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Provider 1528036019

NPI: 1528036019Share
Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$10.1M

$10,112,858

Total Claims

125K

Beneficiaries

122K

1.0 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$13K
+198%
2019
$40K
+288%
2020
$155K
+396%
2021
$770K
+245%
2022
$2.7M
+101%
2023
$5.4M
-79%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J0490) accounts for 35% of total spending.

J0490Top 25%

$3.6M

1,238 claims · 35.2%

Your Cost: $2,877.40/claim|Median: $1,422.77
2.0× median
99214Top 25%

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

$1.9M

22K claims · 18.5%

Your Cost: $87.08/claim|Median: $53.41
1.6× median
J0491Top 10%

$1.2M

290 claims · 12.2%

Your Cost: $4,246.44/claim|Median: $3,574.59
1.2× median
J1602Normal range

$1.0M

824 claims · 10.1%

Your Cost: $1,240.16/claim|Median: $1,204.70
1.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$480K

6,435 claims · 4.7%

Your Cost: $74.62/claim|Median: $75.28
1.0× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$327K

657 claims · 3.2%

Your Cost: $497.42/claim|Median: $1,587.53
0.3× median
99204Top 25%

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

$244K

1,982 claims · 2.4%

Your Cost: $123.18/claim|Median: $84.03
1.5× median
86235Top 5%

Nuclear antigen antibody (ENA) blood test

$195K

1,269 claims · 1.9%

Your Cost: $153.39/claim|Median: $28.79
5.3× median
99213Top 25%

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

$133K

2,261 claims · 1.3%

Your Cost: $58.68/claim|Median: $37.81
1.6× median
J0129Normal range

Injection, abatacept, ten milligrams intravenous

$109K

54 claims · 1.1%

Your Cost: $2,025.26/claim|Median: $1,286.08
1.6× median
80053Normal range

Comprehensive metabolic panel

$95K

10K claims · 0.9%

Your Cost: $9.08/claim|Median: $7.24
1.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$86K

6,308 claims · 0.9%

Your Cost: $13.63/claim|Median: $14.92
0.9× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$77K

443 claims · 0.8%

Your Cost: $173.36/claim|Median: $111.09
1.6× median
85025Normal range

Complete blood count (CBC) with differential, automated

$75K

11K claims · 0.7%

Your Cost: $6.57/claim|Median: $4.71
1.4× median
86140Normal range

$61K

14K claims · 0.6%

Your Cost: $4.47/claim|Median: $3.02
1.5× median
86480Top 25%

Tuberculosis test, cell-mediated immunity

$52K

960 claims · 0.5%

Your Cost: $54.26/claim|Median: $38.35
1.4× median
Q5104Normal range

$42K

30 claims · 0.4%

Your Cost: $1,409.47/claim|Median: $1,412.69
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$33K

1,963 claims · 0.3%

Your Cost: $16.82/claim|Median: $9.56
1.8× median
J1720Normal range

$32K

3,225 claims · 0.3%

Your Cost: $9.86/claim|Median: $7.26
1.4× median
85652Normal range

$29K

12K claims · 0.3%

Your Cost: $2.33/claim|Median: $1.68
1.4× median
96365Normal range

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

$21K

801 claims · 0.2%

Your Cost: $26.60/claim|Median: $54.77
0.5× median
73130Top 25%

$20K

691 claims · 0.2%

Your Cost: $29.59/claim|Median: $10.69
2.8× median
96415Normal range

Chemotherapy infusion, each additional hour

$19K

1,152 claims · 0.2%

Your Cost: $16.48/claim|Median: $43.68
0.4× median
J3301Top 10%

Injection, triamcinolone acetonide, per ten milligrams

$18K

1,835 claims · 0.2%

Your Cost: $9.85/claim|Median: $2.91
3.4× median
73560Top 25%

$18K

690 claims · 0.2%

Your Cost: $25.92/claim|Median: $10.28
2.5× median
82306Normal range

Vitamin D, 25 hydroxy

$17K

684 claims · 0.2%

Your Cost: $25.06/claim|Median: $18.18
1.4× median
73620Top 25%

$15K

682 claims · 0.2%

Your Cost: $22.45/claim|Median: $11.93
1.9× median
86225Top 25%

$15K

1,279 claims · 0.1%

Your Cost: $11.82/claim|Median: $7.93
1.5× median
86200Normal range

$14K

1,288 claims · 0.1%

Your Cost: $11.24/claim|Median: $8.01
1.4× median
86038Normal range

$13K

1,275 claims · 0.1%

Your Cost: $10.40/claim|Median: $7.96
1.3× median
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