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Provider 1326124819

NPI: 1326124819Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,306,585

Total Claims

128K

Beneficiaries

101K

1.3 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+26%
2019
$1.7M
-14%
2020
$1.5M
+25%
2021
$1.8M
+6%
2022
$1.9M
-27%
2023
$1.4M
-50%
2024
$696K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J1439) accounts for 24% of total spending.

J1439Top 10%

$2.5M

2,989 claims · 23.8%

Your Cost: $820.94/claim|Median: $477.34
1.7× median
J0881Top 5%

Injection, darbepoetin alfa, one microgram, non-ESRD

$1.4M

2,143 claims · 13.8%

Your Cost: $664.65/claim|Median: $109.46
6.1× median
J0897Top 10%

Injection, denosumab, one milligram

$1.3M

802 claims · 12.9%

Your Cost: $1,655.88/claim|Median: $493.25
3.4× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$1.0M

24K claims · 10.0%

Your Cost: $43.06/claim|Median: $53.41
0.8× median
J2505Top 25%

$788K

186 claims · 7.7%

Your Cost: $4,239.23/claim|Median: $1,842.27
2.3× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$502K

7,639 claims · 4.9%

Your Cost: $65.75/claim|Median: $75.28
0.9× median
J9355Top 25%

Injection, trastuzumab, ten milligrams

$458K

115 claims · 4.4%

Your Cost: $3,978.76/claim|Median: $1,942.13
2.0× median
Q5108Top 5%

$265K

82 claims · 2.6%

Your Cost: $3,231.51/claim|Median: $1,251.70
2.6× median
Q5118Normal range

$245K

178 claims · 2.4%

Your Cost: $1,376.49/claim|Median: $722.03
1.9× median
J1453Top 25%

$237K

1,357 claims · 2.3%

Your Cost: $174.49/claim|Median: $65.90
2.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$185K

39K claims · 1.8%

Your Cost: $4.73/claim|Median: $4.71
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$168K

9,402 claims · 1.6%

Your Cost: $17.85/claim|Median: $9.56
1.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$156K

4,613 claims · 1.5%

Your Cost: $33.90/claim|Median: $35.30
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$155K

1,876 claims · 1.5%

Your Cost: $82.86/claim|Median: $111.09
0.7× median
J9271Top 25%

Injection, pembrolizumab, 1 mg

$135K

14 claims · 1.3%

Your Cost: $9,674.05/claim|Median: $5,391.55
1.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$133K

2,875 claims · 1.3%

Your Cost: $46.33/claim|Median: $21.76
2.1× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$125K

3,393 claims · 1.2%

Your Cost: $36.92/claim|Median: $14.92
2.5× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$100K

3,108 claims · 1.0%

Your Cost: $32.15/claim|Median: $37.81
0.9× median
96417Normal range

$84K

2,026 claims · 0.8%

Your Cost: $41.35/claim|Median: $37.60
1.1× median
96367Normal range

$64K

1,835 claims · 0.6%

Your Cost: $34.91/claim|Median: $29.27
1.2× median
96415Normal range

Chemotherapy infusion, each additional hour

$59K

1,778 claims · 0.6%

Your Cost: $33.27/claim|Median: $43.68
0.8× median
J1626Top 25%

$48K

3,295 claims · 0.5%

Your Cost: $14.60/claim|Median: $2.63
5.6× median
99245Normal range

Office consultation, high complexity

$33K

326 claims · 0.3%

Your Cost: $101.44/claim|Median: $143.30
0.7× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$23K

364 claims · 0.2%

Your Cost: $61.98/claim|Median: $54.77
1.1× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$22K

404 claims · 0.2%

Your Cost: $53.76/claim|Median: $57.85
0.9× median
J9171Top 10%

$18K

17 claims · 0.2%

Your Cost: $1,036.30/claim|Median: $97.17
10.7× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$14K

217 claims · 0.1%

Your Cost: $63.31/claim|Median: $84.03
0.8× median
96402Normal range

$12K

1,067 claims · 0.1%

Your Cost: $10.90/claim|Median: $20.95
0.5× median
36415Normal range

Collection of venous blood by venipuncture

$10K

8,992 claims · 0.1%

Your Cost: $1.09/claim|Median: $1.57
0.7× median
J3420Top 10%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$10K

3,145 claims · 0.1%

Your Cost: $3.08/claim|Median: $1.04
3.0× median
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