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Provider 1528035995

NPI: 1528035995Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.1M

$8,129,351

Total Claims

265K

Beneficiaries

186K

1.4 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$451K
+266%
2019
$1.7M
+41%
2020
$2.3M
-11%
2021
$2.1M
-43%
2022
$1.2M
-66%
2023
$404K
-85%
2024
$60K

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 20% of total spending.

99214Normal range

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

$1.6M

32K claims · 19.8%

Your Cost: $49.95/claim|Median: $53.41
0.9× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$1.6M

279 claims · 19.6%

Your Cost: $5,716.87/claim|Median: $5,391.55
1.1× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.1M

19K claims · 13.9%

Your Cost: $58.85/claim|Median: $75.28
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$571K

7,993 claims · 7.0%

Your Cost: $71.41/claim|Median: $74.09
1.0× median
99213Normal range

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

$449K

12K claims · 5.5%

Your Cost: $35.93/claim|Median: $37.81
1.0× median
J2469Normal range

Injection, palonosetron HCl, twenty-five micrograms

$257K

5,527 claims · 3.2%

Your Cost: $46.47/claim|Median: $25.23
1.8× median
Q0138Top 25%

$249K

580 claims · 3.1%

Your Cost: $429.42/claim|Median: $214.34
2.0× median
J1453Normal range

$241K

1,962 claims · 3.0%

Your Cost: $122.59/claim|Median: $65.90
1.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$234K

42K claims · 2.9%

Your Cost: $5.61/claim|Median: $4.71
1.2× median
80053Normal range

Comprehensive metabolic panel

$209K

28K claims · 2.6%

Your Cost: $7.50/claim|Median: $7.24
1.0× median
96367Normal range

$181K

10K claims · 2.2%

Your Cost: $17.50/claim|Median: $29.27
0.6× median
J0185Normal range

$179K

943 claims · 2.2%

Your Cost: $190.06/claim|Median: $125.72
1.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$142K

13K claims · 1.7%

Your Cost: $11.13/claim|Median: $14.92
0.7× median
96365Normal range

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

$126K

3,425 claims · 1.6%

Your Cost: $36.89/claim|Median: $54.77
0.7× median
J2505Normal range

$122K

91 claims · 1.5%

Your Cost: $1,338.92/claim|Median: $1,842.27
0.7× median
96417Normal range

$111K

2,994 claims · 1.4%

Your Cost: $37.03/claim|Median: $37.60
1.0× median
J0881Top 10%

Injection, darbepoetin alfa, one microgram, non-ESRD

$88K

185 claims · 1.1%

Your Cost: $476.27/claim|Median: $109.46
4.4× median
36415Normal range

Collection of venous blood by venipuncture

$84K

35K claims · 1.0%

Your Cost: $2.37/claim|Median: $1.57
1.5× median
99204Normal range

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

$58K

689 claims · 0.7%

Your Cost: $84.88/claim|Median: $84.03
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$56K

1,552 claims · 0.7%

Your Cost: $36.35/claim|Median: $23.99
1.5× median
82728Normal range

Ferritin

$54K

5,029 claims · 0.7%

Your Cost: $10.67/claim|Median: $6.00
1.8× median
J3490Top 25%

Unclassified drugs

$40K

597 claims · 0.5%

Your Cost: $67.74/claim|Median: $5.70
11.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$32K

4,463 claims · 0.4%

Your Cost: $7.24/claim|Median: $9.56
0.8× median
96415Normal range

Chemotherapy infusion, each additional hour

$30K

1,537 claims · 0.4%

Your Cost: $19.76/claim|Median: $43.68
0.5× median
83550Top 25%

$26K

3,753 claims · 0.3%

Your Cost: $6.88/claim|Median: $3.49
2.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$22K

267 claims · 0.3%

Your Cost: $83.73/claim|Median: $111.09
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$21K

317 claims · 0.3%

Your Cost: $66.60/claim|Median: $51.25
1.3× median
99223Normal range

Initial hospital care, per day, high complexity

$19K

193 claims · 0.2%

Your Cost: $100.39/claim|Median: $67.32
1.5× median
83540Normal range

Iron blood level test

$19K

3,760 claims · 0.2%

Your Cost: $5.10/claim|Median: $2.93
1.7× median
96411Normal range

$19K

506 claims · 0.2%

Your Cost: $37.77/claim|Median: $33.16
1.1× median
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