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Provider 1457872632

NPI: 1457872632Share
Active Billing Period:2018-122024-12(73 months)

Total Paid

$14.3M

$14,301,916

Total Claims

81K

Beneficiaries

23K

3.5 claims/patient

Avg Cost/Claim

$176

Monthly Spending Trend

Yearly Spending

2018
$6K
+9703%
2019
$547K
+182%
2020
$1.5M
+63%
2021
$2.5M
+62%
2022
$4.1M
-18%
2023
$3.3M
-31%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (S9500) accounts for 24% of total spending.

S9500Top 25%

$3.4M

12K claims · 23.8%

Your Cost: $278.51/claim|Median: $144.40
1.9× median
S9502Top 25%

$2.1M

6,491 claims · 14.7%

Your Cost: $324.93/claim|Median: $165.71
2.0× median
99601Normal range

$2.1M

25K claims · 14.7%

Your Cost: $86.03/claim|Median: $82.41
1.0× median
S9501Top 25%

$1.5M

4,814 claims · 10.2%

Your Cost: $302.86/claim|Median: $160.52
1.9× median
B4185Top 5%

$1.0M

3,376 claims · 7.1%

Your Cost: $302.14/claim|Median: $134.70
2.2× median
B4197Top 1%

$974K

606 claims · 6.8%

Your Cost: $1,607.71/claim|Median: $687.38
2.3× median
B4224Top 5%

$701K

3,667 claims · 4.9%

Your Cost: $191.08/claim|Median: $78.83
2.4× median
S9494Normal range

$685K

2,664 claims · 4.8%

Your Cost: $256.99/claim|Median: $169.66
1.5× median
B9004Normal range

$430K

5,239 claims · 3.0%

Your Cost: $82.06/claim|Median: $122.59
0.7× median
A4305Normal range

$360K

3,425 claims · 2.5%

Your Cost: $105.22/claim|Median: $76.95
1.4× median
A4223Top 5%

$325K

675 claims · 2.3%

Your Cost: $482.20/claim|Median: $60.92
7.9× median
B4220Top 10%

$226K

3,677 claims · 1.6%

Your Cost: $61.50/claim|Median: $27.49
2.2× median
S9374Top 10%

$143K

564 claims · 1.0%

Your Cost: $253.28/claim|Median: $136.10
1.9× median
A4222Normal range

$97K

3,332 claims · 0.7%

Your Cost: $29.19/claim|Median: $62.70
0.5× median
J3370Top 10%

$80K

1,488 claims · 0.6%

Your Cost: $53.96/claim|Median: $2.40
22.5× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$52K

1,104 claims · 0.4%

Your Cost: $47.44/claim|Median: $51.67
0.9× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$28K

1,578 claims · 0.2%

Your Cost: $17.50/claim|Median: $1.53
11.4× median
J1335Normal range

$20K

109 claims · 0.1%

Your Cost: $184.37/claim|Median: $100.54
1.8× median
J0878Normal range

$18K

158 claims · 0.1%

Your Cost: $116.58/claim|Median: $130.03
0.9× median
J0696Top 5%

$15K

610 claims · 0.1%

Your Cost: $25.00/claim|Median: $1.34
18.7× median
J0690Top 5%

$12K

221 claims · 0.1%

Your Cost: $54.85/claim|Median: $0.94
58.4× median
J2997Top 25%

$12K

51 claims · 0.1%

Your Cost: $230.86/claim|Median: $86.25
2.7× median
J0692Top 10%

$10K

162 claims · 0.1%

Your Cost: $63.77/claim|Median: $2.04
31.3× median
A4221Top 25%

Supplies for maintenance of drug infusion catheter

$6K

221 claims · 0.0%

Your Cost: $25.31/claim|Median: $16.19
1.6× median
J2185Normal range

Injection, meropenem, one hundred milligrams

$3K

27 claims · 0.0%

Your Cost: $105.00/claim|Median: $105.00
1.0× median
B4216Normal range

$2K

44 claims · 0.0%

Your Cost: $38.38/claim|Median: $59.42
0.6× median
J2543Top 5%

$2K

27 claims · 0.0%

Your Cost: $62.35/claim|Median: $2.87
21.7× median
J7050Normal range

Normal saline solution infusion, 250 cc

$882

279 claims · 0.0%

Your Cost: $3.16/claim|Median: $0.82
3.9× median
S5517Normal range

$273

14 claims · 0.0%

Your Cost: $19.48/claim|Median: $16.78
1.2× median