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Provider 1972971265

NPI: 1972971265Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.9M

$16,941,619

Total Claims

1.0M

Beneficiaries

668K

1.6 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$334K
+87%
2019
$626K
+193%
2020
$1.8M
+69%
2021
$3.1M
+23%
2022
$3.8M
+0%
2023
$3.8M
-9%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0004 (COVID-19 test, nucleic acid detection, CDC lab only)) accounts for 22% of total spending.

U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$3.7M

76K claims · 21.6%

Your Cost: $48.15/claim|Median: $60.05
0.8× median
G0482Normal range

Drug test, definitive, 15-21 drug classes

$2.8M

76K claims · 16.8%

Your Cost: $37.67/claim|Median: $75.26
0.5× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$1.9M

36K claims · 11.0%

Your Cost: $52.32/claim|Median: $26.72
2.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.5M

117K claims · 9.1%

Your Cost: $13.20/claim|Median: $35.43
0.4× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$1.5M

61K claims · 9.1%

Your Cost: $24.97/claim|Median: $90.89
0.3× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$567K

21K claims · 3.3%

Your Cost: $26.89/claim|Median: $65.45
0.4× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$461K

53K claims · 2.7%

Your Cost: $8.67/claim|Median: $15.76
0.6× median
G2023Normal range

Specimen collection for COVID-19 testing

$411K

29K claims · 2.4%

Your Cost: $14.02/claim|Median: $17.15
0.8× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$394K

22K claims · 2.3%

Your Cost: $18.13/claim|Median: $64.72
0.3× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$331K

18K claims · 2.0%

Your Cost: $17.91/claim|Median: $37.56
0.5× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$278K

9,877 claims · 1.6%

Your Cost: $28.16/claim|Median: $34.62
0.8× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$200K

2,402 claims · 1.2%

Your Cost: $83.38/claim|Median: $169.17
0.5× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$195K

2,066 claims · 1.2%

Your Cost: $94.62/claim|Median: $100.62
0.9× median
87581Normal range

$180K

23K claims · 1.1%

Your Cost: $7.87/claim|Median: $17.13
0.5× median
87640Normal range

$176K

26K claims · 1.0%

Your Cost: $6.76/claim|Median: $8.39
0.8× median
87541Normal range

$172K

21K claims · 1.0%

Your Cost: $8.03/claim|Median: $7.29
1.1× median
87481Normal range

$147K

7,027 claims · 0.9%

Your Cost: $20.94/claim|Median: $22.38
0.9× median
87529Normal range

$70K

4,252 claims · 0.4%

Your Cost: $16.47/claim|Median: $24.98
0.7× median
80365Normal range

$62K

14K claims · 0.4%

Your Cost: $4.31/claim|Median: $5.24
0.8× median
80372Normal range

$62K

14K claims · 0.4%

Your Cost: $4.32/claim|Median: $6.21
0.7× median
80366Normal range

$61K

14K claims · 0.4%

Your Cost: $4.34/claim|Median: $5.67
0.8× median
80358Normal range

$60K

14K claims · 0.4%

Your Cost: $4.21/claim|Median: $5.06
0.8× median
80353Normal range

Benzodiazepine drug level, definitive method, each

$59K

15K claims · 0.3%

Your Cost: $4.05/claim|Median: $5.26
0.8× median
80355Normal range

$59K

14K claims · 0.3%

Your Cost: $4.17/claim|Median: $6.21
0.7× median
80368Normal range

$59K

13K claims · 0.3%

Your Cost: $4.48/claim|Median: $5.64
0.8× median
80354Normal range

$58K

15K claims · 0.3%

Your Cost: $4.02/claim|Median: $5.61
0.7× median
80321Normal range

$58K

14K claims · 0.3%

Your Cost: $4.25/claim|Median: $6.61
0.6× median
80323Normal range

$56K

12K claims · 0.3%

Your Cost: $4.64/claim|Median: $7.53
0.6× median
80360Normal range

$55K

14K claims · 0.3%

Your Cost: $3.84/claim|Median: $5.43
0.7× median
80356Normal range

Benzodiazepine drug assay by definitive method

$55K

14K claims · 0.3%

Your Cost: $3.84/claim|Median: $5.78
0.7× median
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