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Provider 1316915077

NPI: 1316915077Share
Active Billing Period:2018-01→2023-03(62 months)
Billing appears to have stoppedLast active: 2023-03

Total Paid

$14.3M

$14,348,087

Total Claims

96K

Beneficiaries

13K

7.6 claims/patient

Avg Cost/Claim

$149

Monthly Spending Trend

Yearly Spending

2018
$2.8M
+38%
2019
$3.8M
-20%
2020
$3.0M
-41%
2021
$1.8M
+47%
2022
$2.6M
-87%
2023
$341K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 33% of total spending.

90999Top 25%

Unlisted dialysis procedure

$4.7M

27K claims · 33.1%

Your Cost: $175.39/claim|Median: $63.73
2.8× median
Q4081Top 10%

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

$4.7M

33K claims · 32.5%

Your Cost: $139.88/claim|Median: $4.98
28.1× median
J1270Top 10%

Injection, doxercalciferol, 1 mcg

$2.3M

18K claims · 16.1%

Your Cost: $128.26/claim|Median: $0.73
175.7× median
A4657Top 10%

Syringe with needle, each

$635K

3,533 claims · 4.4%

Your Cost: $179.86/claim|Median: $2.19
82.1× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$572K

5,105 claims · 4.0%

Your Cost: $112.12/claim|Median: $4.58
24.5× median
85041Top 5%

$258K

1,592 claims · 1.8%

Your Cost: $162.11/claim|Median: $0.76
213.3× median
85048Top 5%

$249K

1,542 claims · 1.7%

Your Cost: $161.80/claim|Median: $0.81
199.7× median
82728Top 5%

Ferritin

$213K

1,318 claims · 1.5%

Your Cost: $161.85/claim|Median: $6.00
27.0× median
83540Top 5%

Iron blood level test

$210K

1,341 claims · 1.5%

Your Cost: $156.54/claim|Median: $2.93
53.4× median
83550Top 5%

$209K

1,338 claims · 1.5%

Your Cost: $155.88/claim|Median: $3.49
44.7× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$196K

1,200 claims · 1.4%

Your Cost: $163.74/claim|Median: $10.20
16.1× median
G0499Top 25%

$47K

423 claims · 0.3%

Your Cost: $112.17/claim|Median: $2.76
40.6× median
82108Top 5%

$17K

89 claims · 0.1%

Your Cost: $192.28/claim|Median: $2.12
90.7× median
90674Top 1%

$9K

28 claims · 0.1%

Your Cost: $320.84/claim|Median: $15.16
21.2× median
G0008Top 1%

$9K

39 claims · 0.1%

Your Cost: $228.41/claim|Median: $2.54
89.9× median
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