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Provider 1982651600

NPI: 1982651600Share
Active Billing Period:2018-022023-11(66 months)
Billing appears to have stoppedLast active: 2023-11

Total Paid

$17.3M

$17,341,291

Total Claims

12K

Beneficiaries

9,385

1.3 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2018
$449K
+286%
2019
$1.7M
+89%
2020
$3.3M
+49%
2021
$4.9M
+16%
2022
$5.7M
-76%
2023
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (Q5003 (Injection, infliximab-dyyb, biosimilar, 10 mg)) accounts for 80% of total spending.

Q5003Top 25%

Injection, infliximab-dyyb, biosimilar, 10 mg

$13.9M

4,402 claims · 80.0%

Your Cost: $3,151.75/claim|Median: $177.99
17.7× median
Q5001Top 5%

Injection, filgrastim-sndz, biosimilar, 1 mcg

$2.6M

1,263 claims · 15.0%

Your Cost: $2,060.75/claim|Median: $23.43
88.0× median
T2046Top 10%

Habilitation, residential, waiver; per month

$246K

64 claims · 1.4%

Your Cost: $3,837.33/claim|Median: $1,795.74
2.1× median
S9126Normal range

Hospice care, in the home, per diem

$216K

168 claims · 1.2%

Your Cost: $1,283.81/claim|Median: $438.57
2.9× median
90834Normal range

Psychotherapy, 45 minutes

$123K

2,065 claims · 0.7%

Your Cost: $59.67/claim|Median: $63.65
0.9× median
Q5005Top 10%

$72K

78 claims · 0.4%

Your Cost: $929.22/claim|Median: $432.46
2.1× median
Q5006Top 25%

$61K

35 claims · 0.4%

Your Cost: $1,756.68/claim|Median: $544.82
3.2× median
99213Top 25%

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

$47K

812 claims · 0.3%

Your Cost: $57.88/claim|Median: $37.81
1.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$46K

2,247 claims · 0.3%

Your Cost: $20.52/claim|Median: $12.93
1.6× median
T2045Normal range

$27K

27 claims · 0.2%

Your Cost: $987.96/claim|Median: $974.51
1.0× median
97530Top 1%

Therapeutic activities, each 15 min

$11K

73 claims · 0.1%

Your Cost: $145.31/claim|Median: $33.11
4.4× median
99212Normal range

Office/outpatient visit, low complexity

$10K

744 claims · 0.1%

Your Cost: $13.31/claim|Median: $25.06
0.5× median
90832Normal range

Psychotherapy, 30 minutes

$5K

231 claims · 0.0%

Your Cost: $20.98/claim|Median: $41.28
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$633

21 claims · 0.0%

Your Cost: $30.15/claim|Median: $85.66
0.4× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$321

72 claims · 0.0%

Your Cost: $4.46/claim|Median: $51.67
0.1× median