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

⚖️ Compare🖨️ Print Report

Provider 1063498517

NPI: 1063498517Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.0M

$18,011,890

Total Claims

452K

Beneficiaries

431K

1.0 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+12%
2019
$1.4M
+115%
2020
$3.1M
+34%
2021
$4.1M
-8%
2022
$3.8M
-42%
2023
$2.2M
-2%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0004 (COVID-19 test, nucleic acid detection, CDC lab only)) accounts for 28% of total spending.

U0004Top 25%

COVID-19 test, nucleic acid detection, CDC lab only

$5.0M

59K claims · 27.8%

Your Cost: $85.02/claim|Median: $60.05
1.4× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$2.0M

28K claims · 11.1%

Your Cost: $70.60/claim|Median: $35.80
2.0× median
88175Top 25%

Cytopathology, cervical or vaginal, ThinPrep

$1.3M

46K claims · 7.2%

Your Cost: $28.10/claim|Median: $19.06
1.5× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$1.2M

33K claims · 6.9%

Your Cost: $37.19/claim|Median: $24.95
1.5× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.2M

33K claims · 6.9%

Your Cost: $37.15/claim|Median: $23.39
1.6× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$1.2M

33K claims · 6.7%

Your Cost: $37.14/claim|Median: $25.57
1.5× median
U0005Top 10%

Infectious disease detection, COVID-19, antigen

$1.0M

41K claims · 5.8%

Your Cost: $25.78/claim|Median: $15.76
1.6× median
81513Top 25%

$951K

7,622 claims · 5.3%

Your Cost: $124.74/claim|Median: $71.32
1.7× median
87481Top 10%

$679K

9,377 claims · 3.8%

Your Cost: $72.41/claim|Median: $22.38
3.2× median
99000Top 25%

$556K

79K claims · 3.1%

Your Cost: $7.00/claim|Median: $2.30
3.0× median
88307Top 10%

Surgical pathology, gross and microscopic, complex

$467K

4,114 claims · 2.6%

Your Cost: $113.48/claim|Median: $59.38
1.9× median
87661Top 10%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$452K

12K claims · 2.5%

Your Cost: $37.51/claim|Median: $21.08
1.8× median
88312Normal range

$344K

10K claims · 1.9%

Your Cost: $33.43/claim|Median: $24.56
1.4× median
88342Top 10%

$197K

2,622 claims · 1.1%

Your Cost: $75.24/claim|Median: $23.66
3.2× median
88304Top 25%

$192K

7,430 claims · 1.1%

Your Cost: $25.78/claim|Median: $12.88
2.0× median
88141Top 25%

$171K

7,169 claims · 0.9%

Your Cost: $23.80/claim|Median: $14.87
1.6× median
87625Top 5%

$143K

3,446 claims · 0.8%

Your Cost: $41.61/claim|Median: $20.47
2.0× median
88341Top 25%

$132K

1,302 claims · 0.7%

Your Cost: $101.10/claim|Median: $45.31
2.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$111K

6,176 claims · 0.6%

Your Cost: $18.00/claim|Median: $12.93
1.4× median
87660Top 25%

$95K

4,631 claims · 0.5%

Your Cost: $20.55/claim|Median: $13.84
1.5× median
87480Top 25%

$95K

4,607 claims · 0.5%

Your Cost: $20.58/claim|Median: $14.31
1.4× median
87510Top 25%

$94K

4,595 claims · 0.5%

Your Cost: $20.55/claim|Median: $13.48
1.5× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$88K

2,057 claims · 0.5%

Your Cost: $42.93/claim|Median: $26.72
1.6× median
85060Top 5%

$39K

1,686 claims · 0.2%

Your Cost: $23.00/claim|Median: $10.92
2.1× median
88142Top 25%

$35K

1,628 claims · 0.2%

Your Cost: $21.63/claim|Median: $14.75
1.5× median
88112Top 25%

$32K

946 claims · 0.2%

Your Cost: $33.36/claim|Median: $19.79
1.7× median
S9999Normal range

$31K

4,090 claims · 0.2%

Your Cost: $7.64/claim|Median: $5.38
1.4× median
87511Top 10%

$17K

441 claims · 0.1%

Your Cost: $38.31/claim|Median: $16.46
2.3× median
88311Top 5%

$16K

917 claims · 0.1%

Your Cost: $17.93/claim|Median: $5.68
3.2× median
G2023Top 5%

Specimen collection for COVID-19 testing

$12K

463 claims · 0.1%

Your Cost: $26.04/claim|Median: $17.15
1.5× median
← All providersHow we detect fraud →