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

⚖️ Compare🖨️ Print Report

Provider 1073854766

NPI: 1073854766Share
Active Billing Period:2020-10→2024-12(51 months)

Total Paid

$12.1M

$12,104,910

Total Claims

185K

Beneficiaries

181K

1.0 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2020
$161K
+873%
2021
$1.6M
+75%
2022
$2.7M
+15%
2023
$3.2M
+41%
2024
$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 46% of total spending.

99284Normal range

Emergency dept visit, high complexity

$5.5M

73K claims · 45.7%

Your Cost: $76.13/claim|Median: $69.51
1.1× median
99285Normal range

Emergency dept visit, high/urgent complexity

$3.7M

36K claims · 30.4%

Your Cost: $102.11/claim|Median: $85.65
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$938K

21K claims · 7.7%

Your Cost: $44.88/claim|Median: $42.48
1.1× median
99236Normal range

Observation care same day admit and discharge

$877K

6,633 claims · 7.2%

Your Cost: $132.15/claim|Median: $128.23
1.0× median
99223Top 25%

Initial hospital care, per day, high complexity

$758K

7,199 claims · 6.3%

Your Cost: $105.27/claim|Median: $67.32
1.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$123K

32K claims · 1.0%

Your Cost: $3.90/claim|Median: $5.60
0.7× median
99291Normal range

Critical care, first 30-74 minutes

$80K

704 claims · 0.7%

Your Cost: $113.46/claim|Median: $101.24
1.1× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$52K

608 claims · 0.4%

Your Cost: $85.36/claim|Median: $51.25
1.7× median
99220Normal range

$26K

277 claims · 0.2%

Your Cost: $94.73/claim|Median: $73.56
1.3× median
99235Normal range

$11K

112 claims · 0.1%

Your Cost: $102.02/claim|Median: $110.13
0.9× median
93042Normal range

$11K

5,840 claims · 0.1%

Your Cost: $1.94/claim|Median: $2.53
0.8× median
99053Normal range

$10K

2,088 claims · 0.1%

Your Cost: $4.70/claim|Median: $0.38
12.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$6K

114 claims · 0.0%

Your Cost: $50.50/claim|Median: $37.22
1.4× median
99217Normal range

$4K

94 claims · 0.0%

Your Cost: $40.96/claim|Median: $31.89
1.3× median
99406Normal range

$0

62 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.53
← All providersHow we detect fraud →