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

⚖️ Compare🖨️ Print Report

Provider 1033356274

NPI: 1033356274Share
Active Billing Period:2018-01→2023-11(71 months)
Billing appears to have stoppedLast active: 2023-11

Total Paid

$10.6M

$10,614,219

Total Claims

356K

Beneficiaries

304K

1.2 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-17%
2019
$1.9M
-11%
2020
$1.7M
+13%
2021
$1.9M
-13%
2022
$1.7M
-37%
2023
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0480 (Drug test, definitive, 1-7 drug classes)) accounts for 22% of total spending.

G0480Top 25%

Drug test, definitive, 1-7 drug classes

$2.4M

37K claims · 22.3%

Your Cost: $63.80/claim|Median: $37.56
1.7× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.9M

47K claims · 17.9%

Your Cost: $40.46/claim|Median: $35.43
1.1× median
99213Normal range

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

$1.2M

47K claims · 11.0%

Your Cost: $24.72/claim|Median: $37.81
0.7× median
99214Normal range

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

$1.1M

31K claims · 10.7%

Your Cost: $36.31/claim|Median: $53.41
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$1.1M

57K claims · 10.4%

Your Cost: $19.38/claim|Median: $25.06
0.8× median
G0482Top 25%

Drug test, definitive, 15-21 drug classes

$1.0M

8,646 claims · 9.7%

Your Cost: $119.36/claim|Median: $75.26
1.6× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$455K

3,989 claims · 4.3%

Your Cost: $114.07/claim|Median: $111.02
1.0× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$236K

8,036 claims · 2.2%

Your Cost: $29.40/claim|Median: $22.44
1.3× median
99441Normal range

Telephone E/M by physician, 5-10 min

$230K

12K claims · 2.2%

Your Cost: $19.76/claim|Median: $13.30
1.5× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$213K

3,974 claims · 2.0%

Your Cost: $53.58/claim|Median: $57.85
0.9× median
27096Top 25%

$195K

937 claims · 1.8%

Your Cost: $207.63/claim|Median: $89.16
2.3× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$145K

1,864 claims · 1.4%

Your Cost: $77.94/claim|Median: $84.03
0.9× median
J2704Top 25%

$72K

7,569 claims · 0.7%

Your Cost: $9.55/claim|Median: $0.76
12.6× median
J1040Normal range

$56K

7,066 claims · 0.5%

Your Cost: $7.93/claim|Median: $6.87
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$45K

1,734 claims · 0.4%

Your Cost: $25.93/claim|Median: $41.28
0.6× median
90791Normal range

Psychiatric diagnostic evaluation

$29K

546 claims · 0.3%

Your Cost: $53.85/claim|Median: $99.21
0.5× median
J2250Top 10%

Injection, midazolam HCl, per one milligram

$28K

2,111 claims · 0.3%

Your Cost: $13.37/claim|Median: $0.32
41.8× median
J1030Top 10%

Injection, methylprednisolone acetate, forty milligrams

$18K

1,739 claims · 0.2%

Your Cost: $10.61/claim|Median: $4.38
2.4× median
J3010Top 25%

$18K

3,744 claims · 0.2%

Your Cost: $4.86/claim|Median: $0.55
8.8× median
A9279Normal range

$18K

6,560 claims · 0.2%

Your Cost: $2.75/claim|Median: $10.45
0.3× median
J1100Top 25%

$17K

7,557 claims · 0.2%

Your Cost: $2.30/claim|Median: $0.52
4.4× median
64493Normal range

$12K

87 claims · 0.1%

Your Cost: $138.44/claim|Median: $103.44
1.3× median
81025Normal range

Urine pregnancy test

$11K

2,151 claims · 0.1%

Your Cost: $5.27/claim|Median: $4.81
1.1× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$11K

4,224 claims · 0.1%

Your Cost: $2.67/claim|Median: $3.67
0.7× median
Q9966Normal range

$10K

6,557 claims · 0.1%

Your Cost: $1.48/claim|Median: $0.75
2.0× median
96160Normal range

Patient-focused health risk assessment

$9K

4,198 claims · 0.1%

Your Cost: $2.13/claim|Median: $2.10
1.0× median
A4550Normal range

$8K

6,662 claims · 0.1%

Your Cost: $1.23/claim|Median: $4.85
0.3× median
64635Normal range

$8K

29 claims · 0.1%

Your Cost: $280.26/claim|Median: $207.78
1.3× median
A4556Normal range

$8K

3,382 claims · 0.1%

Your Cost: $2.37/claim|Median: $1.69
1.4× median
99443Normal range

Telephone E/M by physician, 21-30 min

$7K

175 claims · 0.1%

Your Cost: $42.00/claim|Median: $32.55
1.3× median
← All providersHow we detect fraud →