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Provider 1972894772

NPI: 1972894772Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.1M

$17,147,610

Total Claims

62K

Beneficiaries

26K

2.3 claims/patient

Avg Cost/Claim

$277

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+102%
2019
$2.4M
+31%
2020
$3.2M
+34%
2021
$4.2M
-60%
2022
$1.7M
+39%
2023
$2.3M
-7%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (J0135 (Injection, adalimumab, twenty milligrams)) accounts for 24% of total spending.

J0135Top 10%

Injection, adalimumab, twenty milligrams

$4.0M

831 claims · 23.6%

Your Cost: $4,862.08/claim|Median: $2,044.06
2.4× median
S9542Top 5%

$2.2M

5,213 claims · 13.1%

Your Cost: $430.07/claim|Median: $43.71
9.8× median
S9500Normal range

$2.1M

11K claims · 12.2%

Your Cost: $197.83/claim|Median: $144.40
1.4× median
S9502Top 25%

$1.5M

5,563 claims · 8.8%

Your Cost: $272.65/claim|Median: $165.71
1.6× median
J3490Top 1%

Unclassified drugs

$1.5M

2,085 claims · 8.8%

Your Cost: $725.60/claim|Median: $5.70
127.3× median
S9501Normal range

$985K

3,885 claims · 5.7%

Your Cost: $253.65/claim|Median: $160.52
1.6× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$890K

5,447 claims · 5.2%

Your Cost: $163.47/claim|Median: $176.25
0.9× median
S9343Normal range

$824K

8,551 claims · 4.8%

Your Cost: $96.40/claim|Median: $99.47
1.0× median
S9366Top 10%

$713K

922 claims · 4.2%

Your Cost: $773.12/claim|Median: $394.05
2.0× median
A4223Normal range

$522K

5,974 claims · 3.0%

Your Cost: $87.45/claim|Median: $60.92
1.4× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$308K

2,034 claims · 1.8%

Your Cost: $151.29/claim|Median: $117.24
1.3× median
99601Top 25%

$274K

2,627 claims · 1.6%

Your Cost: $104.47/claim|Median: $82.41
1.3× median
J3590Top 5%

Unclassified biologic drug injection

$266K

90 claims · 1.6%

Your Cost: $2,956.19/claim|Median: $24.77
119.3× median
S9379Top 10%

$194K

948 claims · 1.1%

Your Cost: $204.16/claim|Median: $70.89
2.9× median
J1438Normal range

$185K

147 claims · 1.1%

Your Cost: $1,258.24/claim|Median: $1,184.84
1.1× median
96365Top 25%

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

$163K

1,440 claims · 0.9%

Your Cost: $112.93/claim|Median: $54.77
2.1× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$123K

2,293 claims · 0.7%

Your Cost: $53.66/claim|Median: $55.51
1.0× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$90K

1,123 claims · 0.5%

Your Cost: $79.91/claim|Median: $51.67
1.5× median
99602Top 25%

$48K

371 claims · 0.3%

Your Cost: $129.65/claim|Median: $84.91
1.5× median
S9374Normal range

$43K

250 claims · 0.3%

Your Cost: $172.72/claim|Median: $136.10
1.3× median
B4034Top 25%

$38K

445 claims · 0.2%

Your Cost: $84.41/claim|Median: $46.28
1.8× median
A4222Normal range

$35K

329 claims · 0.2%

Your Cost: $107.75/claim|Median: $62.70
1.7× median
S9340Normal range

$23K

88 claims · 0.1%

Your Cost: $256.75/claim|Median: $196.46
1.3× median
B4088Top 25%

$12K

103 claims · 0.1%

Your Cost: $112.18/claim|Median: $73.20
1.5× median
J1642Top 5%

$8K

144 claims · 0.0%

Your Cost: $54.07/claim|Median: $1.11
48.7× median
G0154Top 25%

Services of skilled nurse in home health, per 15 min

$5K

50 claims · 0.0%

Your Cost: $93.58/claim|Median: $70.85
1.3× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$3K

321 claims · 0.0%

Your Cost: $10.47/claim|Median: $16.19
0.6× median
B9002Normal range

$287

13 claims · 0.0%

Your Cost: $22.05/claim|Median: $54.41
0.4× median
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