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Provider 1528036050

NPI: 1528036050Share
Active Billing Period:2018-01→2023-07(67 months)
Billing appears to have stoppedLast active: 2023-07

Total Paid

$15.1M

$15,143,333

Total Claims

116K

Beneficiaries

19K

6.1 claims/patient

Avg Cost/Claim

$130

Monthly Spending Trend

Yearly Spending

2018
$4.5M
+6%
2019
$4.8M
-32%
2020
$3.2M
-62%
2021
$1.2M
-2%
2022
$1.2M
-77%
2023
$275K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 33% of total spending.

90999Top 25%

Unlisted dialysis procedure

$5.0M

40K claims · 32.9%

Your Cost: $125.89/claim|Median: $63.73
2.0× median
Q4081Top 10%

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

$4.4M

34K claims · 29.3%

Your Cost: $128.88/claim|Median: $4.98
25.9× median
J1270Top 10%

Injection, doxercalciferol, 1 mcg

$2.3M

17K claims · 14.9%

Your Cost: $133.33/claim|Median: $0.73
182.6× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$813K

6,994 claims · 5.4%

Your Cost: $116.30/claim|Median: $4.58
25.4× median
A4657Top 5%

Syringe with needle, each

$732K

3,279 claims · 4.8%

Your Cost: $223.26/claim|Median: $2.19
101.9× median
85041Top 25%

$293K

2,521 claims · 1.9%

Your Cost: $116.24/claim|Median: $0.76
152.9× median
85048Top 25%

$293K

2,524 claims · 1.9%

Your Cost: $115.95/claim|Median: $0.81
143.2× median
82728Top 5%

Ferritin

$237K

1,653 claims · 1.6%

Your Cost: $143.54/claim|Median: $6.00
23.9× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$220K

1,741 claims · 1.5%

Your Cost: $126.18/claim|Median: $10.20
12.4× median
83540Top 5%

Iron blood level test

$206K

1,682 claims · 1.4%

Your Cost: $122.41/claim|Median: $2.93
41.8× median
83550Top 5%

$204K

1,657 claims · 1.3%

Your Cost: $122.99/claim|Median: $3.49
35.2× median
J0604Top 10%

$172K

894 claims · 1.1%

Your Cost: $192.18/claim|Median: $11.09
17.3× median
G0499Top 25%

$169K

1,242 claims · 1.1%

Your Cost: $136.38/claim|Median: $2.76
49.4× median
82108Top 25%

$65K

574 claims · 0.4%

Your Cost: $112.82/claim|Median: $2.12
53.2× median
82306Top 5%

Vitamin D, 25 hydroxy

$17K

163 claims · 0.1%

Your Cost: $103.31/claim|Median: $18.18
5.7× median
82746Top 5%

$17K

139 claims · 0.1%

Your Cost: $119.36/claim|Median: $6.83
17.5× median
82607Top 1%

Cyanocobalamin (vitamin B-12)

$14K

98 claims · 0.1%

Your Cost: $139.54/claim|Median: $8.72
16.0× median
90674Top 1%

$7K

55 claims · 0.0%

Your Cost: $125.60/claim|Median: $15.16
8.3× median
G0008Top 5%

$5K

48 claims · 0.0%

Your Cost: $108.73/claim|Median: $2.54
42.8× median
82947Top 5%

Blood glucose level test

$494

12 claims · 0.0%

Your Cost: $41.17/claim|Median: $2.38
17.3× median
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