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Provider 1538487897

NPI: 1538487897Share
Active Billing Period:2018-01→2024-09(78 months)

Total Paid

$15.4M

$15,365,965

Total Claims

110K

Beneficiaries

15K

7.3 claims/patient

Avg Cost/Claim

$140

Monthly Spending Trend

Yearly Spending

2018
$4.3M
+0%
2019
$4.4M
-8%
2020
$4.0M
-70%
2021
$1.2M
-22%
2022
$935K
-56%
2023
$413K
-66%
2024
$139K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (Q4081 (Injection, epoetin alfa, 100 units (non-ESRD))) accounts for 32% of total spending.

Q4081Top 10%

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

$4.9M

36K claims · 31.9%

Your Cost: $134.50/claim|Median: $4.98
27.0× median
90999Top 25%

Unlisted dialysis procedure

$4.6M

32K claims · 30.2%

Your Cost: $142.65/claim|Median: $63.73
2.2× median
J1270Top 5%

Injection, doxercalciferol, 1 mcg

$2.5M

19K claims · 16.5%

Your Cost: $136.14/claim|Median: $0.73
186.5× median
A4657Top 10%

Syringe with needle, each

$1.0M

5,435 claims · 6.8%

Your Cost: $192.49/claim|Median: $2.19
87.9× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$745K

7,008 claims · 4.9%

Your Cost: $106.37/claim|Median: $4.58
23.2× median
83550Top 5%

$230K

1,519 claims · 1.5%

Your Cost: $151.70/claim|Median: $3.49
43.5× median
83540Top 5%

Iron blood level test

$230K

1,513 claims · 1.5%

Your Cost: $151.75/claim|Median: $2.93
51.8× median
82728Top 5%

Ferritin

$228K

1,520 claims · 1.5%

Your Cost: $149.94/claim|Median: $6.00
25.0× median
85041Top 10%

$224K

1,604 claims · 1.5%

Your Cost: $139.57/claim|Median: $0.76
183.6× median
85048Top 10%

$224K

1,604 claims · 1.5%

Your Cost: $139.57/claim|Median: $0.81
172.3× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$214K

1,198 claims · 1.4%

Your Cost: $179.03/claim|Median: $10.20
17.6× median
G0499Top 10%

$87K

531 claims · 0.6%

Your Cost: $163.36/claim|Median: $2.76
59.2× median
82306Top 1%

Vitamin D, 25 hydroxy

$48K

285 claims · 0.3%

Your Cost: $169.06/claim|Median: $18.18
9.3× median
J0604Top 5%

$9K

26 claims · 0.1%

Your Cost: $340.21/claim|Median: $11.09
30.7× median
90674Top 1%

$7K

51 claims · 0.0%

Your Cost: $131.86/claim|Median: $15.16
8.7× median
G0008Top 5%

$5K

49 claims · 0.0%

Your Cost: $98.62/claim|Median: $2.54
38.8× median
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