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Provider 1568431088

NPI: 1568431088Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$16.7M

$16,747,896

Total Claims

4.8M

Beneficiaries

3.5M

1.4 claims/patient

Avg Cost/Claim

$4

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-8%
2019
$1.9M
-18%
2020
$1.6M
+15%
2021
$1.8M
+102%
2022
$3.6M
-1%
2023
$3.6M
-35%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (87636 (Respiratory virus detection, 6-11 targets, nucleic acid)) accounts for 25% of total spending.

87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$4.1M

43K claims · 24.6%

Your Cost: $94.80/claim|Median: $97.61
1.0× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.2M

34K claims · 7.1%

Your Cost: $34.85/claim|Median: $35.80
1.0× median
80053Normal range

Comprehensive metabolic panel

$1.1M

637K claims · 6.7%

Your Cost: $1.76/claim|Median: $7.24
0.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$1.0M

740K claims · 6.1%

Your Cost: $1.38/claim|Median: $4.71
0.3× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$944K

13K claims · 5.6%

Your Cost: $70.13/claim|Median: $59.38
1.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$941K

17K claims · 5.6%

Your Cost: $56.13/claim|Median: $63.08
0.9× median
82962Top 10%

Blood glucose test by monitoring device

$714K

150K claims · 4.3%

Your Cost: $4.76/claim|Median: $1.40
3.4× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$390K

5,440 claims · 2.3%

Your Cost: $71.62/claim|Median: $169.17
0.4× median
83735Normal range

Magnesium blood level test

$305K

255K claims · 1.8%

Your Cost: $1.20/claim|Median: $2.77
0.4× median
84484Normal range

Troponin, quantitative

$280K

142K claims · 1.7%

Your Cost: $1.96/claim|Median: $4.84
0.4× median
88304Top 25%

$268K

13K claims · 1.6%

Your Cost: $21.38/claim|Median: $12.88
1.7× median
80048Normal range

Basic metabolic panel

$267K

182K claims · 1.6%

Your Cost: $1.47/claim|Median: $5.78
0.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$250K

8,616 claims · 1.5%

Your Cost: $29.04/claim|Median: $35.43
0.8× median
83880Normal range

$243K

41K claims · 1.5%

Your Cost: $5.89/claim|Median: $11.81
0.5× median
87040Normal range

$204K

60K claims · 1.2%

Your Cost: $3.41/claim|Median: $5.54
0.6× median
82306Normal range

Vitamin D, 25 hydroxy

$201K

42K claims · 1.2%

Your Cost: $4.84/claim|Median: $18.18
0.3× median
80061Normal range

Lipid panel

$188K

83K claims · 1.1%

Your Cost: $2.27/claim|Median: $8.41
0.3× median
U0002Normal range

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

$186K

6,919 claims · 1.1%

Your Cost: $26.90/claim|Median: $34.62
0.8× median
84443Normal range

Thyroid stimulating hormone (TSH)

$173K

60K claims · 1.0%

Your Cost: $2.90/claim|Median: $9.87
0.3× median
87641Normal range

$168K

26K claims · 1.0%

Your Cost: $6.56/claim|Median: $12.38
0.5× median
83690Normal range

$157K

139K claims · 0.9%

Your Cost: $1.13/claim|Median: $3.35
0.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$134K

23K claims · 0.8%

Your Cost: $5.91/claim|Median: $24.95
0.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$130K

23K claims · 0.8%

Your Cost: $5.67/claim|Median: $23.39
0.2× median
85027Normal range

Complete blood count (CBC), automated

$120K

104K claims · 0.7%

Your Cost: $1.15/claim|Median: $3.72
0.3× median
84145Normal range

$118K

28K claims · 0.7%

Your Cost: $4.22/claim|Median: $6.97
0.6× median
83605Normal range

$108K

53K claims · 0.6%

Your Cost: $2.03/claim|Median: $4.66
0.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$105K

2,528 claims · 0.6%

Your Cost: $41.58/claim|Median: $37.56
1.1× median
85610Normal range

Prothrombin time (PT) blood clotting test

$100K

139K claims · 0.6%

Your Cost: $0.72/claim|Median: $2.14
0.3× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$95K

8,272 claims · 0.6%

Your Cost: $11.51/claim|Median: $26.72
0.4× median
85730Normal range

$95K

78K claims · 0.6%

Your Cost: $1.22/claim|Median: $2.83
0.4× median
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