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Provider 1396746673

NPI: 1396746673Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,556,648

Total Claims

1.2M

Beneficiaries

1.1M

1.1 claims/patient

Avg Cost/Claim

$9

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+36%
2019
$1.4M
+25%
2020
$1.7M
+13%
2021
$1.9M
-7%
2022
$1.8M
-15%
2023
$1.5M
-18%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 11% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$1.1M

21K claims · 10.5%

Your Cost: $52.62/claim|Median: $63.08
0.8× median
82306Normal range

Vitamin D, 25 hydroxy

$474K

23K claims · 4.5%

Your Cost: $20.46/claim|Median: $18.18
1.1× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$471K

5,991 claims · 4.5%

Your Cost: $78.68/claim|Median: $65.45
1.2× median
80053Normal range

Comprehensive metabolic panel

$409K

64K claims · 3.9%

Your Cost: $6.42/claim|Median: $7.24
0.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$397K

23K claims · 3.8%

Your Cost: $17.51/claim|Median: $24.95
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$392K

23K claims · 3.7%

Your Cost: $17.26/claim|Median: $23.39
0.7× median
84443Normal range

Thyroid stimulating hormone (TSH)

$290K

45K claims · 2.7%

Your Cost: $6.48/claim|Median: $9.87
0.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$284K

7,365 claims · 2.7%

Your Cost: $38.55/claim|Median: $35.80
1.1× median
87086Normal range

Urine culture, colony count, with identification

$250K

46K claims · 2.4%

Your Cost: $5.42/claim|Median: $5.31
1.0× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$239K

15K claims · 2.3%

Your Cost: $15.97/claim|Median: $15.76
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$228K

80K claims · 2.2%

Your Cost: $2.86/claim|Median: $4.71
0.6× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$199K

15K claims · 1.9%

Your Cost: $13.37/claim|Median: $18.03
0.7× median
80061Normal range

Lipid panel

$198K

39K claims · 1.9%

Your Cost: $5.15/claim|Median: $8.41
0.6× median
86003Normal range

Allergen specific IgE blood test, each allergen

$189K

5,278 claims · 1.8%

Your Cost: $35.83/claim|Median: $40.67
0.9× median
87660Normal range

$167K

16K claims · 1.6%

Your Cost: $10.50/claim|Median: $13.84
0.8× median
86780Normal range

$153K

17K claims · 1.4%

Your Cost: $9.19/claim|Median: $9.83
0.9× median
87480Normal range

$149K

14K claims · 1.4%

Your Cost: $10.93/claim|Median: $14.31
0.8× median
84439Normal range

Free thyroxine level blood test

$147K

25K claims · 1.4%

Your Cost: $5.89/claim|Median: $6.31
0.9× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$142K

23K claims · 1.3%

Your Cost: $6.20/claim|Median: $5.50
1.1× median
87510Normal range

$137K

13K claims · 1.3%

Your Cost: $10.87/claim|Median: $13.48
0.8× median
80050Normal range

General health panel

$134K

5,281 claims · 1.3%

Your Cost: $25.38/claim|Median: $25.59
1.0× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$126K

6,700 claims · 1.2%

Your Cost: $18.79/claim|Median: $28.46
0.7× median
87077Normal range

Bacterial culture, aerobic, additional methods required

$110K

16K claims · 1.0%

Your Cost: $6.89/claim|Median: $4.52
1.5× median
87070Normal range

Bacterial culture, any source except blood or urine

$104K

18K claims · 1.0%

Your Cost: $5.95/claim|Median: $5.89
1.0× median
88142Normal range

$103K

6,357 claims · 1.0%

Your Cost: $16.26/claim|Median: $14.75
1.1× median
80048Normal range

Basic metabolic panel

$100K

22K claims · 1.0%

Your Cost: $4.65/claim|Median: $5.78
0.8× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$100K

4,774 claims · 0.9%

Your Cost: $21.01/claim|Median: $25.57
0.8× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$99K

5,984 claims · 0.9%

Your Cost: $16.62/claim|Median: $37.56
0.4× median
82728Normal range

Ferritin

$97K

11K claims · 0.9%

Your Cost: $8.79/claim|Median: $6.00
1.5× median
87340Normal range

Hepatitis B surface antigen detection

$93K

12K claims · 0.9%

Your Cost: $7.57/claim|Median: $5.52
1.4× median
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