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FRESENIUS MEDICAL CARE BALBOA, LLC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment·CHULA VISTA, CA·NPI: 1801021399Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$19.1M

$19,070,056

Total Claims

323K

Beneficiaries

98K

3.3 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+10%
2019
$3.6M
-36%
2020
$2.3M
+19%
2021
$2.7M
+0%
2022
$2.7M
-11%
2023
$2.4M
-11%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 98% of total spending.

90999Top 10%

Unlisted dialysis procedure

$18.6M

85K claims · 97.7%

Your Cost: $220.29/claim|Median: $63.73
3.5× median
0250Normal range

$186K

44K claims · 1.0%

Your Cost: $4.20/claim|Median: $3.70
1.1× median
A4657Normal range

Syringe with needle, each

$67K

48K claims · 0.4%

Your Cost: $1.40/claim|Median: $2.19
0.6× median
J0887Normal range

Injection, epoetin alfa, non-ESRD, 1000 units

$59K

5,990 claims · 0.3%

Your Cost: $9.91/claim|Median: $30.48
0.3× median
80069Normal range

Renal function panel

$27K

3,599 claims · 0.1%

Your Cost: $7.43/claim|Median: $4.12
1.8× median
J1756Normal range

Injection, iron sucrose, 1 mg

$27K

13K claims · 0.1%

Your Cost: $2.01/claim|Median: $4.58
0.4× median
85018Normal range

$12K

18K claims · 0.1%

Your Cost: $0.68/claim|Median: $1.71
0.4× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$12K

6,163 claims · 0.1%

Your Cost: $1.92/claim|Median: $10.20
0.2× median
J1644Normal range

$10K

34K claims · 0.1%

Your Cost: $0.29/claim|Median: $0.37
0.8× median
83550Normal range

$5K

5,915 claims · 0.0%

Your Cost: $0.79/claim|Median: $3.49
0.2× median
84520Normal range

$4K

9,284 claims · 0.0%

Your Cost: $0.45/claim|Median: $0.89
0.5× median
83540Normal range

Iron blood level test

$3K

6,159 claims · 0.0%

Your Cost: $0.56/claim|Median: $2.93
0.2× median
82108Normal range

$3K

987 claims · 0.0%

Your Cost: $3.20/claim|Median: $2.12
1.5× median
84155Normal range

$3K

5,446 claims · 0.0%

Your Cost: $0.54/claim|Median: $0.60
0.9× median
84100Normal range

$3K

3,911 claims · 0.0%

Your Cost: $0.75/claim|Median: $1.34
0.6× median
J3490Normal range

Unclassified drugs

$3K

2,335 claims · 0.0%

Your Cost: $1.08/claim|Median: $5.70
0.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$2K

5,171 claims · 0.0%

Your Cost: $0.47/claim|Median: $4.71
0.1× median
80051Normal range

Electrolyte panel blood test

$2K

2,463 claims · 0.0%

Your Cost: $0.93/claim|Median: $1.56
0.6× median
82310Normal range

$2K

3,285 claims · 0.0%

Your Cost: $0.68/claim|Median: $0.91
0.8× median
G0306Normal range

$2K

365 claims · 0.0%

Your Cost: $5.83/claim|Median: $1.77
3.3× median
82728Normal range

Ferritin

$2K

2,401 claims · 0.0%

Your Cost: $0.86/claim|Median: $6.00
0.1× median
J0604Normal range

$2K

732 claims · 0.0%

Your Cost: $2.73/claim|Median: $11.09
0.2× median
87340Normal range

Hepatitis B surface antigen detection

$2K

2,620 claims · 0.0%

Your Cost: $0.70/claim|Median: $5.52
0.1× median
83735Normal range

Magnesium blood level test

$2K

2,239 claims · 0.0%

Your Cost: $0.76/claim|Median: $2.77
0.3× median
84075Normal range

$1K

1,997 claims · 0.0%

Your Cost: $0.51/claim|Median: $0.72
0.7× median
84132Normal range

$921

1,483 claims · 0.0%

Your Cost: $0.62/claim|Median: $1.09
0.6× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$600

18 claims · 0.0%

Your Cost: $33.33/claim|Median: $25.93
1.3× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$592

38 claims · 0.0%

Your Cost: $15.59/claim|Median: $33.85
0.5× median
86704Top 10%

$539

31 claims · 0.0%

Your Cost: $17.39/claim|Median: $7.48
2.3× median
82565Normal range

Creatinine blood test

$483

2,541 claims · 0.0%

Your Cost: $0.19/claim|Median: $1.94
0.1× median
G0008Normal range

$424

322 claims · 0.0%

Your Cost: $1.32/claim|Median: $2.54
0.5× median
86706Normal range

$390

468 claims · 0.0%

Your Cost: $0.83/claim|Median: $5.39
0.2× median
0013ANormal range

$240

13 claims · 0.0%

Your Cost: $18.46/claim|Median: $35.38
0.5× median
82040Normal range

$219

2,495 claims · 0.0%

Your Cost: $0.09/claim|Median: $0.92
0.1× median
84466Normal range

Transferrin blood test

$207

63 claims · 0.0%

Your Cost: $3.28/claim|Median: $4.53
0.7× median
J1270Normal range

Injection, doxercalciferol, 1 mcg

$101

757 claims · 0.0%

Your Cost: $0.13/claim|Median: $0.73
0.2× median
90662Normal range

$95

217 claims · 0.0%

Your Cost: $0.44/claim|Median: $6.55
0.1× median
82746Normal range

$51

316 claims · 0.0%

Your Cost: $0.16/claim|Median: $6.83
0.0× median
90682Normal range

$47

68 claims · 0.0%

Your Cost: $0.69/claim|Median: $34.72
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$39

109 claims · 0.0%

Your Cost: $0.36/claim|Median: $7.18
0.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$31

681 claims · 0.0%

Your Cost: $0.05/claim|Median: $5.50
0.0× median
90677Normal range

$16

22 claims · 0.0%

Your Cost: $0.74/claim|Median: $12.96
0.1× median
86803Normal range

Hepatitis C antibody

$13

161 claims · 0.0%

Your Cost: $0.08/claim|Median: $10.17
0.0× median
90688Normal range

$1

74 claims · 0.0%

Your Cost: $0.01/claim|Median: $9.00
0.0× median
86580Normal range

Tuberculosis (TB) skin test

$0

188 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.46
0.0× median
90661Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.37
85046Normal range

$0

79 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.47
90732Normal range

Pneumococcal vaccine (PPSV23)

$0

48 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.96
90673Normal range

$0

20 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.84
82947Normal range

Blood glucose level test

$0

513 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.38

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