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Provider 1942567839

NPI: 1942567839Share
Active Billing Period:2018-01→2023-03(63 months)
Billing appears to have stoppedLast active: 2023-03

Total Paid

$16.1M

$16,107,556

Total Claims

90K

Beneficiaries

12K

7.4 claims/patient

Avg Cost/Claim

$180

Monthly Spending Trend

Yearly Spending

2018
$4.0M
+25%
2019
$5.0M
-14%
2020
$4.3M
-65%
2021
$1.5M
-31%
2022
$1.0M
-67%
2023
$341K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (Q4081 (Injection, epoetin alfa, 100 units (non-ESRD))) accounts for 32% of total spending.

Q4081Top 5%

Injection, epoetin alfa, 100 units (non-ESRD)

$5.1M

31K claims · 31.7%

Your Cost: $164.93/claim|Median: $4.98
33.1× median
90999Top 10%

Unlisted dialysis procedure

$4.8M

26K claims · 29.8%

Your Cost: $183.92/claim|Median: $63.73
2.9× median
J1270Top 5%

Injection, doxercalciferol, 1 mcg

$3.1M

15K claims · 19.0%

Your Cost: $202.03/claim|Median: $0.73
276.8× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$843K

5,679 claims · 5.2%

Your Cost: $148.36/claim|Median: $4.58
32.4× median
A4657Top 5%

Syringe with needle, each

$654K

2,777 claims · 4.1%

Your Cost: $235.43/claim|Median: $2.19
107.5× median
85048Top 5%

$315K

1,863 claims · 2.0%

Your Cost: $169.27/claim|Median: $0.81
209.0× median
85041Top 5%

$315K

1,862 claims · 2.0%

Your Cost: $169.36/claim|Median: $0.76
222.8× median
83550Top 1%

$238K

1,226 claims · 1.5%

Your Cost: $193.74/claim|Median: $3.49
55.5× median
83540Top 1%

Iron blood level test

$237K

1,230 claims · 1.5%

Your Cost: $192.89/claim|Median: $2.93
65.8× median
83970Top 1%

Parathormone (parathyroid hormone) blood test

$202K

991 claims · 1.3%

Your Cost: $203.50/claim|Median: $10.20
20.0× median
82728Top 1%

Ferritin

$152K

828 claims · 0.9%

Your Cost: $183.15/claim|Median: $6.00
30.5× median
82306Top 1%

Vitamin D, 25 hydroxy

$91K

517 claims · 0.6%

Your Cost: $175.34/claim|Median: $18.18
9.6× median
G0499Top 5%

$54K

261 claims · 0.3%

Your Cost: $207.14/claim|Median: $2.76
75.1× median
82108Top 10%

$21K

131 claims · 0.1%

Your Cost: $161.98/claim|Median: $2.12
76.4× median
82746Top 1%

$16K

70 claims · 0.1%

Your Cost: $228.19/claim|Median: $6.83
33.4× median
85046Top 1%

$7K

26 claims · 0.0%

Your Cost: $255.02/claim|Median: $2.47
103.2× median
82607Top 1%

Cyanocobalamin (vitamin B-12)

$5K

12 claims · 0.0%

Your Cost: $400.40/claim|Median: $8.72
45.9× median
G0008Top 5%

$3K

17 claims · 0.0%

Your Cost: $165.46/claim|Median: $2.54
65.1× median
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