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Provider 1316241102

NPI: 1316241102Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.1M

$9,066,643

Total Claims

2.8M

Beneficiaries

1.7M

1.6 claims/patient

Avg Cost/Claim

$3

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+4%
2019
$1.0M
-13%
2020
$906K
+66%
2021
$1.5M
-15%
2022
$1.3M
+50%
2023
$1.9M
-26%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (88305 (Surgical pathology, gross and microscopic examination)) accounts for 12% of total spending.

88305Top 5%

Surgical pathology, gross and microscopic examination

$1.1M

9,275 claims · 12.4%

Your Cost: $121.25/claim|Median: $35.80
3.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$1.1M

16K claims · 11.8%

Your Cost: $68.15/claim|Median: $169.17
0.4× median
80053Normal range

Comprehensive metabolic panel

$533K

246K claims · 5.9%

Your Cost: $2.17/claim|Median: $7.24
0.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$270K

166K claims · 3.0%

Your Cost: $1.62/claim|Median: $4.71
0.3× median
82803Normal range

$238K

55K claims · 2.6%

Your Cost: $4.29/claim|Median: $8.90
0.5× median
88304Top 25%

$233K

8,952 claims · 2.6%

Your Cost: $26.02/claim|Median: $12.88
2.0× median
82330Normal range

$222K

53K claims · 2.5%

Your Cost: $4.23/claim|Median: $4.93
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$220K

32K claims · 2.4%

Your Cost: $6.89/claim|Median: $39.70
0.2× median
87497Normal range

$205K

20K claims · 2.3%

Your Cost: $10.14/claim|Median: $19.10
0.5× median
83735Normal range

Magnesium blood level test

$197K

128K claims · 2.2%

Your Cost: $1.54/claim|Median: $2.77
0.6× median
86945Normal range

$181K

20K claims · 2.0%

Your Cost: $9.20/claim|Median: $11.40
0.8× median
85027Normal range

Complete blood count (CBC), automated

$177K

131K claims · 2.0%

Your Cost: $1.35/claim|Median: $3.72
0.4× median
88261Normal range

$174K

983 claims · 1.9%

Your Cost: $177.27/claim|Median: $177.27
1.0× median
82306Normal range

Vitamin D, 25 hydroxy

$168K

32K claims · 1.9%

Your Cost: $5.31/claim|Median: $18.18
0.3× median
88230Top 25%

$164K

1,671 claims · 1.8%

Your Cost: $98.24/claim|Median: $59.82
1.6× median
87799Normal range

$163K

16K claims · 1.8%

Your Cost: $9.95/claim|Median: $21.87
0.5× median
88307Top 25%

Surgical pathology, gross and microscopic, complex

$162K

1,701 claims · 1.8%

Your Cost: $95.09/claim|Median: $59.38
1.6× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$135K

20K claims · 1.5%

Your Cost: $6.63/claim|Median: $26.72
0.2× median
84100Normal range

$119K

115K claims · 1.3%

Your Cost: $1.03/claim|Median: $1.34
0.8× median
83615Normal range

$114K

66K claims · 1.3%

Your Cost: $1.74/claim|Median: $2.75
0.6× median
80048Normal range

Basic metabolic panel

$111K

66K claims · 1.2%

Your Cost: $1.69/claim|Median: $5.78
0.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$100K

33K claims · 1.1%

Your Cost: $3.09/claim|Median: $9.87
0.3× median
80197Normal range

$97K

30K claims · 1.1%

Your Cost: $3.23/claim|Median: $6.57
0.5× median
83880Normal range

$91K

13K claims · 1.0%

Your Cost: $7.24/claim|Median: $11.81
0.6× median
88189Top 25%

$84K

1,207 claims · 0.9%

Your Cost: $69.38/claim|Median: $45.87
1.5× median
85097Top 25%

$83K

2,002 claims · 0.9%

Your Cost: $41.67/claim|Median: $30.47
1.4× median
86140Normal range

$82K

83K claims · 0.9%

Your Cost: $0.99/claim|Median: $3.02
0.3× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$72K

42K claims · 0.8%

Your Cost: $1.74/claim|Median: $5.50
0.3× median
85007Normal range

$71K

89K claims · 0.8%

Your Cost: $0.80/claim|Median: $1.77
0.4× median
87040Normal range

$64K

25K claims · 0.7%

Your Cost: $2.53/claim|Median: $5.54
0.5× median