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RENAL CARE GROUP OF THE SOUTHEAST, INC.

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment·PENSACOLA, FL·NPI: 1992817738Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$22.5M

$22,500,029

Total Claims

172K

Beneficiaries

60K

2.9 claims/patient

Avg Cost/Claim

$131

Monthly Spending Trend

Yearly Spending

2018
$3.5M
+31%
2019
$4.6M
+47%
2020
$6.7M
-60%
2021
$2.7M
+37%
2022
$3.6M
-70%
2023
$1.1M
-75%
2024
$282K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 46 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 39% of total spending.

90999Top 25%

Unlisted dialysis procedure

$8.8M

59K claims · 39.1%

Your Cost: $149.60/claim|Median: $63.73
2.3× median
A4657Top 25%

Syringe with needle, each

$2.2M

19K claims · 9.6%

Your Cost: $115.13/claim|Median: $2.19
52.6× median
85018Top 1%

$1.4M

10K claims · 6.2%

Your Cost: $133.77/claim|Median: $1.71
78.2× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$1.3M

9,691 claims · 5.6%

Your Cost: $129.49/claim|Median: $4.58
28.3× median
84520Top 5%

$1.0M

7,945 claims · 4.5%

Your Cost: $126.95/claim|Median: $0.89
142.6× median
J0887Top 25%

Injection, epoetin alfa, non-ESRD, 1000 units

$806K

5,030 claims · 3.6%

Your Cost: $160.32/claim|Median: $30.48
5.3× median
82310Top 5%

$592K

4,336 claims · 2.6%

Your Cost: $136.48/claim|Median: $0.91
150.0× median
83540Top 5%

Iron blood level test

$564K

4,868 claims · 2.5%

Your Cost: $115.92/claim|Median: $2.93
39.6× median
83550Top 5%

$547K

4,761 claims · 2.4%

Your Cost: $114.97/claim|Median: $3.49
32.9× median
85025Top 1%

Complete blood count (CBC) with differential, automated

$492K

4,073 claims · 2.2%

Your Cost: $120.70/claim|Median: $4.71
25.6× median
85045Top 5%

$489K

3,905 claims · 2.2%

Your Cost: $125.25/claim|Median: $1.64
76.4× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$473K

4,065 claims · 2.1%

Your Cost: $116.32/claim|Median: $10.20
11.4× median
84100Top 5%

$461K

3,888 claims · 2.0%

Your Cost: $118.49/claim|Median: $1.34
88.4× median
82040Top 5%

$443K

3,612 claims · 2.0%

Your Cost: $122.63/claim|Median: $0.92
133.3× median
80051Top 5%

Electrolyte panel blood test

$432K

3,321 claims · 1.9%

Your Cost: $130.03/claim|Median: $1.56
83.3× median
82565Top 5%

Creatinine blood test

$408K

3,424 claims · 1.8%

Your Cost: $119.15/claim|Median: $1.94
61.4× median
J0604Top 5%

$405K

1,424 claims · 1.8%

Your Cost: $284.60/claim|Median: $11.09
25.7× median
82728Top 10%

Ferritin

$326K

3,224 claims · 1.4%

Your Cost: $101.02/claim|Median: $6.00
16.8× median
83735Top 5%

Magnesium blood level test

$215K

1,959 claims · 1.0%

Your Cost: $109.81/claim|Median: $2.77
39.6× median
84075Top 5%

$192K

1,650 claims · 0.9%

Your Cost: $116.08/claim|Median: $0.72
161.2× median
80069Top 5%

Renal function panel

$161K

1,097 claims · 0.7%

Your Cost: $146.42/claim|Median: $4.12
35.5× median
86706Top 5%

$134K

848 claims · 0.6%

Your Cost: $158.57/claim|Median: $5.39
29.4× median
84132Top 5%

$102K

737 claims · 0.5%

Your Cost: $138.10/claim|Median: $1.09
126.7× median
87340Top 5%

Hepatitis B surface antigen detection

$98K

1,382 claims · 0.4%

Your Cost: $70.60/claim|Median: $5.52
12.8× median
82947Top 1%

Blood glucose level test

$96K

1,238 claims · 0.4%

Your Cost: $77.93/claim|Median: $2.38
32.7× median
82108Top 25%

$72K

562 claims · 0.3%

Your Cost: $128.50/claim|Median: $2.12
60.6× median
84155Top 10%

$62K

602 claims · 0.3%

Your Cost: $103.62/claim|Median: $0.60
172.7× median
82746Top 5%

$55K

433 claims · 0.2%

Your Cost: $125.99/claim|Median: $6.83
18.4× median
82607Top 5%

Cyanocobalamin (vitamin B-12)

$53K

420 claims · 0.2%

Your Cost: $127.14/claim|Median: $8.72
14.6× median
G0008Top 5%

$45K

298 claims · 0.2%

Your Cost: $150.33/claim|Median: $2.54
59.2× median
J1644Top 25%

$38K

4,553 claims · 0.2%

Your Cost: $8.40/claim|Median: $0.37
22.7× median
84466Top 1%

Transferrin blood test

$35K

159 claims · 0.2%

Your Cost: $217.02/claim|Median: $4.53
47.9× median
G0009Top 1%

$23K

106 claims · 0.1%

Your Cost: $217.31/claim|Median: $4.11
52.9× median
90732Top 1%

Pneumococcal vaccine (PPSV23)

$23K

105 claims · 0.1%

Your Cost: $219.38/claim|Median: $36.96
5.9× median
90688Top 1%

$17K

60 claims · 0.1%

Your Cost: $281.10/claim|Median: $9.00
31.2× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$16K

107 claims · 0.1%

Your Cost: $150.91/claim|Median: $7.18
21.0× median
J3490Top 25%

Unclassified drugs

$7K

125 claims · 0.0%

Your Cost: $52.41/claim|Median: $5.70
9.2× median
90662Top 1%

$3K

18 claims · 0.0%

Your Cost: $175.64/claim|Median: $6.55
26.8× median
86704Top 5%

$2K

41 claims · 0.0%

Your Cost: $53.80/claim|Median: $7.48
7.2× median
83036Top 1%

Hemoglobin A1c (glycated hemoglobin)

$2K

33 claims · 0.0%

Your Cost: $62.93/claim|Median: $5.50
11.4× median
86803Top 5%

Hepatitis C antibody

$2K

37 claims · 0.0%

Your Cost: $40.66/claim|Median: $10.17
4.0× median
85046Top 10%

$681

80 claims · 0.0%

Your Cost: $8.52/claim|Median: $2.47
3.4× median
0064ANormal range

$39

36 claims · 0.0%

Your Cost: $1.08/claim|Median: $34.17
0.0× median
0124ANormal range

$38

20 claims · 0.0%

Your Cost: $1.89/claim|Median: $34.32
0.1× median
90682Normal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $34.72
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.49

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