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Provider 1316311863

NPI: 1316311863Share
Active Billing Period:2019-09→2023-01(18 months)
Billing appears to have stoppedLast active: 2023-01

Total Paid

$10.8M

$10,772,051

Total Claims

22K

Beneficiaries

20K

1.1 claims/patient

Avg Cost/Claim

$483

Monthly Spending Trend

Yearly Spending

2019
$6.5M
-36%
2020
$4.2M
-99%
2022
$58K
-74%
2023
$15K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (81406) accounts for 27% of total spending.

81406Top 5%

$2.9M

2,971 claims · 26.5%

Your Cost: $961.14/claim|Median: $50.07
19.2× median
81407Top 5%

$1.9M

2,399 claims · 17.5%

Your Cost: $784.82/claim|Median: $98.12
8.0× median
81443Top 5%

$1.8M

908 claims · 17.0%

Your Cost: $2,017.40/claim|Median: $309.20
6.5× median
81432Top 1%

$1.8M

2,675 claims · 16.7%

Your Cost: $673.13/claim|Median: $144.71
4.7× median
81203Top 1%

$598K

2,586 claims · 5.6%

Your Cost: $231.44/claim|Median: $18.36
12.6× median
81408Top 25%

Molecular pathology procedure, level nine

$416K

340 claims · 3.9%

Your Cost: $1,223.53/claim|Median: $158.72
7.7× median
81162Top 25%

$416K

295 claims · 3.9%

Your Cost: $1,409.82/claim|Median: $484.02
2.9× median
81319Top 1%

$382K

2,618 claims · 3.5%

Your Cost: $146.04/claim|Median: $29.45
5.0× median
81317Normal range

$146K

573 claims · 1.4%

Your Cost: $255.02/claim|Median: $103.43
2.5× median
81435Top 25%

$133K

294 claims · 1.2%

Your Cost: $453.42/claim|Median: $174.48
2.6× median
81404Top 25%

$98K

714 claims · 0.9%

Your Cost: $137.65/claim|Median: $48.77
2.8× median
81405Top 25%

$65K

302 claims · 0.6%

Your Cost: $215.54/claim|Median: $55.02
3.9× median
U0004Normal range

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

$45K

723 claims · 0.4%

Your Cost: $62.61/claim|Median: $60.05
1.0× median
81403Normal range

$36K

713 claims · 0.3%

Your Cost: $50.08/claim|Median: $42.54
1.2× median
81439Top 1%

$13K

23 claims · 0.1%

Your Cost: $584.90/claim|Median: $136.62
4.3× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$13K

414 claims · 0.1%

Your Cost: $30.88/claim|Median: $30.53
1.0× median
G2023Normal range

Specimen collection for COVID-19 testing

$12K

727 claims · 0.1%

Your Cost: $16.69/claim|Median: $17.15
1.0× median
81238Top 1%

$12K

22 claims · 0.1%

Your Cost: $545.45/claim|Median: $40.02
13.6× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$6K

410 claims · 0.1%

Your Cost: $15.59/claim|Median: $15.76
1.0× median
81286Top 1%

$5K

22 claims · 0.0%

Your Cost: $209.45/claim|Median: $31.04
6.7× median
81184Top 1%

$2K

22 claims · 0.0%

Your Cost: $100.64/claim|Median: $93.24
1.1× median
81201Normal range

$780

282 claims · 0.0%

Your Cost: $2.77/claim|Median: $132.35
0.0× median
81479Normal range

Unlisted molecular pathology procedure

$447

2,136 claims · 0.0%

Your Cost: $0.21/claim|Median: $38.66
0.0× median
81292Normal range

$0

125 claims · 0.0%

Your Cost: $0.00/claim|Median: $142.06
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