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Provider 1457409674

NPI: 1457409674Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.0M

$13,967,548

Total Claims

452K

Beneficiaries

312K

1.5 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$2.1M
+16%
2019
$2.4M
-16%
2020
$2.0M
-10%
2021
$1.8M
-31%
2022
$1.3M
+44%
2023
$1.8M
+32%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 18% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$2.4M

93K claims · 17.5%

Your Cost: $26.32/claim|Median: $53.41
0.5× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$1.1M

50K claims · 7.6%

Your Cost: $21.30/claim|Median: $37.81
0.6× median
96367Normal range

$990K

26K claims · 7.1%

Your Cost: $37.80/claim|Median: $29.27
1.3× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$810K

26K claims · 5.8%

Your Cost: $31.42/claim|Median: $75.28
0.4× median
Q5101Normal range

$807K

6,897 claims · 5.8%

Your Cost: $117.08/claim|Median: $90.82
1.3× median
J9355Normal range

Injection, trastuzumab, ten milligrams

$781K

262 claims · 5.6%

Your Cost: $2,979.65/claim|Median: $1,942.13
1.5× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$701K

235 claims · 5.0%

Your Cost: $2,982.98/claim|Median: $5,391.55
0.6× median
J1100Top 5%

$503K

25K claims · 3.6%

Your Cost: $20.51/claim|Median: $0.52
39.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$461K

31K claims · 3.3%

Your Cost: $14.89/claim|Median: $9.56
1.6× median
99233Normal range

Subsequent hospital care, per day, high complexity

$444K

20K claims · 3.2%

Your Cost: $22.71/claim|Median: $35.30
0.6× median
J2469Normal range

Injection, palonosetron HCl, twenty-five micrograms

$426K

7,668 claims · 3.0%

Your Cost: $55.52/claim|Median: $25.23
2.2× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$406K

15K claims · 2.9%

Your Cost: $26.95/claim|Median: $54.77
0.5× median
J0897Normal range

Injection, denosumab, one milligram

$373K

770 claims · 2.7%

Your Cost: $484.49/claim|Median: $493.25
1.0× median
J9202Normal range

$353K

1,229 claims · 2.5%

Your Cost: $287.61/claim|Median: $483.75
0.6× median
J9306Normal range

Injection, pertuzumab, one milligram

$338K

120 claims · 2.4%

Your Cost: $2,816.59/claim|Median: $3,571.19
0.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$284K

6,146 claims · 2.0%

Your Cost: $46.23/claim|Median: $111.09
0.4× median
36415Top 5%

Collection of venous blood by venipuncture

$246K

11K claims · 1.8%

Your Cost: $21.46/claim|Median: $1.57
13.7× median
Q5114Normal range

$239K

147 claims · 1.7%

Your Cost: $1,622.84/claim|Median: $1,646.41
1.0× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$206K

7,095 claims · 1.5%

Your Cost: $29.07/claim|Median: $61.57
0.5× median
Q5117Normal range

$186K

133 claims · 1.3%

Your Cost: $1,401.74/claim|Median: $1,034.41
1.4× median
J1200Top 10%

$174K

22K claims · 1.2%

Your Cost: $7.98/claim|Median: $0.60
13.3× median
Q5129Normal range

$149K

166 claims · 1.1%

Your Cost: $900.58/claim|Median: $900.58
1.0× median
J1569Normal range

$128K

220 claims · 0.9%

Your Cost: $582.42/claim|Median: $1,387.65
0.4× median
96417Normal range

$123K

5,330 claims · 0.9%

Your Cost: $23.00/claim|Median: $37.60
0.6× median
J1453Top 25%

$121K

684 claims · 0.9%

Your Cost: $177.43/claim|Median: $65.90
2.7× median
J9171Normal range

$119K

1,066 claims · 0.9%

Your Cost: $111.89/claim|Median: $97.17
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$113K

2,840 claims · 0.8%

Your Cost: $39.92/claim|Median: $67.32
0.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$93K

15K claims · 0.7%

Your Cost: $6.25/claim|Median: $4.71
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$85K

5,923 claims · 0.6%

Your Cost: $14.36/claim|Median: $23.99
0.6× median
J7040Top 25%

Normal saline solution infusion, 500 cc

$84K

18K claims · 0.6%

Your Cost: $4.82/claim|Median: $1.11
4.3× median
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