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Provider 1497773337

NPI: 1497773337Share
Active Billing Period:2018-01→2022-09(57 months)
Billing appears to have stoppedLast active: 2022-09

Total Paid

$17.6M

$17,612,910

Total Claims

1.1M

Beneficiaries

995K

1.1 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$3.3M
-13%
2019
$2.8M
+22%
2020
$3.5M
+27%
2021
$4.4M
-16%
2022
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0004 (COVID-19 test, nucleic acid detection, CDC lab only)) accounts for 15% of total spending.

U0004Top 25%

COVID-19 test, nucleic acid detection, CDC lab only

$2.7M

35K claims · 15.1%

Your Cost: $75.45/claim|Median: $60.05
1.3× median
80050Normal range

General health panel

$1.1M

31K claims · 6.0%

Your Cost: $33.85/claim|Median: $25.59
1.3× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.0M

32K claims · 5.8%

Your Cost: $31.39/claim|Median: $23.39
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$1.0M

32K claims · 5.8%

Your Cost: $31.30/claim|Median: $24.95
1.3× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$643K

12K claims · 3.6%

Your Cost: $52.00/claim|Median: $35.43
1.5× median
88305Normal range

Surgical pathology, gross and microscopic examination

$606K

17K claims · 3.4%

Your Cost: $36.04/claim|Median: $35.80
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$473K

72K claims · 2.7%

Your Cost: $6.56/claim|Median: $4.71
1.4× median
80061Normal range

Lipid panel

$448K

38K claims · 2.5%

Your Cost: $11.82/claim|Median: $8.41
1.4× median
80053Normal range

Comprehensive metabolic panel

$396K

44K claims · 2.2%

Your Cost: $8.99/claim|Median: $7.24
1.2× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$394K

18K claims · 2.2%

Your Cost: $21.95/claim|Median: $18.03
1.2× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$386K

16K claims · 2.2%

Your Cost: $24.28/claim|Median: $19.06
1.3× median
82306Normal range

Vitamin D, 25 hydroxy

$344K

13K claims · 2.0%

Your Cost: $26.63/claim|Median: $18.18
1.5× median
87086Normal range

Urine culture, colony count, with identification

$330K

45K claims · 1.9%

Your Cost: $7.31/claim|Median: $5.31
1.4× median
84443Normal range

Thyroid stimulating hormone (TSH)

$308K

22K claims · 1.7%

Your Cost: $14.11/claim|Median: $9.87
1.4× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$280K

8,989 claims · 1.6%

Your Cost: $31.19/claim|Median: $21.08
1.5× median
87481Normal range

$275K

9,103 claims · 1.6%

Your Cost: $30.16/claim|Median: $22.38
1.3× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$262K

10K claims · 1.5%

Your Cost: $26.01/claim|Median: $25.57
1.0× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$250K

29K claims · 1.4%

Your Cost: $8.65/claim|Median: $5.50
1.6× median
86780Normal range

$218K

18K claims · 1.2%

Your Cost: $11.93/claim|Median: $9.83
1.2× median
87070Normal range

Bacterial culture, any source except blood or urine

$167K

21K claims · 1.0%

Your Cost: $7.93/claim|Median: $5.89
1.3× median
87077Normal range

Bacterial culture, aerobic, additional methods required

$166K

23K claims · 0.9%

Your Cost: $7.31/claim|Median: $4.52
1.6× median
86762Normal range

$162K

13K claims · 0.9%

Your Cost: $12.60/claim|Median: $9.97
1.3× median
87799Normal range

$144K

3,920 claims · 0.8%

Your Cost: $36.63/claim|Median: $21.87
1.7× median
87340Normal range

Hepatitis B surface antigen detection

$143K

15K claims · 0.8%

Your Cost: $9.40/claim|Median: $5.52
1.7× median
84702Top 25%

$142K

11K claims · 0.8%

Your Cost: $13.16/claim|Median: $8.25
1.6× median
84439Normal range

Free thyroxine level blood test

$137K

17K claims · 0.8%

Your Cost: $8.11/claim|Median: $6.31
1.3× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$133K

4,073 claims · 0.8%

Your Cost: $32.77/claim|Median: $37.56
0.9× median
86803Normal range

Hepatitis C antibody

$125K

9,849 claims · 0.7%

Your Cost: $12.71/claim|Median: $10.17
1.2× median
87186Top 25%

Antimicrobial susceptibility testing, microdilution, per agent

$117K

15K claims · 0.7%

Your Cost: $7.90/claim|Median: $4.65
1.7× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$117K

3,854 claims · 0.7%

Your Cost: $30.24/claim|Median: $26.72
1.1× median
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