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

Provider 1023387479

NPI: 1023387479Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.7M

$8,654,180

Total Claims

467K

Beneficiaries

309K

1.5 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+18%
2019
$1.3M
-36%
2020
$821K
+41%
2021
$1.2M
+86%
2022
$2.1M
-29%
2023
$1.5M
-58%
2024
$636K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 22% of total spending.

99284Normal range

Emergency dept visit, high complexity

$1.9M

26K claims · 21.6%

Your Cost: $71.12/claim|Median: $69.51
1.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.5M

18K claims · 16.9%

Your Cost: $79.32/claim|Median: $42.48
1.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$794K

4,903 claims · 9.2%

Your Cost: $162.01/claim|Median: $60.19
2.7× median
80053Top 25%

Comprehensive metabolic panel

$404K

24K claims · 4.7%

Your Cost: $16.50/claim|Median: $7.24
2.3× median
70450Top 25%

CT head/brain without contrast

$395K

4,362 claims · 4.6%

Your Cost: $90.58/claim|Median: $45.53
2.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$305K

8,375 claims · 3.5%

Your Cost: $36.41/claim|Median: $85.65
0.4× median
74177Normal range

CT abdomen and pelvis with contrast

$251K

1,769 claims · 2.9%

Your Cost: $142.07/claim|Median: $65.76
2.2× median
A9270Top 10%

$241K

26K claims · 2.8%

Your Cost: $9.10/claim|Median: $0.20
45.5× median
G0378Normal range

Hospital observation service, per hour

$227K

9,531 claims · 2.6%

Your Cost: $23.76/claim|Median: $99.39
0.2× median
99282Normal range

Emergency dept visit, low complexity

$212K

2,358 claims · 2.5%

Your Cost: $89.97/claim|Median: $37.72
2.4× median
97110Normal range

Therapeutic exercises, each 15 min

$207K

12K claims · 2.4%

Your Cost: $16.64/claim|Median: $24.49
0.7× median
96361Normal range

IV infusion, hydration, each additional hour

$188K

1,763 claims · 2.2%

Your Cost: $106.64/claim|Median: $38.92
2.7× median
80048Top 25%

Basic metabolic panel

$167K

9,077 claims · 1.9%

Your Cost: $18.42/claim|Median: $5.78
3.2× median
99281Normal range

Emergency dept visit, minimal complexity

$92K

1,211 claims · 1.1%

Your Cost: $76.31/claim|Median: $52.03
1.5× median
85027Normal range

Complete blood count (CBC), automated

$78K

37K claims · 0.9%

Your Cost: $2.13/claim|Median: $3.72
0.6× median
71275Top 25%

CT angiography, chest, with contrast

$77K

367 claims · 0.9%

Your Cost: $209.76/claim|Median: $92.96
2.3× median
86850Top 10%

$68K

2,416 claims · 0.8%

Your Cost: $28.33/claim|Median: $5.44
5.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$68K

982 claims · 0.8%

Your Cost: $68.98/claim|Median: $54.68
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$63K

5,864 claims · 0.7%

Your Cost: $10.67/claim|Median: $9.56
1.1× median
76856Normal range

Ultrasound, pelvic, complete

$58K

1,592 claims · 0.7%

Your Cost: $36.65/claim|Median: $47.58
0.8× median
97140Normal range

Manual therapy techniques, per 15 minutes

$57K

4,760 claims · 0.7%

Your Cost: $12.01/claim|Median: $16.79
0.7× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$55K

13K claims · 0.6%

Your Cost: $4.20/claim|Median: $7.50
0.6× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$53K

729 claims · 0.6%

Your Cost: $72.22/claim|Median: $61.57
1.2× median
87426Top 10%

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$47K

1,055 claims · 0.5%

Your Cost: $44.93/claim|Median: $30.04
1.5× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$43K

972 claims · 0.5%

Your Cost: $44.14/claim|Median: $54.77
0.8× median
71045Normal range

Chest X-ray, single view

$41K

12K claims · 0.5%

Your Cost: $3.57/claim|Median: $4.93
0.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$36K

642 claims · 0.4%

Your Cost: $55.98/claim|Median: $63.08
0.9× median
J7030Normal range

Normal saline solution infusion, 1000 cc

$35K

14K claims · 0.4%

Your Cost: $2.43/claim|Median: $1.53
1.6× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$34K

1,580 claims · 0.4%

Your Cost: $21.46/claim|Median: $10.88
2.0× median
84484Normal range

Troponin, quantitative

$32K

11K claims · 0.4%

Your Cost: $2.84/claim|Median: $4.84
0.6× median