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Provider 1598770471

NPI: 1598770471Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.5M

$13,458,664

Total Claims

484K

Beneficiaries

352K

1.4 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$394K
+421%
2019
$2.1M
+28%
2020
$2.6M
+14%
2021
$3.0M
-30%
2022
$2.1M
+6%
2023
$2.2M
-54%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 29% of total spending.

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$3.9M

62K claims · 28.7%

Your Cost: $62.11/claim|Median: $53.41
1.2× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.7M

23K claims · 12.9%

Your Cost: $75.93/claim|Median: $75.28
1.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$1.6M

36K claims · 12.1%

Your Cost: $45.04/claim|Median: $37.81
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$647K

25K claims · 4.8%

Your Cost: $26.38/claim|Median: $23.99
1.1× median
G6015Top 25%

$542K

1,975 claims · 4.0%

Your Cost: $274.48/claim|Median: $146.54
1.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$529K

33K claims · 3.9%

Your Cost: $15.96/claim|Median: $14.92
1.1× median
Q0138Top 10%

$430K

690 claims · 3.2%

Your Cost: $623.51/claim|Median: $214.34
2.9× median
J2469Top 25%

Injection, palonosetron HCl, twenty-five micrograms

$407K

5,633 claims · 3.0%

Your Cost: $72.21/claim|Median: $25.23
2.9× median
99215Normal range

Office/outpatient visit, high complexity

$385K

5,493 claims · 2.9%

Your Cost: $70.17/claim|Median: $74.09
0.9× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$316K

7,968 claims · 2.3%

Your Cost: $39.63/claim|Median: $54.77
0.7× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$309K

2,523 claims · 2.3%

Your Cost: $122.31/claim|Median: $84.03
1.5× median
Q5107Top 25%

$262K

167 claims · 1.9%

Your Cost: $1,571.39/claim|Median: $824.41
1.9× median
J1453Normal range

$248K

3,037 claims · 1.8%

Your Cost: $81.70/claim|Median: $65.90
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$247K

77K claims · 1.8%

Your Cost: $3.20/claim|Median: $4.71
0.7× median
80053Normal range

Comprehensive metabolic panel

$207K

50K claims · 1.5%

Your Cost: $4.16/claim|Median: $7.24
0.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$175K

2,936 claims · 1.3%

Your Cost: $59.58/claim|Median: $35.30
1.7× median
99223Top 25%

Initial hospital care, per day, high complexity

$158K

1,457 claims · 1.2%

Your Cost: $108.72/claim|Median: $67.32
1.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$151K

14K claims · 1.1%

Your Cost: $10.99/claim|Median: $9.56
1.1× median
77014Top 5%

CT guidance for radiation therapy procedure

$142K

1,654 claims · 1.1%

Your Cost: $85.84/claim|Median: $26.94
3.2× median
77427Top 25%

$99K

908 claims · 0.7%

Your Cost: $109.50/claim|Median: $83.73
1.3× median
96367Normal range

$88K

4,800 claims · 0.7%

Your Cost: $18.35/claim|Median: $29.27
0.6× median
J0881Top 5%

Injection, darbepoetin alfa, one microgram, non-ESRD

$85K

95 claims · 0.6%

Your Cost: $897.71/claim|Median: $109.46
8.2× median
96417Normal range

$85K

2,207 claims · 0.6%

Your Cost: $38.30/claim|Median: $37.60
1.0× median
96416Normal range

$68K

667 claims · 0.5%

Your Cost: $102.13/claim|Median: $118.51
0.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$63K

1,838 claims · 0.5%

Your Cost: $34.46/claim|Median: $21.76
1.6× median
82728Normal range

Ferritin

$55K

9,295 claims · 0.4%

Your Cost: $5.89/claim|Median: $6.00
1.0× median
82378Normal range

$39K

4,672 claims · 0.3%

Your Cost: $8.26/claim|Median: $9.15
0.9× median
J0185Normal range

$36K

219 claims · 0.3%

Your Cost: $162.85/claim|Median: $125.72
1.3× median
J9190Top 25%

$32K

1,591 claims · 0.2%

Your Cost: $20.01/claim|Median: $9.86
2.0× median
83615Normal range

$30K

12K claims · 0.2%

Your Cost: $2.48/claim|Median: $2.75
0.9× median
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