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CANCER CENTER ONCOLOGY MEDICAL GROUP, INC-EAST COUNTY

Specialist·LA MESA, CA·NPI: 1497737183Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$21.4M

$21,401,661

Total Claims

120K

Beneficiaries

90K

1.3 claims/patient

Avg Cost/Claim

$179

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+37%
2019
$3.1M
+8%
2020
$3.3M
+94%
2021
$6.4M
-47%
2022
$3.4M
-56%
2023
$1.5M
-13%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 38 distinct procedure codes. The top code (J9299 (Nivolumab (Opdivo) injection, 1 mg)) accounts for 30% of total spending.

J9299Top 10%

Nivolumab (Opdivo) injection, 1 mg

$6.4M

935 claims · 30.0%

Your Cost: $6,866.30/claim|Median: $3,562.28
1.9× median
J1439Top 10%

$3.8M

4,401 claims · 18.0%

Your Cost: $873.09/claim|Median: $477.34
1.8× median
J9271Top 5%

Injection, pembrolizumab, 1 mg

$3.1M

261 claims · 14.5%

Your Cost: $11,888.61/claim|Median: $5,391.55
2.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.7M

15K claims · 7.9%

Your Cost: $109.53/claim|Median: $75.28
1.5× median
99214Normal range

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

$1.4M

19K claims · 6.5%

Your Cost: $74.96/claim|Median: $53.41
1.4× median
99213Normal range

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

$1.0M

20K claims · 4.9%

Your Cost: $51.97/claim|Median: $37.81
1.4× median
J2505Normal range

$874K

304 claims · 4.1%

Your Cost: $2,876.47/claim|Median: $1,842.27
1.6× median
J0881Top 5%

Injection, darbepoetin alfa, one microgram, non-ESRD

$530K

710 claims · 2.5%

Your Cost: $746.33/claim|Median: $109.46
6.8× median
96365Normal range

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

$442K

6,802 claims · 2.1%

Your Cost: $64.94/claim|Median: $54.77
1.2× median
J2469Normal range

Injection, palonosetron HCl, twenty-five micrograms

$438K

6,803 claims · 2.0%

Your Cost: $64.40/claim|Median: $25.23
2.6× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$413K

3,551 claims · 1.9%

Your Cost: $116.34/claim|Median: $84.03
1.4× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$295K

9,415 claims · 1.4%

Your Cost: $31.32/claim|Median: $14.92
2.1× median
J0897Top 10%

Injection, denosumab, one milligram

$293K

194 claims · 1.4%

Your Cost: $1,511.60/claim|Median: $493.25
3.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$204K

13K claims · 1.0%

Your Cost: $16.19/claim|Median: $9.56
1.7× median
96417Normal range

$134K

2,849 claims · 0.6%

Your Cost: $47.17/claim|Median: $37.60
1.3× median
96415Normal range

Chemotherapy infusion, each additional hour

$49K

1,581 claims · 0.2%

Your Cost: $31.26/claim|Median: $43.68
0.7× median
96402Normal range

$33K

1,366 claims · 0.2%

Your Cost: $23.94/claim|Median: $20.95
1.1× median
J1100Top 25%

$30K

7,222 claims · 0.1%

Your Cost: $4.19/claim|Median: $0.52
8.0× median
96401Normal range

$28K

473 claims · 0.1%

Your Cost: $59.38/claim|Median: $40.24
1.5× median
J2506Top 25%

$28K

15 claims · 0.1%

Your Cost: $1,846.20/claim|Median: $997.36
1.9× median
Q5106Top 10%

$26K

120 claims · 0.1%

Your Cost: $219.87/claim|Median: $56.95
3.9× median
96367Normal range

$21K

742 claims · 0.1%

Your Cost: $28.40/claim|Median: $29.27
1.0× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$21K

411 claims · 0.1%

Your Cost: $50.02/claim|Median: $23.99
2.1× median
99211Top 25%

Office/outpatient visit, minimal complexity

$18K

850 claims · 0.1%

Your Cost: $20.81/claim|Median: $12.93
1.6× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$12K

152 claims · 0.1%

Your Cost: $80.57/claim|Median: $57.85
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$6K

119 claims · 0.0%

Your Cost: $47.02/claim|Median: $25.06
1.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$5K

99 claims · 0.0%

Your Cost: $49.15/claim|Median: $35.30
1.4× median
J3420Top 25%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$5K

2,602 claims · 0.0%

Your Cost: $1.81/claim|Median: $1.04
1.7× median
99223Top 10%

Initial hospital care, per day, high complexity

$4K

31 claims · 0.0%

Your Cost: $136.31/claim|Median: $67.32
2.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$4K

26 claims · 0.0%

Your Cost: $138.68/claim|Median: $111.09
1.2× median
J0640Top 25%

$992

23 claims · 0.0%

Your Cost: $43.15/claim|Median: $24.08
1.8× median
J1200Normal range

$592

741 claims · 0.0%

Your Cost: $0.80/claim|Median: $0.60
1.3× median
G2211Normal range

$561

148 claims · 0.0%

Your Cost: $3.79/claim|Median: $2.40
1.6× median
J9045Top 25%

$507

14 claims · 0.0%

Your Cost: $36.18/claim|Median: $14.63
2.5× median
J3489Normal range

Injection, zoledronic acid, one milligram

$457

14 claims · 0.0%

Your Cost: $32.68/claim|Median: $24.58
1.3× median
96411Normal range

$426

34 claims · 0.0%

Your Cost: $12.52/claim|Median: $33.16
0.4× median
J9190Normal range

$330

22 claims · 0.0%

Your Cost: $14.98/claim|Median: $9.86
1.5× median
96523Normal range

$161

24 claims · 0.0%

Your Cost: $6.72/claim|Median: $19.90
0.3× median

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