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Provider 1528399193

NPI: 1528399193Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$7.8M

$7,845,964

Total Claims

263K

Beneficiaries

150K

1.8 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$667K
+32%
2019
$878K
+14%
2020
$998K
+31%
2021
$1.3M
+47%
2022
$1.9M
-25%
2023
$1.4M
-56%
2024
$639K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J9271 (Injection, pembrolizumab, 1 mg)) accounts for 21% of total spending.

J9271Normal range

Injection, pembrolizumab, 1 mg

$1.7M

288 claims · 21.1%

Your Cost: $5,738.10/claim|Median: $5,391.55
1.1× median
99214Normal range

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

$1.4M

34K claims · 17.9%

Your Cost: $40.88/claim|Median: $53.41
0.8× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$888K

16K claims · 11.3%

Your Cost: $56.32/claim|Median: $14.92
3.8× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$689K

7,634 claims · 8.8%

Your Cost: $90.28/claim|Median: $61.57
1.5× median
96365Normal range

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

$656K

9,441 claims · 8.4%

Your Cost: $69.53/claim|Median: $54.77
1.3× median
P9046Top 1%

$314K

2,892 claims · 4.0%

Your Cost: $108.48/claim|Median: $27.81
3.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$286K

14K claims · 3.6%

Your Cost: $20.34/claim|Median: $9.56
2.1× median
99215Normal range

Office/outpatient visit, high complexity

$280K

4,327 claims · 3.6%

Your Cost: $64.78/claim|Median: $74.09
0.9× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$194K

3,136 claims · 2.5%

Your Cost: $61.84/claim|Median: $21.76
2.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$176K

31K claims · 2.2%

Your Cost: $5.61/claim|Median: $4.71
1.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$166K

5,385 claims · 2.1%

Your Cost: $30.92/claim|Median: $75.28
0.4× median
80048Normal range

Basic metabolic panel

$154K

26K claims · 2.0%

Your Cost: $6.03/claim|Median: $5.78
1.0× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$142K

12K claims · 1.8%

Your Cost: $11.54/claim|Median: $1.53
7.5× median
96367Normal range

$141K

3,576 claims · 1.8%

Your Cost: $39.57/claim|Median: $29.27
1.4× median
Q5106Top 5%

$68K

302 claims · 0.9%

Your Cost: $226.23/claim|Median: $56.95
4.0× median
J3480Top 5%

$67K

2,533 claims · 0.9%

Your Cost: $26.50/claim|Median: $0.68
39.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$49K

1,224 claims · 0.6%

Your Cost: $39.89/claim|Median: $23.99
1.7× median
J7050Top 25%

Normal saline solution infusion, 250 cc

$49K

9,039 claims · 0.6%

Your Cost: $5.40/claim|Median: $0.82
6.6× median
96361Normal range

IV infusion, hydration, each additional hour

$44K

5,036 claims · 0.6%

Your Cost: $8.83/claim|Median: $38.92
0.2× median
99213Normal range

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

$41K

1,470 claims · 0.5%

Your Cost: $27.87/claim|Median: $37.81
0.7× median
96415Normal range

Chemotherapy infusion, each additional hour

$35K

768 claims · 0.4%

Your Cost: $45.75/claim|Median: $43.68
1.0× median
J2780Top 25%

$34K

3,723 claims · 0.4%

Your Cost: $9.21/claim|Median: $4.00
2.3× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$32K

1,366 claims · 0.4%

Your Cost: $23.72/claim|Median: $40.12
0.6× median
J0897Normal range

Injection, denosumab, one milligram

$31K

64 claims · 0.4%

Your Cost: $487.73/claim|Median: $493.25
1.0× median
J3420Top 10%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$29K

8,941 claims · 0.4%

Your Cost: $3.20/claim|Median: $1.04
3.1× median
J3475Top 25%

$28K

6,015 claims · 0.4%

Your Cost: $4.69/claim|Median: $1.03
4.5× median
J0885Top 10%

$28K

95 claims · 0.4%

Your Cost: $290.48/claim|Median: $67.33
4.3× median
J1644Top 25%

$22K

4,653 claims · 0.3%

Your Cost: $4.73/claim|Median: $0.37
12.8× median
96417Normal range

$20K

372 claims · 0.3%

Your Cost: $53.94/claim|Median: $37.60
1.4× median
J1453Normal range

$18K

191 claims · 0.2%

Your Cost: $94.42/claim|Median: $65.90
1.4× median
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