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Provider 1922175074

NPI: 1922175074Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,182,841

Total Claims

88K

Beneficiaries

62K

1.4 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-24%
2019
$1.0M
-23%
2020
$804K
+22%
2021
$980K
-16%
2022
$820K
+111%
2023
$1.7M
-18%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (78815 (PET imaging for limited area)) accounts for 33% of total spending.

78815Top 10%

PET imaging for limited area

$2.7M

2,344 claims · 33.4%

Your Cost: $1,164.73/claim|Median: $325.10
3.6× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.1M

14K claims · 13.6%

Your Cost: $82.06/claim|Median: $75.28
1.1× median
99214Normal range

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

$1.0M

23K claims · 12.7%

Your Cost: $45.04/claim|Median: $53.41
0.8× median
J0897Top 1%

Injection, denosumab, one milligram

$532K

221 claims · 6.5%

Your Cost: $2,405.97/claim|Median: $493.25
4.9× median
A9552Top 25%

$467K

1,451 claims · 5.7%

Your Cost: $322.04/claim|Median: $89.01
3.6× median
Q0138Top 1%

$446K

124 claims · 5.4%

Your Cost: $3,594.39/claim|Median: $214.34
16.8× median
96367Normal range

$379K

8,309 claims · 4.6%

Your Cost: $45.61/claim|Median: $29.27
1.6× median
J2469Top 5%

Injection, palonosetron HCl, twenty-five micrograms

$370K

2,300 claims · 4.5%

Your Cost: $160.68/claim|Median: $25.23
6.4× median
J1100Top 5%

$184K

7,480 claims · 2.2%

Your Cost: $24.60/claim|Median: $0.52
47.3× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$178K

6,526 claims · 2.2%

Your Cost: $27.23/claim|Median: $14.92
1.8× median
99215Normal range

Office/outpatient visit, high complexity

$166K

2,490 claims · 2.0%

Your Cost: $66.65/claim|Median: $74.09
0.9× median
99213Normal range

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

$144K

5,436 claims · 1.8%

Your Cost: $26.49/claim|Median: $37.81
0.7× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$67K

4,437 claims · 0.8%

Your Cost: $15.06/claim|Median: $9.56
1.6× median
96365Normal range

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

$64K

841 claims · 0.8%

Your Cost: $75.72/claim|Median: $54.77
1.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$60K

596 claims · 0.7%

Your Cost: $101.41/claim|Median: $111.09
0.9× median
96415Normal range

Chemotherapy infusion, each additional hour

$50K

1,936 claims · 0.6%

Your Cost: $25.93/claim|Median: $43.68
0.6× median
99204Normal range

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

$45K

506 claims · 0.6%

Your Cost: $89.53/claim|Median: $84.03
1.1× median
99233Normal range

Subsequent hospital care, per day, high complexity

$32K

683 claims · 0.4%

Your Cost: $46.27/claim|Median: $35.30
1.3× median
96523Normal range

$22K

973 claims · 0.3%

Your Cost: $22.59/claim|Median: $19.90
1.1× median
96417Normal range

$19K

656 claims · 0.2%

Your Cost: $29.52/claim|Median: $37.60
0.8× median
99245Normal range

Office consultation, high complexity

$19K

136 claims · 0.2%

Your Cost: $138.24/claim|Median: $143.30
1.0× median
J1200Top 25%

$13K

2,857 claims · 0.2%

Your Cost: $4.40/claim|Median: $0.60
7.3× median
99223Normal range

Initial hospital care, per day, high complexity

$11K

159 claims · 0.1%

Your Cost: $72.17/claim|Median: $67.32
1.1× median
96368Normal range

$9K

535 claims · 0.1%

Your Cost: $17.23/claim|Median: $14.35
1.2× median
J0640Top 10%

$7K

84 claims · 0.1%

Your Cost: $81.96/claim|Median: $24.08
3.4× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$6K

149 claims · 0.1%

Your Cost: $40.75/claim|Median: $23.99
1.7× median
J9190Top 5%

$4K

80 claims · 0.0%

Your Cost: $43.80/claim|Median: $9.86
4.4× median
96401Top 5%

$3K

15 claims · 0.0%

Your Cost: $167.75/claim|Median: $40.24
4.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1K

12 claims · 0.0%

Your Cost: $122.10/claim|Median: $121.58
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$738

42 claims · 0.0%

Your Cost: $17.58/claim|Median: $38.92
0.5× median
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