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

⚖️ Compare🖨️ Print Report

Provider 1023010113

NPI: 1023010113Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,319,033

Total Claims

426K

Beneficiaries

345K

1.2 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$974K
+12%
2019
$1.1M
-19%
2020
$886K
+49%
2021
$1.3M
+50%
2022
$2.0M
-35%
2023
$1.3M
-38%
2024
$794K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 16% of total spending.

0450Normal range

Emergency room visit

$1.3M

31K claims · 16.1%

Your Cost: $43.14/claim|Median: $44.95
1.0× median
0206Normal range

$479K

210 claims · 5.8%

Your Cost: $2,282.75/claim|Median: $2,282.75
1.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$461K

3,059 claims · 5.5%

Your Cost: $150.56/claim|Median: $54.68
2.8× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$447K

12K claims · 5.4%

Your Cost: $36.77/claim|Median: $35.43
1.0× median
0121Normal range

Revenue code, all-inclusive room and board

$397K

128 claims · 4.8%

Your Cost: $3,098.02/claim|Median: $2,650.78
1.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$387K

8,195 claims · 4.6%

Your Cost: $47.18/claim|Median: $21.76
2.2× median
70450Top 25%

CT head/brain without contrast

$341K

3,958 claims · 4.1%

Your Cost: $86.11/claim|Median: $45.53
1.9× median
U0002Normal range

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

$328K

10K claims · 3.9%

Your Cost: $32.37/claim|Median: $34.62
0.9× median
74176Normal range

CT abdomen and pelvis without contrast

$317K

3,724 claims · 3.8%

Your Cost: $85.04/claim|Median: $60.19
1.4× median
0360Normal range

$231K

2,517 claims · 2.8%

Your Cost: $91.67/claim|Median: $95.40
1.0× median
0120Normal range

$217K

81 claims · 2.6%

Your Cost: $2,679.73/claim|Median: $5,968.57
0.4× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$197K

11K claims · 2.4%

Your Cost: $17.38/claim|Median: $7.50
2.3× median
99281Normal range

Emergency dept visit, minimal complexity

$170K

3,286 claims · 2.0%

Your Cost: $51.87/claim|Median: $52.03
1.0× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$145K

4,574 claims · 1.7%

Your Cost: $31.64/claim|Median: $14.92
2.1× median
80053Normal range

Comprehensive metabolic panel

$142K

18K claims · 1.7%

Your Cost: $8.07/claim|Median: $7.24
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$133K

26K claims · 1.6%

Your Cost: $5.21/claim|Median: $4.71
1.1× median
A9500Top 25%

Technetium-99m radiopharmaceutical diagnostic imaging agent

$109K

889 claims · 1.3%

Your Cost: $122.99/claim|Median: $64.30
1.9× median
71045Top 25%

Chest X-ray, single view

$107K

10K claims · 1.3%

Your Cost: $10.47/claim|Median: $4.93
2.1× median
J2785Top 25%

$105K

853 claims · 1.3%

Your Cost: $122.92/claim|Median: $61.83
2.0× median
0516Normal range

$101K

4,925 claims · 1.2%

Your Cost: $20.54/claim|Median: $22.37
0.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$98K

4,765 claims · 1.2%

Your Cost: $20.62/claim|Median: $9.56
2.2× median
0750Normal range

$94K

673 claims · 1.1%

Your Cost: $139.55/claim|Median: $136.43
1.0× median
J3490Normal range

Unclassified drugs

$87K

11K claims · 1.0%

Your Cost: $7.70/claim|Median: $5.70
1.4× median
0710Normal range

$86K

3,668 claims · 1.0%

Your Cost: $23.49/claim|Median: $18.49
1.3× median
78454Top 25%

$83K

662 claims · 1.0%

Your Cost: $125.01/claim|Median: $26.12
4.8× median
93017Normal range

$74K

1,876 claims · 0.9%

Your Cost: $39.46/claim|Median: $56.03
0.7× median
99199Top 25%

Unlisted special service, procedure, or report

$74K

1,973 claims · 0.9%

Your Cost: $37.27/claim|Median: $5.39
6.9× median
0250Normal range

$73K

12K claims · 0.9%

Your Cost: $5.95/claim|Median: $3.70
1.6× median
0760Normal range

$72K

2,166 claims · 0.9%

Your Cost: $33.41/claim|Median: $22.01
1.5× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$72K

9,902 claims · 0.9%

Your Cost: $7.22/claim|Median: $1.53
4.7× median
← All providersHow we detect fraud →