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Provider 1366687055

NPI: 1366687055Share
Active Billing Period:2018-01→2024-11(78 months)

Total Paid

$12.6M

$12,613,005

Total Claims

72K

Beneficiaries

24K

3.0 claims/patient

Avg Cost/Claim

$176

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+70%
2019
$4.0M
-15%
2020
$3.4M
-66%
2021
$1.2M
+1%
2022
$1.2M
-60%
2023
$464K
-76%
2024
$112K

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 31% of total spending.

90999Top 25%

Unlisted dialysis procedure

$3.9M

24K claims · 31.2%

Your Cost: $161.60/claim|Median: $63.73
2.5× median
J1644Top 1%

$1.3M

4,746 claims · 10.0%

Your Cost: $267.00/claim|Median: $0.37
721.6× median
J1444Top 1%

$803K

4,791 claims · 6.4%

Your Cost: $167.62/claim|Median: $59.56
2.8× median
J0606Top 10%

$693K

2,160 claims · 5.5%

Your Cost: $320.66/claim|Median: $25.87
12.4× median
84520Top 1%

$545K

3,071 claims · 4.3%

Your Cost: $177.37/claim|Median: $0.89
199.3× median
84100Top 1%

$525K

2,850 claims · 4.2%

Your Cost: $184.32/claim|Median: $1.34
137.6× median
84132Top 1%

$501K

2,636 claims · 4.0%

Your Cost: $190.17/claim|Median: $1.09
174.5× median
82040Top 5%

$347K

1,982 claims · 2.8%

Your Cost: $175.23/claim|Median: $0.92
190.5× median
82310Top 5%

$329K

1,934 claims · 2.6%

Your Cost: $170.06/claim|Median: $0.91
186.9× median
82565Top 5%

Creatinine blood test

$269K

1,596 claims · 2.1%

Your Cost: $168.40/claim|Median: $1.94
86.8× median
J0604Top 25%

$263K

1,997 claims · 2.1%

Your Cost: $131.55/claim|Median: $11.09
11.9× median
84075Top 5%

$263K

1,602 claims · 2.1%

Your Cost: $163.96/claim|Median: $0.72
227.7× median
83540Top 5%

Iron blood level test

$263K

1,601 claims · 2.1%

Your Cost: $164.06/claim|Median: $2.93
56.0× median
84155Top 5%

$263K

1,602 claims · 2.1%

Your Cost: $163.96/claim|Median: $0.60
273.3× median
82374Top 5%

$263K

1,474 claims · 2.1%

Your Cost: $178.20/claim|Median: $0.58
307.2× median
84295Top 1%

Sodium blood level test

$263K

1,474 claims · 2.1%

Your Cost: $178.20/claim|Median: $0.88
202.5× median
A4657Top 10%

Syringe with needle, each

$259K

1,686 claims · 2.1%

Your Cost: $153.85/claim|Median: $2.19
70.3× median
84450Top 1%

$258K

1,577 claims · 2.0%

Your Cost: $163.55/claim|Median: $2.49
65.7× median
83550Top 1%

$256K

1,397 claims · 2.0%

Your Cost: $183.07/claim|Median: $3.49
52.5× median
84460Top 1%

$251K

1,375 claims · 2.0%

Your Cost: $182.54/claim|Median: $2.58
70.8× median
82947Top 1%

Blood glucose level test

$251K

1,377 claims · 2.0%

Your Cost: $182.28/claim|Median: $2.38
76.6× median
J0887Top 10%

Injection, epoetin alfa, non-ESRD, 1000 units

$213K

1,099 claims · 1.7%

Your Cost: $194.09/claim|Median: $30.48
6.4× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$122K

677 claims · 1.0%

Your Cost: $179.87/claim|Median: $10.20
17.6× median
82728Top 5%

Ferritin

$90K

619 claims · 0.7%

Your Cost: $146.19/claim|Median: $6.00
24.4× median
82306Top 1%

Vitamin D, 25 hydroxy

$38K

244 claims · 0.3%

Your Cost: $153.80/claim|Median: $18.18
8.5× median
86706Top 5%

$13K

123 claims · 0.1%

Your Cost: $104.03/claim|Median: $5.39
19.3× median
90756Top 1%

Influenza virus vaccine, quadrivalent

$11K

24 claims · 0.1%

Your Cost: $438.68/claim|Median: $14.34
30.6× median
G0008Top 1%

$9K

54 claims · 0.1%

Your Cost: $173.92/claim|Median: $2.54
68.5× median
86803Top 1%

Hepatitis C antibody

$9K

33 claims · 0.1%

Your Cost: $258.65/claim|Median: $10.17
25.4× median
84466Top 10%

Transferrin blood test

$7K

204 claims · 0.1%

Your Cost: $33.90/claim|Median: $4.53
7.5× median
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