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Provider 1417925025

NPI: 1417925025Share
Active Billing Period:2018-01→2023-02(58 months)
Billing appears to have stoppedLast active: 2023-02

Total Paid

$13.2M

$13,226,649

Total Claims

82K

Beneficiaries

11K

7.2 claims/patient

Avg Cost/Claim

$162

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-5%
2019
$3.8M
-5%
2020
$3.6M
-71%
2021
$1.0M
-46%
2022
$559K
-70%
2023
$170K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (Q4081 (Injection, epoetin alfa, 100 units (non-ESRD))) accounts for 33% of total spending.

Q4081Top 5%

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

$4.4M

27K claims · 33.3%

Your Cost: $161.59/claim|Median: $4.98
32.4× median
90999Top 25%

Unlisted dialysis procedure

$3.6M

23K claims · 27.3%

Your Cost: $156.76/claim|Median: $63.73
2.5× median
J1270Top 5%

Injection, doxercalciferol, 1 mcg

$2.6M

16K claims · 19.8%

Your Cost: $167.60/claim|Median: $0.73
229.6× median
A4657Top 5%

Syringe with needle, each

$736K

2,927 claims · 5.6%

Your Cost: $251.46/claim|Median: $2.19
114.8× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$511K

4,282 claims · 3.9%

Your Cost: $119.24/claim|Median: $4.58
26.0× median
85041Top 5%

$209K

1,355 claims · 1.6%

Your Cost: $154.09/claim|Median: $0.76
202.8× median
85048Top 5%

$208K

1,354 claims · 1.6%

Your Cost: $153.90/claim|Median: $0.81
190.0× median
83550Top 5%

$204K

1,345 claims · 1.5%

Your Cost: $151.80/claim|Median: $3.49
43.5× median
83540Top 5%

Iron blood level test

$204K

1,343 claims · 1.5%

Your Cost: $151.89/claim|Median: $2.93
51.8× median
82728Top 5%

Ferritin

$202K

1,356 claims · 1.5%

Your Cost: $148.69/claim|Median: $6.00
24.8× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$193K

1,106 claims · 1.5%

Your Cost: $174.77/claim|Median: $10.20
17.1× median
G0499Top 10%

$69K

394 claims · 0.5%

Your Cost: $174.13/claim|Median: $2.76
63.1× median
82746Top 1%

$15K

55 claims · 0.1%

Your Cost: $277.74/claim|Median: $6.83
40.7× median
82607Top 1%

Cyanocobalamin (vitamin B-12)

$15K

57 claims · 0.1%

Your Cost: $263.97/claim|Median: $8.72
30.3× median
G0008Top 1%

$14K

60 claims · 0.1%

Your Cost: $229.82/claim|Median: $2.54
90.5× median
90674Top 1%

$13K

57 claims · 0.1%

Your Cost: $231.62/claim|Median: $15.16
15.3× median
82947Top 5%

Blood glucose level test

$878

18 claims · 0.0%

Your Cost: $48.77/claim|Median: $2.38
20.5× median
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