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Provider 1528170388

NPI: 1528170388Share
Active Billing Period:2018-012024-04(68 months)
Billing appears to have stoppedLast active: 2024-04

Total Paid

$13.5M

$13,473,945

Total Claims

92K

Beneficiaries

29K

3.1 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+128%
2019
$3.6M
+19%
2020
$4.3M
-63%
2021
$1.6M
+24%
2022
$2.0M
-83%
2023
$332K
-93%
2024
$22K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 25% of total spending.

90999Top 25%

Unlisted dialysis procedure

$3.4M

21K claims · 25.3%

Your Cost: $161.33/claim|Median: $63.73
2.5× median
A4657Top 10%

Syringe with needle, each

$2.8M

18K claims · 20.4%

Your Cost: $156.11/claim|Median: $2.19
71.3× median
J1270Top 5%

Injection, doxercalciferol, 1 mcg

$1.2M

7,796 claims · 8.8%

Your Cost: $151.94/claim|Median: $0.73
208.1× median
85018Top 1%

$876K

6,100 claims · 6.5%

Your Cost: $143.67/claim|Median: $1.71
84.0× median
84520Top 5%

$646K

4,945 claims · 4.8%

Your Cost: $130.61/claim|Median: $0.89
146.8× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$599K

4,023 claims · 4.4%

Your Cost: $149.01/claim|Median: $4.58
32.5× median
J0887Top 25%

Injection, epoetin alfa, non-ESRD, 1000 units

$499K

2,595 claims · 3.7%

Your Cost: $192.11/claim|Median: $30.48
6.3× median
83540Top 5%

Iron blood level test

$351K

2,501 claims · 2.6%

Your Cost: $140.21/claim|Median: $2.93
47.9× median
84100Top 5%

$296K

2,156 claims · 2.2%

Your Cost: $137.52/claim|Median: $1.34
102.6× median
82310Top 5%

$291K

2,132 claims · 2.2%

Your Cost: $136.28/claim|Median: $0.91
149.8× median
82040Top 5%

$287K

2,142 claims · 2.1%

Your Cost: $133.79/claim|Median: $0.92
145.4× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$261K

1,953 claims · 1.9%

Your Cost: $133.88/claim|Median: $10.20
13.1× median
82565Top 5%

Creatinine blood test

$256K

1,995 claims · 1.9%

Your Cost: $128.41/claim|Median: $1.94
66.2× median
80051Top 5%

Electrolyte panel blood test

$243K

1,795 claims · 1.8%

Your Cost: $135.42/claim|Median: $1.56
86.8× median
83550Top 5%

$226K

1,751 claims · 1.7%

Your Cost: $129.02/claim|Median: $3.49
37.0× median
85025Top 1%

Complete blood count (CBC) with differential, automated

$210K

1,574 claims · 1.6%

Your Cost: $133.66/claim|Median: $4.71
28.4× median
84155Top 5%

$188K

1,464 claims · 1.4%

Your Cost: $128.20/claim|Median: $0.60
213.7× median
84075Top 5%

$139K

971 claims · 1.0%

Your Cost: $142.65/claim|Median: $0.72
198.1× median
82728Top 5%

Ferritin

$127K

864 claims · 0.9%

Your Cost: $147.53/claim|Median: $6.00
24.6× median
G0306Top 5%

$110K

637 claims · 0.8%

Your Cost: $172.62/claim|Median: $1.77
97.5× median
83735Top 1%

Magnesium blood level test

$98K

685 claims · 0.7%

Your Cost: $143.53/claim|Median: $2.77
51.8× median
87340Top 5%

Hepatitis B surface antigen detection

$93K

619 claims · 0.7%

Your Cost: $149.82/claim|Median: $5.52
27.1× median
84466Top 5%

Transferrin blood test

$78K

395 claims · 0.6%

Your Cost: $196.81/claim|Median: $4.53
43.4× median
80069Top 1%

Renal function panel

$61K

319 claims · 0.5%

Your Cost: $192.45/claim|Median: $4.12
46.7× median
82108Top 10%

$34K

213 claims · 0.3%

Your Cost: $159.08/claim|Median: $2.12
75.0× median
86706Top 5%

$28K

214 claims · 0.2%

Your Cost: $129.64/claim|Median: $5.39
24.1× median
G0008Top 5%

$27K

172 claims · 0.2%

Your Cost: $159.06/claim|Median: $2.54
62.6× median
86704Top 5%

$27K

208 claims · 0.2%

Your Cost: $130.35/claim|Median: $7.48
17.4× median
82746Top 1%

$20K

100 claims · 0.1%

Your Cost: $199.84/claim|Median: $6.83
29.3× median
J1644Top 25%

$18K

2,381 claims · 0.1%

Your Cost: $7.68/claim|Median: $0.37
20.7× median