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Provider 1528113156

NPI: 1528113156Share
Active Billing Period:2018-01→2023-08(66 months)
Billing appears to have stoppedLast active: 2023-08

Total Paid

$11.9M

$11,947,725

Total Claims

94K

Beneficiaries

12K

7.5 claims/patient

Avg Cost/Claim

$127

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+151%
2019
$3.6M
+10%
2020
$4.0M
-64%
2021
$1.4M
-23%
2022
$1.1M
-68%
2023
$361K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (Q4081 (Injection, epoetin alfa, 100 units (non-ESRD))) accounts for 36% of total spending.

Q4081Top 10%

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

$4.3M

33K claims · 36.1%

Your Cost: $132.21/claim|Median: $4.98
26.5× median
90999Top 25%

Unlisted dialysis procedure

$3.3M

27K claims · 27.6%

Your Cost: $120.53/claim|Median: $63.73
1.9× median
J1270Top 10%

Injection, doxercalciferol, 1 mcg

$1.9M

17K claims · 15.8%

Your Cost: $113.85/claim|Median: $0.73
156.0× median
A4657Top 5%

Syringe with needle, each

$586K

2,801 claims · 4.9%

Your Cost: $209.20/claim|Median: $2.19
95.5× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$554K

4,215 claims · 4.6%

Your Cost: $131.51/claim|Median: $4.58
28.7× median
85041Top 10%

$221K

1,760 claims · 1.8%

Your Cost: $125.47/claim|Median: $0.76
165.1× median
85048Top 10%

$212K

1,699 claims · 1.8%

Your Cost: $124.90/claim|Median: $0.81
154.2× median
83540Top 5%

Iron blood level test

$191K

1,622 claims · 1.6%

Your Cost: $117.82/claim|Median: $2.93
40.2× median
83550Top 5%

$191K

1,618 claims · 1.6%

Your Cost: $117.94/claim|Median: $3.49
33.8× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$188K

1,391 claims · 1.6%

Your Cost: $135.36/claim|Median: $10.20
13.3× median
82728Top 5%

Ferritin

$185K

1,353 claims · 1.5%

Your Cost: $136.81/claim|Median: $6.00
22.8× median
G0499Top 25%

$86K

741 claims · 0.7%

Your Cost: $115.46/claim|Median: $2.76
41.8× median
82108Top 10%

$19K

130 claims · 0.2%

Your Cost: $144.65/claim|Median: $2.12
68.2× median
82746Top 5%

$12K

82 claims · 0.1%

Your Cost: $144.59/claim|Median: $6.83
21.2× median
82607Top 1%

Cyanocobalamin (vitamin B-12)

$9K

61 claims · 0.1%

Your Cost: $145.14/claim|Median: $8.72
16.6× median
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