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Provider 1518196252

NPI: 1518196252Share
Active Billing Period:2018-01→2023-03(63 months)
Billing appears to have stoppedLast active: 2023-03

Total Paid

$14.7M

$14,655,729

Total Claims

132K

Beneficiaries

17K

7.7 claims/patient

Avg Cost/Claim

$111

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+29%
2019
$3.9M
+21%
2020
$4.8M
-75%
2021
$1.2M
+38%
2022
$1.6M
-92%
2023
$126K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 33% of total spending.

90999Top 25%

Unlisted dialysis procedure

$4.8M

34K claims · 32.9%

Your Cost: $142.97/claim|Median: $63.73
2.2× median
Q4081Top 25%

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

$4.1M

47K claims · 28.2%

Your Cost: $88.85/claim|Median: $4.98
17.8× median
J1270Top 10%

Injection, doxercalciferol, 1 mcg

$2.7M

24K claims · 18.2%

Your Cost: $110.14/claim|Median: $0.73
150.9× median
A4657Top 10%

Syringe with needle, each

$1.1M

6,138 claims · 7.3%

Your Cost: $173.31/claim|Median: $2.19
79.1× median
J1756Top 25%

Injection, iron sucrose, 1 mg

$618K

8,489 claims · 4.2%

Your Cost: $72.82/claim|Median: $4.58
15.9× median
85041Top 25%

$224K

2,161 claims · 1.5%

Your Cost: $103.74/claim|Median: $0.76
136.5× median
85048Top 25%

$219K

2,004 claims · 1.5%

Your Cost: $109.52/claim|Median: $0.81
135.2× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$197K

1,558 claims · 1.3%

Your Cost: $126.62/claim|Median: $10.20
12.4× median
83540Top 5%

Iron blood level test

$178K

1,775 claims · 1.2%

Your Cost: $100.06/claim|Median: $2.93
34.1× median
82728Top 5%

Ferritin

$177K

1,571 claims · 1.2%

Your Cost: $112.36/claim|Median: $6.00
18.7× median
83550Top 5%

$162K

1,548 claims · 1.1%

Your Cost: $104.95/claim|Median: $3.49
30.1× median
A4913Top 25%

$99K

1,560 claims · 0.7%

Your Cost: $63.29/claim|Median: $13.39
4.7× median
G0499Top 25%

$49K

372 claims · 0.3%

Your Cost: $132.96/claim|Median: $2.76
48.2× median
82108Top 25%

$13K

114 claims · 0.1%

Your Cost: $111.32/claim|Median: $2.12
52.5× median
82746Top 5%

$12K

80 claims · 0.1%

Your Cost: $150.94/claim|Median: $6.83
22.1× median
82607Top 1%

Cyanocobalamin (vitamin B-12)

$12K

80 claims · 0.1%

Your Cost: $150.94/claim|Median: $8.72
17.3× median
J0604Top 25%

$12K

146 claims · 0.1%

Your Cost: $82.65/claim|Median: $11.09
7.5× median
90662Top 5%

$2K

20 claims · 0.0%

Your Cost: $107.80/claim|Median: $6.55
16.5× median
G0008Top 5%

$1K

18 claims · 0.0%

Your Cost: $57.85/claim|Median: $2.54
22.8× median
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