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

Provider 1083736177

NPI: 1083736177Share
Active Billing Period:2018-012024-02(32 months)
Billing appears to have stoppedLast active: 2024-02

Total Paid

$8.3M

$8,324,335

Total Claims

508K

Beneficiaries

368K

1.4 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+97%
2019
$4.3M
-56%
2020
$1.9M
-100%
2021
$3K
-66%
2024
$873

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 39% of total spending.

97110Top 5%

Therapeutic exercises, each 15 min

$3.2M

39K claims · 38.7%

Your Cost: $83.46/claim|Median: $24.49
3.4× median
97162Top 10%

PT evaluation, moderate complexity

$567K

5,124 claims · 6.8%

Your Cost: $110.58/claim|Median: $46.10
2.4× median
92507Normal range

Speech/hearing/language treatment

$395K

12K claims · 4.7%

Your Cost: $31.83/claim|Median: $49.45
0.6× median
U0004Normal range

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

$322K

4,499 claims · 3.9%

Your Cost: $71.67/claim|Median: $60.05
1.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$208K

4,772 claims · 2.5%

Your Cost: $43.56/claim|Median: $65.64
0.7× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$208K

4,120 claims · 2.5%

Your Cost: $50.37/claim|Median: $41.92
1.2× median
90732Top 25%

Pneumococcal vaccine (PPSV23)

$140K

1,468 claims · 1.7%

Your Cost: $95.31/claim|Median: $36.96
2.6× median
L4360Normal range

$129K

920 claims · 1.5%

Your Cost: $140.19/claim|Median: $149.34
0.9× median
90670Top 25%

$127K

9,770 claims · 1.5%

Your Cost: $13.01/claim|Median: $5.94
2.2× median
0502FNormal range

$125K

3,019 claims · 1.5%

Your Cost: $41.53/claim|Median: $44.10
0.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$117K

8,094 claims · 1.4%

Your Cost: $14.41/claim|Median: $23.39
0.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$114K

2,225 claims · 1.4%

Your Cost: $51.42/claim|Median: $39.33
1.3× median
90651Top 25%

HPV vaccine, 9-valent

$112K

3,431 claims · 1.4%

Your Cost: $32.78/claim|Median: $8.93
3.7× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$110K

8,099 claims · 1.3%

Your Cost: $13.54/claim|Median: $24.95
0.5× median
84443Normal range

Thyroid stimulating hormone (TSH)

$107K

15K claims · 1.3%

Your Cost: $7.15/claim|Median: $9.87
0.7× median
J7298Normal range

$104K

247 claims · 1.3%

Your Cost: $422.93/claim|Median: $751.11
0.6× median
97163Top 25%

PT evaluation, high complexity

$103K

898 claims · 1.2%

Your Cost: $115.00/claim|Median: $50.34
2.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$84K

9,314 claims · 1.0%

Your Cost: $9.07/claim|Median: $11.48
0.8× median
97161Top 10%

Physical therapy evaluation, low complexity

$83K

794 claims · 1.0%

Your Cost: $104.01/claim|Median: $47.89
2.2× median
92551Top 10%

Screening audiometry, pure tone, air only

$71K

5,153 claims · 0.9%

Your Cost: $13.77/claim|Median: $6.61
2.1× median
80053Normal range

Comprehensive metabolic panel

$66K

22K claims · 0.8%

Your Cost: $3.07/claim|Median: $7.24
0.4× median
90715Normal range

Tdap vaccine

$64K

4,065 claims · 0.8%

Your Cost: $15.71/claim|Median: $10.32
1.5× median
90688Normal range

$54K

6,940 claims · 0.6%

Your Cost: $7.76/claim|Median: $9.00
0.9× median
71046Normal range

Chest X-ray, 2 views

$46K

4,443 claims · 0.6%

Your Cost: $10.38/claim|Median: $8.92
1.2× median
87507Normal range

$44K

214 claims · 0.5%

Your Cost: $205.41/claim|Median: $157.44
1.3× median
87081Normal range

Culture screening for pathogenic organisms

$42K

11K claims · 0.5%

Your Cost: $3.70/claim|Median: $5.09
0.7× median
87086Normal range

Urine culture, colony count, with identification

$38K

9,637 claims · 0.5%

Your Cost: $3.98/claim|Median: $5.31
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$37K

3,951 claims · 0.4%

Your Cost: $9.34/claim|Median: $9.56
1.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$33K

4,608 claims · 0.4%

Your Cost: $7.13/claim|Median: $7.18
1.0× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$32K

3,048 claims · 0.4%

Your Cost: $10.54/claim|Median: $7.50
1.4× median