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Provider 1578963211

NPI: 1578963211Share
Active Billing Period:2018-012023-03(63 months)
Billing appears to have stoppedLast active: 2023-03

Total Paid

$9.6M

$9,608,919

Total Claims

49K

Beneficiaries

22K

2.3 claims/patient

Avg Cost/Claim

$195

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+52%
2019
$2.2M
+25%
2020
$2.8M
-53%
2021
$1.3M
+8%
2022
$1.4M
-71%
2023
$413K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 30% of total spending.

90999Top 10%

Unlisted dialysis procedure

$2.9M

14K claims · 30.4%

Your Cost: $216.40/claim|Median: $63.73
3.4× median
A4657Top 10%

Syringe with needle, each

$1.2M

6,274 claims · 13.0%

Your Cost: $198.45/claim|Median: $2.19
90.6× median
85018Top 1%

$740K

3,759 claims · 7.7%

Your Cost: $196.92/claim|Median: $1.71
115.2× median
84520Top 1%

$639K

3,124 claims · 6.7%

Your Cost: $204.59/claim|Median: $0.89
229.9× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$463K

2,388 claims · 4.8%

Your Cost: $193.91/claim|Median: $4.58
42.3× median
J0887Top 10%

Injection, epoetin alfa, non-ESRD, 1000 units

$347K

1,762 claims · 3.6%

Your Cost: $197.11/claim|Median: $30.48
6.5× median
84100Top 1%

$291K

1,608 claims · 3.0%

Your Cost: $180.72/claim|Median: $1.34
134.9× median
82310Top 5%

$285K

1,683 claims · 3.0%

Your Cost: $169.38/claim|Median: $0.91
186.1× median
83540Top 1%

Iron blood level test

$273K

1,548 claims · 2.8%

Your Cost: $176.50/claim|Median: $2.93
60.2× median
83550Top 1%

$273K

1,545 claims · 2.8%

Your Cost: $176.56/claim|Median: $3.49
50.6× median
85025Top 1%

Complete blood count (CBC) with differential, automated

$265K

1,462 claims · 2.8%

Your Cost: $181.24/claim|Median: $4.71
38.5× median
82040Top 5%

$262K

1,581 claims · 2.7%

Your Cost: $165.44/claim|Median: $0.92
179.8× median
82565Top 1%

Creatinine blood test

$260K

1,461 claims · 2.7%

Your Cost: $178.25/claim|Median: $1.94
91.9× median
84155Top 5%

$260K

1,472 claims · 2.7%

Your Cost: $176.32/claim|Median: $0.60
293.9× median
83970Top 1%

Parathormone (parathyroid hormone) blood test

$204K

986 claims · 2.1%

Your Cost: $206.58/claim|Median: $10.20
20.3× median
80051Top 1%

Electrolyte panel blood test

$192K

1,025 claims · 2.0%

Your Cost: $187.28/claim|Median: $1.56
120.1× median
82728Top 1%

Ferritin

$126K

679 claims · 1.3%

Your Cost: $186.06/claim|Median: $6.00
31.0× median
83735Top 1%

Magnesium blood level test

$93K

524 claims · 1.0%

Your Cost: $177.06/claim|Median: $2.77
63.9× median
84075Top 5%

$93K

520 claims · 1.0%

Your Cost: $178.42/claim|Median: $0.72
247.8× median
82746Top 5%

$77K

528 claims · 0.8%

Your Cost: $145.38/claim|Median: $6.83
21.3× median
85046Top 5%

$72K

545 claims · 0.8%

Your Cost: $132.69/claim|Median: $2.47
53.7× median
84132Top 1%

$51K

252 claims · 0.5%

Your Cost: $203.91/claim|Median: $1.09
187.1× median
84295Top 1%

Sodium blood level test

$45K

240 claims · 0.5%

Your Cost: $187.50/claim|Median: $0.88
213.1× median
82374Top 5%

$45K

240 claims · 0.5%

Your Cost: $187.50/claim|Median: $0.58
323.3× median
87340Top 5%

Hepatitis B surface antigen detection

$22K

188 claims · 0.2%

Your Cost: $115.25/claim|Median: $5.52
20.9× median
86706Top 5%

$18K

116 claims · 0.2%

Your Cost: $155.62/claim|Median: $5.39
28.9× median
G0008Top 1%

$16K

63 claims · 0.2%

Your Cost: $250.35/claim|Median: $2.54
98.6× median
82607Top 1%

Cyanocobalamin (vitamin B-12)

$9K

59 claims · 0.1%

Your Cost: $155.71/claim|Median: $8.72
17.9× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$7K

19 claims · 0.1%

Your Cost: $384.97/claim|Median: $7.18
53.6× median
86803Top 1%

Hepatitis C antibody

$5K

25 claims · 0.0%

Your Cost: $188.93/claim|Median: $10.17
18.6× median