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Provider 1619089463

NPI: 1619089463Share
Active Billing Period:2018-012024-07(78 months)

Total Paid

$11.6M

$11,559,766

Total Claims

68K

Beneficiaries

22K

3.0 claims/patient

Avg Cost/Claim

$171

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+43%
2019
$2.8M
+22%
2020
$3.4M
-59%
2021
$1.4M
+14%
2022
$1.6M
-81%
2023
$302K
-70%
2024
$90K

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 41% of total spending.

90999Top 10%

Unlisted dialysis procedure

$4.8M

23K claims · 41.1%

Your Cost: $209.84/claim|Median: $63.73
3.3× median
A4657Top 25%

Syringe with needle, each

$1.3M

10K claims · 11.6%

Your Cost: $128.96/claim|Median: $2.19
58.9× median
85018Top 1%

$930K

5,090 claims · 8.0%

Your Cost: $182.64/claim|Median: $1.71
106.8× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$817K

5,331 claims · 7.1%

Your Cost: $153.31/claim|Median: $4.58
33.5× median
J0887Top 10%

Injection, epoetin alfa, non-ESRD, 1000 units

$564K

2,520 claims · 4.9%

Your Cost: $223.66/claim|Median: $30.48
7.3× median
84520Top 5%

$547K

3,422 claims · 4.7%

Your Cost: $159.84/claim|Median: $0.89
179.6× median
83540Top 5%

Iron blood level test

$306K

1,933 claims · 2.6%

Your Cost: $158.16/claim|Median: $2.93
54.0× median
85025Top 1%

Complete blood count (CBC) with differential, automated

$296K

1,874 claims · 2.6%

Your Cost: $157.87/claim|Median: $4.71
33.5× median
84155Top 5%

$244K

1,696 claims · 2.1%

Your Cost: $143.79/claim|Median: $0.60
239.6× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$204K

1,220 claims · 1.8%

Your Cost: $166.83/claim|Median: $10.20
16.4× median
82310Top 5%

$173K

1,291 claims · 1.5%

Your Cost: $133.74/claim|Median: $0.91
147.0× median
84466Top 1%

Transferrin blood test

$162K

679 claims · 1.4%

Your Cost: $238.43/claim|Median: $4.53
52.6× median
80069Top 5%

Renal function panel

$128K

843 claims · 1.1%

Your Cost: $151.92/claim|Median: $4.12
36.9× median
82728Top 5%

Ferritin

$114K

748 claims · 1.0%

Your Cost: $152.41/claim|Median: $6.00
25.4× median
83735Top 1%

Magnesium blood level test

$103K

631 claims · 0.9%

Your Cost: $163.65/claim|Median: $2.77
59.1× median
84075Top 5%

$103K

612 claims · 0.9%

Your Cost: $167.57/claim|Median: $0.72
232.7× median
84100Top 5%

$99K

641 claims · 0.9%

Your Cost: $154.41/claim|Median: $1.34
115.2× median
85045Top 1%

$92K

304 claims · 0.8%

Your Cost: $303.71/claim|Median: $1.64
185.2× median
82040Top 5%

$73K

514 claims · 0.6%

Your Cost: $142.69/claim|Median: $0.92
155.1× median
80051Top 5%

Electrolyte panel blood test

$69K

457 claims · 0.6%

Your Cost: $149.95/claim|Median: $1.56
96.1× median
82565Top 5%

Creatinine blood test

$66K

441 claims · 0.6%

Your Cost: $148.77/claim|Median: $1.94
76.7× median
83550Top 10%

$61K

863 claims · 0.5%

Your Cost: $70.84/claim|Median: $3.49
20.3× median
82108Top 10%

$51K

369 claims · 0.4%

Your Cost: $138.91/claim|Median: $2.12
65.5× median
J0604Top 5%

$34K

79 claims · 0.3%

Your Cost: $428.63/claim|Median: $11.09
38.7× median
87340Top 5%

Hepatitis B surface antigen detection

$33K

280 claims · 0.3%

Your Cost: $116.61/claim|Median: $5.52
21.1× median
84132Top 5%

$32K

302 claims · 0.3%

Your Cost: $105.19/claim|Median: $1.09
96.5× median
86706Top 5%

$30K

171 claims · 0.3%

Your Cost: $176.19/claim|Median: $5.39
32.7× median
82746Top 1%

$30K

168 claims · 0.3%

Your Cost: $177.13/claim|Median: $6.83
25.9× median
86704Top 5%

$27K

150 claims · 0.2%

Your Cost: $180.55/claim|Median: $7.48
24.1× median
82607Top 1%

Cyanocobalamin (vitamin B-12)

$25K

147 claims · 0.2%

Your Cost: $168.11/claim|Median: $8.72
19.3× median