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Provider 1417258245

NPI: 1417258245Share
Active Billing Period:2018-012022-01(47 months)
Billing appears to have stoppedLast active: 2022-01

Total Paid

$13.7M

$13,719,982

Total Claims

70K

Beneficiaries

9,485

7.4 claims/patient

Avg Cost/Claim

$195

Monthly Spending Trend

Yearly Spending

2018
$3.5M
+47%
2019
$5.1M
-9%
2020
$4.6M
-88%
2021
$541K
-97%
2022
$15K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (Q4081 (Injection, epoetin alfa, 100 units (non-ESRD))) accounts for 32% of total spending.

Q4081Top 5%

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

$4.4M

25K claims · 32.1%

Your Cost: $178.51/claim|Median: $4.98
35.8× median
90999Top 10%

Unlisted dialysis procedure

$3.6M

18K claims · 25.9%

Your Cost: $195.67/claim|Median: $63.73
3.1× median
J1270Top 5%

Injection, doxercalciferol, 1 mcg

$2.7M

14K claims · 19.7%

Your Cost: $195.96/claim|Median: $0.73
268.4× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$916K

4,557 claims · 6.7%

Your Cost: $200.96/claim|Median: $4.58
43.9× median
A4657Top 5%

Syringe with needle, each

$766K

3,221 claims · 5.6%

Your Cost: $237.91/claim|Median: $2.19
108.6× median
85048Top 1%

$241K

994 claims · 1.8%

Your Cost: $242.69/claim|Median: $0.81
299.6× median
85041Top 1%

$239K

992 claims · 1.7%

Your Cost: $240.95/claim|Median: $0.76
317.0× median
83970Top 1%

Parathormone (parathyroid hormone) blood test

$235K

1,038 claims · 1.7%

Your Cost: $226.49/claim|Median: $10.20
22.2× median
83540Top 1%

Iron blood level test

$197K

892 claims · 1.4%

Your Cost: $221.13/claim|Median: $2.93
75.5× median
83550Top 1%

$191K

860 claims · 1.4%

Your Cost: $222.17/claim|Median: $3.49
63.7× median
82728Top 1%

Ferritin

$105K

555 claims · 0.8%

Your Cost: $189.83/claim|Median: $6.00
31.6× median
G0499Top 5%

$54K

197 claims · 0.4%

Your Cost: $274.27/claim|Median: $2.76
99.4× median
85045Top 1%

$46K

219 claims · 0.3%

Your Cost: $207.80/claim|Median: $1.64
126.7× median
82306Top 1%

Vitamin D, 25 hydroxy

$17K

76 claims · 0.1%

Your Cost: $223.41/claim|Median: $18.18
12.3× median
82108Top 5%

$16K

67 claims · 0.1%

Your Cost: $234.04/claim|Median: $2.12
110.4× median
82652Top 1%

$15K

62 claims · 0.1%

Your Cost: $244.91/claim|Median: $18.13
13.5× median
82746Top 1%

$11K

29 claims · 0.1%

Your Cost: $390.14/claim|Median: $6.83
57.1× median
G0008Top 1%

$7K

20 claims · 0.0%

Your Cost: $329.24/claim|Median: $2.54
129.6× median