25%

$181K

2,327 claims · 2.0%

Your Cost: $77.72/claim|Median: $0.76
102.3× median
85048Top 25%

$178K

2,318 claims · 2.0%

Your Cost: $76.88/claim|Median: $0.81
94.9× median
83550Top 10%

$154K

1,873 claims · 1.7%

Your Cost: $82.23/claim|Median: $3.49
23.6× median
83540Top 10%

Iron blood level test

$154K

1,869 claims · 1.7%

Your Cost: $82.40/claim|Median: $2.93
28.1× median
82728Top 10%

Ferritin

$144K

1,742 claims · 1.6%

Your Cost: $82.90/claim|Median: $6.00
13.8× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$136K

1,444 claims · 1.5%

Your Cost: $94.09/claim|Median: $10.20
9.2× median
G0499Top 25%

$77K

860 claims · 0.8%

Your Cost: $88.97/claim|Median: $2.76
32.2× median
90674Top 1%

$7K

23 claims · 0.1%

Your Cost: $285.76/claim|Median: $15.16
18.8× median
82108Top 25%

$4K

67 claims · 0.0%

Your Cost: $64.31/claim|Median: $2.12
30.3× median
G0008Top 5%

$4K

42 claims · 0.0%

Your Cost: $95.39/claim|Median: $2.54
37.6× median
90747Top 25%

$1K

17 claims · 0.0%

Your Cost: $68.24/claim|Median: $36.38
1.9× median
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