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Provider 1538507819

NPI: 1538507819Share
Active Billing Period:2018-022024-07(78 months)

Total Paid

$17.1M

$17,096,422

Total Claims

458K

Beneficiaries

265K

1.7 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$512K
+8%
2019
$555K
+587%
2020
$3.8M
+139%
2021
$9.1M
-70%
2022
$2.7M
-88%
2023
$331K
-87%
2024
$44K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 84% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$14.3M

304K claims · 83.7%

Your Cost: $47.10/claim|Median: $63.08
0.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.1M

32K claims · 6.4%

Your Cost: $33.66/claim|Median: $35.43
0.9× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$520K

43K claims · 3.0%

Your Cost: $11.98/claim|Median: $15.76
0.8× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$161K

2,160 claims · 0.9%

Your Cost: $74.59/claim|Median: $26.72
2.8× median
87481Normal range

$92K

3,573 claims · 0.5%

Your Cost: $25.88/claim|Median: $22.38
1.2× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$67K

1,754 claims · 0.4%

Your Cost: $38.31/claim|Median: $38.79
1.0× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$65K

812 claims · 0.4%

Your Cost: $80.43/claim|Median: $97.61
0.8× median
81226Top 25%

$60K

340 claims · 0.4%

Your Cost: $176.26/claim|Median: $29.80
5.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$57K

3,017 claims · 0.3%

Your Cost: $19.02/claim|Median: $24.95
0.8× median
82570Normal range

$57K

29K claims · 0.3%

Your Cost: $1.98/claim|Median: $3.18
0.6× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$54K

2,935 claims · 0.3%

Your Cost: $18.48/claim|Median: $23.39
0.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$40K

719 claims · 0.2%

Your Cost: $55.37/claim|Median: $100.62
0.6× median
81225Top 25%

$39K

332 claims · 0.2%

Your Cost: $117.17/claim|Median: $23.49
5.0× median
87150Top 25%

$37K

654 claims · 0.2%

Your Cost: $56.65/claim|Median: $25.98
2.2× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$37K

2,487 claims · 0.2%

Your Cost: $14.78/claim|Median: $21.08
0.7× median
81350Top 25%

$30K

349 claims · 0.2%

Your Cost: $85.29/claim|Median: $18.26
4.7× median
87511Normal range

$26K

1,872 claims · 0.2%

Your Cost: $14.12/claim|Median: $16.46
0.9× median
81227Top 25%

$23K

341 claims · 0.1%

Your Cost: $68.16/claim|Median: $13.02
5.2× median
81401Normal range

$22K

351 claims · 0.1%

Your Cost: $62.44/claim|Median: $30.88
2.0× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$19K

780 claims · 0.1%

Your Cost: $24.36/claim|Median: $34.62
0.7× median
81231Top 25%

$18K

284 claims · 0.1%

Your Cost: $63.39/claim|Median: $14.05
4.5× median
81230Top 25%

$18K

284 claims · 0.1%

Your Cost: $63.35/claim|Median: $13.97
4.5× median
81328Top 25%

$17K

270 claims · 0.1%

Your Cost: $64.14/claim|Median: $13.69
4.7× median
86803Normal range

Hepatitis C antibody

$17K

1,324 claims · 0.1%

Your Cost: $12.71/claim|Median: $10.17
1.2× median
81112Normal range

$14K

242 claims · 0.1%

Your Cost: $58.34/claim|Median: $58.34
1.0× median
81105Top 1%

$14K

242 claims · 0.1%

Your Cost: $58.34/claim|Median: $52.94
1.1× median
81232Top 25%

$14K

270 claims · 0.1%

Your Cost: $50.14/claim|Median: $13.69
3.7× median
86704Normal range

$13K

1,323 claims · 0.1%

Your Cost: $10.04/claim|Median: $7.48
1.3× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$13K

480 claims · 0.1%

Your Cost: $27.36/claim|Median: $37.56
0.7× median
81355Top 25%

$11K

351 claims · 0.1%

Your Cost: $32.64/claim|Median: $7.89
4.1× median