Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Provider 1003162496

NPI: 1003162496Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$11.3M

$11,292,256

Total Claims

101K

Beneficiaries

35K

2.9 claims/patient

Avg Cost/Claim

$112

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+72%
2019
$1.7M
+143%
2020
$4.2M
-64%
2021
$1.5M
+27%
2022
$2.0M
-68%
2023
$624K
-73%
2024
$171K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 40% of total spending.

90999Top 25%

Unlisted dialysis procedure

$4.5M

33K claims · 39.8%

Your Cost: $135.22/claim|Median: $63.73
2.1× median
A4657Top 25%

Syringe with needle, each

$910K

13K claims · 8.1%

Your Cost: $69.98/claim|Median: $2.19
32.0× median
85018Top 1%

$696K

5,461 claims · 6.2%

Your Cost: $127.53/claim|Median: $1.71
74.6× median
84520Top 5%

$638K

5,322 claims · 5.6%

Your Cost: $119.87/claim|Median: $0.89
134.7× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$535K

5,234 claims · 4.7%

Your Cost: $102.15/claim|Median: $4.58
22.3× median
J0887Top 25%

Injection, epoetin alfa, non-ESRD, 1000 units

$382K

2,603 claims · 3.4%

Your Cost: $146.93/claim|Median: $30.48
4.8× median
82310Top 5%

$318K

2,454 claims · 2.8%

Your Cost: $129.52/claim|Median: $0.91
142.3× median
84155Top 10%

$302K

2,824 claims · 2.7%

Your Cost: $107.10/claim|Median: $0.60
178.5× median
83550Top 5%

$294K

2,823 claims · 2.6%

Your Cost: $104.28/claim|Median: $3.49
29.9× median
83540Top 5%

Iron blood level test

$294K

2,830 claims · 2.6%

Your Cost: $104.01/claim|Median: $2.93
35.5× median
82040Top 5%

$269K

2,276 claims · 2.4%

Your Cost: $118.13/claim|Median: $0.92
128.4× median
87340Top 5%

Hepatitis B surface antigen detection

$266K

2,236 claims · 2.4%

Your Cost: $119.08/claim|Median: $5.52
21.6× median
84100Top 5%

$265K

2,358 claims · 2.3%

Your Cost: $112.47/claim|Median: $1.34
83.9× median
80051Top 5%

Electrolyte panel blood test

$251K

2,072 claims · 2.2%

Your Cost: $121.10/claim|Median: $1.56
77.6× median
82565Top 5%

Creatinine blood test

$240K

2,159 claims · 2.1%

Your Cost: $111.12/claim|Median: $1.94
57.3× median
86706Top 5%

$239K

2,017 claims · 2.1%

Your Cost: $118.53/claim|Median: $5.39
22.0× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$189K

1,655 claims · 1.7%

Your Cost: $114.44/claim|Median: $10.20
11.2× median
85027Top 1%

Complete blood count (CBC), automated

$153K

1,487 claims · 1.4%

Your Cost: $102.69/claim|Median: $3.72
27.6× median
82728Top 5%

Ferritin

$113K

999 claims · 1.0%

Your Cost: $112.97/claim|Median: $6.00
18.8× median
83735Top 5%

Magnesium blood level test

$109K

977 claims · 1.0%

Your Cost: $111.93/claim|Median: $2.77
40.4× median
84075Top 5%

$107K

946 claims · 0.9%

Your Cost: $112.76/claim|Median: $0.72
156.6× median
85025Top 1%

Complete blood count (CBC) with differential, automated

$69K

554 claims · 0.6%

Your Cost: $124.76/claim|Median: $4.71
26.5× median
86704Top 5%

$54K

547 claims · 0.5%

Your Cost: $98.02/claim|Median: $7.48
13.1× median
82108Top 25%

$35K

285 claims · 0.3%

Your Cost: $122.81/claim|Median: $2.12
57.9× median
J1644Top 25%

$30K

3,852 claims · 0.3%

Your Cost: $7.67/claim|Median: $0.37
20.7× median
G0008Top 5%

$17K

122 claims · 0.1%

Your Cost: $135.83/claim|Median: $2.54
53.5× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$12K

66 claims · 0.1%

Your Cost: $174.43/claim|Median: $7.18
24.3× median
90688Top 1%

$4K

28 claims · 0.0%

Your Cost: $136.39/claim|Median: $9.00
15.2× median
82746Top 5%

$3K

34 claims · 0.0%

Your Cost: $79.14/claim|Median: $6.83
11.6× median
80069Top 10%

Renal function panel

$2K

62 claims · 0.0%

Your Cost: $32.89/claim|Median: $4.12
8.0× median
← All providersHow we detect fraud →