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Provider 1386615458

NPI: 1386615458Share
Active Billing Period:2018-012024-10(82 months)

Total Paid

$11.5M

$11,454,862

Total Claims

132K

Beneficiaries

33K

4.0 claims/patient

Avg Cost/Claim

$87

Monthly Spending Trend

Yearly Spending

2018
$890K
+45%
2019
$1.3M
+47%
2020
$1.9M
-10%
2021
$1.7M
-7%
2022
$1.6M
+1%
2023
$1.6M
+54%
2024
$2.5M

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 86% of total spending.

90999Top 25%

Unlisted dialysis procedure

$9.8M

81K claims · 85.9%

Your Cost: $121.21/claim|Median: $63.73
1.9× median
J0882Normal range

Injection, darbepoetin alfa, one microgram, ESRD use

$1.1M

11K claims · 9.4%

Your Cost: $94.02/claim|Median: $49.66
1.9× median
J0606Top 25%

$235K

1,528 claims · 2.0%

Your Cost: $153.59/claim|Median: $25.87
5.9× median
Q4081Top 25%

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

$152K

5,695 claims · 1.3%

Your Cost: $26.65/claim|Median: $4.98
5.4× median
J1756Top 25%

Injection, iron sucrose, 1 mg

$127K

4,751 claims · 1.1%

Your Cost: $26.82/claim|Median: $4.58
5.9× median
90747Top 25%

$6K

63 claims · 0.1%

Your Cost: $91.97/claim|Median: $36.38
2.5× median
90732Top 25%

Pneumococcal vaccine (PPSV23)

$3K

34 claims · 0.0%

Your Cost: $92.30/claim|Median: $36.96
2.5× median
90677Top 10%

$3K

19 claims · 0.0%

Your Cost: $150.71/claim|Median: $12.96
11.6× median
90688Top 25%

$3K

142 claims · 0.0%

Your Cost: $18.06/claim|Median: $9.00
2.0× median
90694Top 25%

$2K

80 claims · 0.0%

Your Cost: $27.68/claim|Median: $6.60
4.2× median
J1270Normal range

Injection, doxercalciferol, 1 mcg

$2K

328 claims · 0.0%

Your Cost: $4.62/claim|Median: $0.73
6.3× median
90756Top 5%

Influenza virus vaccine, quadrivalent

$1K

35 claims · 0.0%

Your Cost: $29.88/claim|Median: $14.34
2.1× median
90661Top 25%

$975

30 claims · 0.0%

Your Cost: $32.50/claim|Median: $14.37
2.3× median
90653Top 5%

$818

13 claims · 0.0%

Your Cost: $62.94/claim|Median: $6.85
9.2× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$647

418 claims · 0.0%

Your Cost: $1.55/claim|Median: $10.20
0.2× median
90658Top 5%

$358

15 claims · 0.0%

Your Cost: $23.84/claim|Median: $8.96
2.7× median
85025Normal range

Complete blood count (CBC) with differential, automated

$348

1,122 claims · 0.0%

Your Cost: $0.31/claim|Median: $4.71
0.1× median
84520Normal range

$333

2,830 claims · 0.0%

Your Cost: $0.12/claim|Median: $0.89
0.1× median
82040Normal range

$229

1,485 claims · 0.0%

Your Cost: $0.15/claim|Median: $0.92
0.2× median
84100Normal range

$217

1,465 claims · 0.0%

Your Cost: $0.15/claim|Median: $1.34
0.1× median
85045Normal range

$185

1,137 claims · 0.0%

Your Cost: $0.16/claim|Median: $1.64
0.1× median
80051Normal range

Electrolyte panel blood test

$167

325 claims · 0.0%

Your Cost: $0.51/claim|Median: $1.56
0.3× median
87340Normal range

Hepatitis B surface antigen detection

$134

175 claims · 0.0%

Your Cost: $0.77/claim|Median: $5.52
0.1× median
82728Normal range

Ferritin

$110

427 claims · 0.0%

Your Cost: $0.26/claim|Median: $6.00
0.0× median
84466Normal range

Transferrin blood test

$100

525 claims · 0.0%

Your Cost: $0.19/claim|Median: $4.53
0.0× median
82435Normal range

$75

805 claims · 0.0%

Your Cost: $0.09/claim|Median: $0.69
0.1× median
83540Normal range

Iron blood level test

$52

525 claims · 0.0%

Your Cost: $0.10/claim|Median: $2.93
0.0× median
82947Normal range

Blood glucose level test

$51

184 claims · 0.0%

Your Cost: $0.28/claim|Median: $2.38
0.1× median
84450Normal range

$19

1,016 claims · 0.0%

Your Cost: $0.02/claim|Median: $2.49
0.0× median
82565Normal range

Creatinine blood test

$18

1,312 claims · 0.0%

Your Cost: $0.01/claim|Median: $1.94
0.0× median