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FRESENIUS MEDICAL CARE BALBOA, LLC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment·SAN DIEGO, CA·NPI: 1376784389Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$20.2M

$20,216,998

Total Claims

524K

Beneficiaries

167K

3.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+62%
2019
$4.6M
-55%
2020
$2.1M
+26%
2021
$2.6M
+2%
2022
$2.7M
+1%
2023
$2.7M
-1%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 96% of total spending.

90999Top 25%

Unlisted dialysis procedure

$19.4M

114K claims · 95.8%

Your Cost: $170.52/claim|Median: $63.73
2.7× median
0250Normal range

$237K

39K claims · 1.2%

Your Cost: $6.03/claim|Median: $3.70
1.6× median
A4657Normal range

Syringe with needle, each

$197K

91K claims · 1.0%

Your Cost: $2.17/claim|Median: $2.19
1.0× median
90945Top 10%

$156K

961 claims · 0.8%

Your Cost: $161.81/claim|Median: $46.59
3.5× median
J0604Normal range

$39K

1,891 claims · 0.2%

Your Cost: $20.88/claim|Median: $11.09
1.9× median
J1756Normal range

Injection, iron sucrose, 1 mg

$35K

19K claims · 0.2%

Your Cost: $1.86/claim|Median: $4.58
0.4× median
J0887Normal range

Injection, epoetin alfa, non-ESRD, 1000 units

$31K

9,609 claims · 0.2%

Your Cost: $3.28/claim|Median: $30.48
0.1× median
85018Normal range

$19K

22K claims · 0.1%

Your Cost: $0.90/claim|Median: $1.71
0.5× median
80051Normal range

Electrolyte panel blood test

$17K

5,556 claims · 0.1%

Your Cost: $3.10/claim|Median: $1.56
2.0× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$14K

8,142 claims · 0.1%

Your Cost: $1.78/claim|Median: $10.20
0.2× median
82310Normal range

$13K

16K claims · 0.1%

Your Cost: $0.84/claim|Median: $0.91
0.9× median
J3490Normal range

Unclassified drugs

$9K

3,158 claims · 0.0%

Your Cost: $3.00/claim|Median: $5.70
0.5× median
80069Normal range

Renal function panel

$8K

1,501 claims · 0.0%

Your Cost: $5.46/claim|Median: $4.12
1.3× median
84100Normal range

$7K

14K claims · 0.0%

Your Cost: $0.51/claim|Median: $1.34
0.4× median
J0606Normal range

$7K

144 claims · 0.0%

Your Cost: $47.69/claim|Median: $25.87
1.8× median
84520Normal range

$6K

18K claims · 0.0%

Your Cost: $0.32/claim|Median: $0.89
0.4× median
82565Normal range

Creatinine blood test

$6K

8,341 claims · 0.0%

Your Cost: $0.66/claim|Median: $1.94
0.3× median
83540Normal range

Iron blood level test

$5K

10K claims · 0.0%

Your Cost: $0.52/claim|Median: $2.93
0.2× median
82728Normal range

Ferritin

$5K

4,755 claims · 0.0%

Your Cost: $0.97/claim|Median: $6.00
0.2× median
83550Normal range

$4K

9,251 claims · 0.0%

Your Cost: $0.47/claim|Median: $3.49
0.1× median
84132Normal range

$4K

8,629 claims · 0.0%

Your Cost: $0.44/claim|Median: $1.09
0.4× median
82040Normal range

$3K

8,566 claims · 0.0%

Your Cost: $0.39/claim|Median: $0.92
0.4× median
87340Normal range

Hepatitis B surface antigen detection

$3K

3,528 claims · 0.0%

Your Cost: $0.91/claim|Median: $5.52
0.2× median
85027Normal range

Complete blood count (CBC), automated

$3K

4,019 claims · 0.0%

Your Cost: $0.71/claim|Median: $3.72
0.2× median
J1644Normal range

$2K

54K claims · 0.0%

Your Cost: $0.04/claim|Median: $0.37
0.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$2K

4,090 claims · 0.0%

Your Cost: $0.40/claim|Median: $4.71
0.1× median
G0307Normal range

$1K

786 claims · 0.0%

Your Cost: $1.58/claim|Median: $1.40
1.1× median
J1270Normal range

Injection, doxercalciferol, 1 mcg

$1K

21K claims · 0.0%

Your Cost: $0.05/claim|Median: $0.73
0.1× median
82108Normal range

$1K

501 claims · 0.0%

Your Cost: $2.15/claim|Median: $2.12
1.0× median
84155Normal range

$1K

4,189 claims · 0.0%

Your Cost: $0.24/claim|Median: $0.60
0.4× median
84075Normal range

$809

2,277 claims · 0.0%

Your Cost: $0.36/claim|Median: $0.72
0.5× median
J1200Normal range

$805

1,783 claims · 0.0%

Your Cost: $0.45/claim|Median: $0.60
0.8× median
83735Normal range

Magnesium blood level test

$758

182 claims · 0.0%

Your Cost: $4.16/claim|Median: $2.77
1.5× median
A4913Normal range

$655

26 claims · 0.0%

Your Cost: $25.21/claim|Median: $13.39
1.9× median
84466Normal range

Transferrin blood test

$497

638 claims · 0.0%

Your Cost: $0.78/claim|Median: $4.53
0.2× median
85045Normal range

$491

271 claims · 0.0%

Your Cost: $1.81/claim|Median: $1.64
1.1× median
G0008Normal range

$408

504 claims · 0.0%

Your Cost: $0.81/claim|Median: $2.54
0.3× median
86706Normal range

$148

950 claims · 0.0%

Your Cost: $0.16/claim|Median: $5.39
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$135

148 claims · 0.0%

Your Cost: $0.91/claim|Median: $7.18
0.1× median
90662Normal range

$112

133 claims · 0.0%

Your Cost: $0.84/claim|Median: $6.55
0.1× median
90739Normal range

$108

56 claims · 0.0%

Your Cost: $1.93/claim|Median: $74.43
0.0× median
82746Normal range

$31

79 claims · 0.0%

Your Cost: $0.40/claim|Median: $6.83
0.1× median
G0010Normal range

$21

28 claims · 0.0%

Your Cost: $0.77/claim|Median: $6.83
0.1× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$18

44 claims · 0.0%

Your Cost: $0.40/claim|Median: $8.72
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$15

12 claims · 0.0%

Your Cost: $1.23/claim|Median: $33.85
0.0× median
90740Normal range

$13

12 claims · 0.0%

Your Cost: $1.08/claim|Median: $27.45
0.0× median
82570Normal range

$12

168 claims · 0.0%

Your Cost: $0.07/claim|Median: $3.18
0.0× median
90682Normal range

$11

70 claims · 0.0%

Your Cost: $0.16/claim|Median: $34.72
0.0× median
A6216Normal range

Gauze, non-impregnated, sterile

$10

3,569 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.91
0.0× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$9

433 claims · 0.0%

Your Cost: $0.02/claim|Median: $5.50
0.0× median

Other Top Providers in California

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Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

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