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Provider 1568454494

NPI: 1568454494Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.9M

$8,866,249

Total Claims

2.3M

Beneficiaries

2.2M

1.0 claims/patient

Avg Cost/Claim

$4

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-11%
2019
$1.2M
+40%
2020
$1.7M
+25%
2021
$2.1M
-36%
2022
$1.3M
-46%
2023
$719K
-19%
2024
$580K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0004 (COVID-19 test, nucleic acid detection, CDC lab only)) accounts for 26% of total spending.

U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$2.3M

34K claims · 26.1%

Your Cost: $68.40/claim|Median: $60.05
1.1× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$687K

11K claims · 7.7%

Your Cost: $60.90/claim|Median: $35.80
1.7× median
88142Normal range

$679K

39K claims · 7.7%

Your Cost: $17.34/claim|Median: $14.75
1.2× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$633K

19K claims · 7.1%

Your Cost: $34.12/claim|Median: $25.57
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$350K

37K claims · 3.9%

Your Cost: $9.40/claim|Median: $24.95
0.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$334K

36K claims · 3.8%

Your Cost: $9.20/claim|Median: $23.39
0.4× median
87517Normal range

$287K

8,146 claims · 3.2%

Your Cost: $35.22/claim|Median: $27.01
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$228K

217K claims · 2.6%

Your Cost: $1.05/claim|Median: $4.71
0.2× median
80061Normal range

Lipid panel

$220K

184K claims · 2.5%

Your Cost: $1.19/claim|Median: $8.41
0.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$215K

120K claims · 2.4%

Your Cost: $1.80/claim|Median: $9.87
0.2× median
80053Normal range

Comprehensive metabolic panel

$214K

210K claims · 2.4%

Your Cost: $1.02/claim|Median: $7.24
0.1× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$193K

4,755 claims · 2.2%

Your Cost: $40.54/claim|Median: $35.43
1.1× median
83013Normal range

$190K

3,539 claims · 2.1%

Your Cost: $53.77/claim|Median: $46.17
1.2× median
82306Normal range

Vitamin D, 25 hydroxy

$167K

69K claims · 1.9%

Your Cost: $2.43/claim|Median: $18.18
0.1× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$167K

16K claims · 1.9%

Your Cost: $10.72/claim|Median: $15.76
0.7× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$135K

17K claims · 1.5%

Your Cost: $8.02/claim|Median: $18.03
0.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$134K

125K claims · 1.5%

Your Cost: $1.07/claim|Median: $5.50
0.2× median
88312Normal range

$114K

2,843 claims · 1.3%

Your Cost: $40.15/claim|Median: $24.56
1.6× median
36415Normal range

Collection of venous blood by venipuncture

$114K

172K claims · 1.3%

Your Cost: $0.66/claim|Median: $1.57
0.4× median
G2023Normal range

Specimen collection for COVID-19 testing

$95K

4,342 claims · 1.1%

Your Cost: $21.99/claim|Median: $17.15
1.3× median
87522Normal range

$89K

2,592 claims · 1.0%

Your Cost: $34.39/claim|Median: $29.66
1.2× median
80055Normal range

$83K

4,787 claims · 0.9%

Your Cost: $17.38/claim|Median: $28.10
0.6× median
86703Normal range

$60K

9,349 claims · 0.7%

Your Cost: $6.46/claim|Median: $10.37
0.6× median
80164Top 25%

$55K

5,274 claims · 0.6%

Your Cost: $10.50/claim|Median: $5.91
1.8× median
86592Normal range

$53K

26K claims · 0.6%

Your Cost: $2.07/claim|Median: $3.35
0.6× median
87625Top 10%

$50K

1,443 claims · 0.6%

Your Cost: $34.97/claim|Median: $20.47
1.7× median
88141Normal range

$50K

5,127 claims · 0.6%

Your Cost: $9.78/claim|Median: $14.87
0.7× median
81001Normal range

Urinalysis, automated, with microscopy

$40K

136K claims · 0.5%

Your Cost: $0.29/claim|Median: $2.03
0.1× median
87086Normal range

Urine culture, colony count, with identification

$40K

31K claims · 0.4%

Your Cost: $1.28/claim|Median: $5.31
0.2× median
80048Normal range

Basic metabolic panel

$36K

18K claims · 0.4%

Your Cost: $1.96/claim|Median: $5.78
0.3× median