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Provider 1316059165

NPI: 1316059165Share
Active Billing Period:2018-01→2024-06(75 months)

Total Paid

$10.6M

$10,557,858

Total Claims

62K

Beneficiaries

22K

2.8 claims/patient

Avg Cost/Claim

$170

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+73%
2019
$3.1M
+5%
2020
$3.3M
-71%
2021
$957K
+17%
2022
$1.1M
-74%
2023
$286K
-88%
2024
$33K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 32% of total spending.

90999Top 25%

Unlisted dialysis procedure

$3.3M

20K claims · 31.6%

Your Cost: $164.74/claim|Median: $63.73
2.6× median
A4657Top 10%

Syringe with needle, each

$1.1M

6,194 claims · 10.2%

Your Cost: $174.48/claim|Median: $2.19
79.7× median
84520Top 1%

$680K

3,815 claims · 6.4%

Your Cost: $178.37/claim|Median: $0.89
200.4× median
85018Top 1%

$641K

3,722 claims · 6.1%

Your Cost: $172.18/claim|Median: $1.71
100.7× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$592K

3,784 claims · 5.6%

Your Cost: $156.54/claim|Median: $4.58
34.2× median
J0604Top 10%

$491K

2,250 claims · 4.6%

Your Cost: $218.03/claim|Median: $11.09
19.7× median
J0887Top 10%

Injection, epoetin alfa, non-ESRD, 1000 units

$461K

2,247 claims · 4.4%

Your Cost: $205.14/claim|Median: $30.48
6.7× median
84100Top 5%

$457K

2,776 claims · 4.3%

Your Cost: $164.49/claim|Median: $1.34
122.8× median
82310Top 5%

$414K

2,573 claims · 3.9%

Your Cost: $161.05/claim|Median: $0.91
177.0× median
82040Top 5%

$316K

1,864 claims · 3.0%

Your Cost: $169.72/claim|Median: $0.92
184.5× median
82565Top 5%

Creatinine blood test

$311K

1,837 claims · 2.9%

Your Cost: $169.16/claim|Median: $1.94
87.2× median
83540Top 5%

Iron blood level test

$302K

1,817 claims · 2.9%

Your Cost: $166.28/claim|Median: $2.93
56.8× median
83550Top 5%

$242K

1,624 claims · 2.3%

Your Cost: $148.91/claim|Median: $3.49
42.7× median
80051Top 5%

Electrolyte panel blood test

$187K

1,333 claims · 1.8%

Your Cost: $140.39/claim|Median: $1.56
90.0× median
84155Top 5%

$172K

1,245 claims · 1.6%

Your Cost: $138.15/claim|Median: $0.60
230.2× median
85025Top 1%

Complete blood count (CBC) with differential, automated

$137K

874 claims · 1.3%

Your Cost: $156.57/claim|Median: $4.71
33.2× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$127K

717 claims · 1.2%

Your Cost: $177.03/claim|Median: $10.20
17.4× median
87340Top 1%

Hepatitis B surface antigen detection

$120K

606 claims · 1.1%

Your Cost: $197.57/claim|Median: $5.52
35.8× median
82728Top 1%

Ferritin

$115K

658 claims · 1.1%

Your Cost: $174.82/claim|Median: $6.00
29.1× median
83735Top 1%

Magnesium blood level test

$111K

613 claims · 1.0%

Your Cost: $180.62/claim|Median: $2.77
65.2× median
84132Top 1%

$107K

312 claims · 1.0%

Your Cost: $341.89/claim|Median: $1.09
313.7× median
86706Top 1%

$36K

172 claims · 0.3%

Your Cost: $209.30/claim|Median: $5.39
38.8× median
82374Top 1%

$33K

79 claims · 0.3%

Your Cost: $419.61/claim|Median: $0.58
723.5× median
85027Top 1%

Complete blood count (CBC), automated

$31K

350 claims · 0.3%

Your Cost: $89.61/claim|Median: $3.72
24.1× median
86704Top 1%

$23K

111 claims · 0.2%

Your Cost: $204.76/claim|Median: $7.48
27.4× median
G0008Top 1%

$13K

75 claims · 0.1%

Your Cost: $172.87/claim|Median: $2.54
68.1× median
86803Top 1%

Hepatitis C antibody

$7K

22 claims · 0.1%

Your Cost: $324.57/claim|Median: $10.17
31.9× median
90688Top 1%

$4K

14 claims · 0.0%

Your Cost: $317.13/claim|Median: $9.00
35.2× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$4K

16 claims · 0.0%

Your Cost: $267.46/claim|Median: $7.18
37.3× median
82746Top 5%

$3K

30 claims · 0.0%

Your Cost: $92.81/claim|Median: $6.83
13.6× median
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