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Provider 1336251198

NPI: 1336251198Share
Active Billing Period:2018-012023-12(64 months)
Billing appears to have stoppedLast active: 2023-12

Total Paid

$17.5M

$17,487,677

Total Claims

83K

Beneficiaries

28K

3.0 claims/patient

Avg Cost/Claim

$210

Monthly Spending Trend

Yearly Spending

2018
$3.6M
+38%
2019
$5.0M
-4%
2020
$4.8M
-62%
2021
$1.8M
+12%
2022
$2.0M
-85%
2023
$295K

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 25% of total spending.

90999Top 10%

Unlisted dialysis procedure

$4.3M

20K claims · 24.8%

Your Cost: $220.55/claim|Median: $63.73
3.5× median
A4657Top 5%

Syringe with needle, each

$3.1M

14K claims · 17.8%

Your Cost: $224.27/claim|Median: $2.19
102.4× median
J1270Top 1%

Injection, doxercalciferol, 1 mcg

$1.8M

7,442 claims · 10.4%

Your Cost: $243.81/claim|Median: $0.73
334.0× median
85018Top 1%

$920K

4,852 claims · 5.3%

Your Cost: $189.68/claim|Median: $1.71
110.9× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$707K

3,439 claims · 4.0%

Your Cost: $205.68/claim|Median: $4.58
44.9× median
84520Top 1%

$689K

3,575 claims · 3.9%

Your Cost: $192.62/claim|Median: $0.89
216.4× median
82310Top 1%

$663K

3,378 claims · 3.8%

Your Cost: $196.35/claim|Median: $0.91
215.8× median
84100Top 1%

$634K

3,278 claims · 3.6%

Your Cost: $193.55/claim|Median: $1.34
144.4× median
J0887Top 10%

Injection, epoetin alfa, non-ESRD, 1000 units

$510K

2,240 claims · 2.9%

Your Cost: $227.71/claim|Median: $30.48
7.5× median
J0604Top 5%

$383K

1,283 claims · 2.2%

Your Cost: $298.77/claim|Median: $11.09
26.9× median
83540Top 1%

Iron blood level test

$355K

1,947 claims · 2.0%

Your Cost: $182.28/claim|Median: $2.93
62.2× median
85025Top 1%

Complete blood count (CBC) with differential, automated

$347K

1,911 claims · 2.0%

Your Cost: $181.74/claim|Median: $4.71
38.6× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$346K

1,921 claims · 2.0%

Your Cost: $179.99/claim|Median: $10.20
17.6× median
82565Top 1%

Creatinine blood test

$340K

1,803 claims · 1.9%

Your Cost: $188.69/claim|Median: $1.94
97.3× median
82040Top 5%

$340K

1,801 claims · 1.9%

Your Cost: $188.55/claim|Median: $0.92
204.9× median
84155Top 5%

$324K

1,879 claims · 1.9%

Your Cost: $172.22/claim|Median: $0.60
287.0× median
80051Top 5%

Electrolyte panel blood test

$301K

1,689 claims · 1.7%

Your Cost: $178.33/claim|Median: $1.56
114.3× median
82728Top 1%

Ferritin

$299K

1,626 claims · 1.7%

Your Cost: $183.80/claim|Median: $6.00
30.6× median
84466Top 1%

Transferrin blood test

$236K

1,023 claims · 1.3%

Your Cost: $230.21/claim|Median: $4.53
50.8× median
87340Top 1%

Hepatitis B surface antigen detection

$173K

935 claims · 1.0%

Your Cost: $185.38/claim|Median: $5.52
33.6× median
83735Top 1%

Magnesium blood level test

$129K

681 claims · 0.7%

Your Cost: $189.46/claim|Median: $2.77
68.4× median
86706Top 1%

$117K

550 claims · 0.7%

Your Cost: $213.42/claim|Median: $5.39
39.6× median
84075Top 5%

$102K

572 claims · 0.6%

Your Cost: $179.12/claim|Median: $0.72
248.8× median
86704Top 1%

$95K

434 claims · 0.5%

Your Cost: $218.39/claim|Median: $7.48
29.2× median
83550Top 5%

$90K

728 claims · 0.5%

Your Cost: $123.72/claim|Median: $3.49
35.4× median
82108Top 10%

$52K

304 claims · 0.3%

Your Cost: $171.20/claim|Median: $2.12
80.8× median
82746Top 1%

$23K

130 claims · 0.1%

Your Cost: $180.69/claim|Median: $6.83
26.5× median
G0008Top 1%

$16K

73 claims · 0.1%

Your Cost: $214.48/claim|Median: $2.54
84.4× median
84132Top 1%

$13K

43 claims · 0.1%

Your Cost: $311.87/claim|Median: $1.09
286.1× median
90688Top 1%

$10K

33 claims · 0.1%

Your Cost: $304.03/claim|Median: $9.00
33.8× median