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

⚖️ Compare🖨️ Print Report

Provider 1093140600

NPI: 1093140600Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.1M

$16,095,879

Total Claims

497K

Beneficiaries

409K

1.2 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+11%
2019
$1.9M
-26%
2020
$1.4M
+82%
2021
$2.5M
+27%
2022
$3.2M
+0%
2023
$3.2M
-29%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 22% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$3.6M

35K claims · 22.3%

Your Cost: $102.07/claim|Median: $42.48
2.4× median
99284Top 25%

Emergency dept visit, high complexity

$2.1M

13K claims · 12.8%

Your Cost: $156.35/claim|Median: $69.51
2.2× median
99213Normal range

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

$1.3M

40K claims · 8.3%

Your Cost: $33.24/claim|Median: $37.81
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$1.3M

48K claims · 8.1%

Your Cost: $27.18/claim|Median: $25.06
1.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$832K

4,339 claims · 5.2%

Your Cost: $191.72/claim|Median: $85.65
2.2× median
99214Normal range

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

$801K

16K claims · 5.0%

Your Cost: $50.25/claim|Median: $53.41
0.9× median
43239Normal range

Upper GI endoscopy with biopsy

$582K

2,882 claims · 3.6%

Your Cost: $201.93/claim|Median: $151.68
1.3× median
99282Normal range

Emergency dept visit, low complexity

$506K

6,960 claims · 3.1%

Your Cost: $72.70/claim|Median: $37.72
1.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$440K

12K claims · 2.7%

Your Cost: $36.51/claim|Median: $39.70
0.9× median
70450Top 5%

CT head/brain without contrast

$354K

1,263 claims · 2.2%

Your Cost: $280.62/claim|Median: $45.53
6.2× median
87804Normal range

Influenza virus detection, rapid test

$309K

23K claims · 1.9%

Your Cost: $13.17/claim|Median: $12.59
1.0× median
71045Top 5%

Chest X-ray, single view

$295K

5,956 claims · 1.8%

Your Cost: $49.48/claim|Median: $4.93
10.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$270K

10K claims · 1.7%

Your Cost: $26.01/claim|Median: $12.93
2.0× median
45384Normal range

$254K

1,586 claims · 1.6%

Your Cost: $160.36/claim|Median: $179.47
0.9× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$252K

1,131 claims · 1.6%

Your Cost: $223.09/claim|Median: $29.03
7.7× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$220K

11K claims · 1.4%

Your Cost: $20.70/claim|Median: $7.50
2.8× median
80053Normal range

Comprehensive metabolic panel

$210K

30K claims · 1.3%

Your Cost: $6.91/claim|Median: $7.24
1.0× median
G0378Top 25%

Hospital observation service, per hour

$206K

583 claims · 1.3%

Your Cost: $353.65/claim|Median: $99.39
3.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$185K

8,630 claims · 1.1%

Your Cost: $21.43/claim|Median: $21.76
1.0× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$181K

5,126 claims · 1.1%

Your Cost: $35.27/claim|Median: $14.92
2.4× median
74177Top 5%

CT abdomen and pelvis with contrast

$175K

359 claims · 1.1%

Your Cost: $488.73/claim|Median: $65.76
7.4× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$166K

559 claims · 1.0%

Your Cost: $296.62/claim|Median: $54.68
5.4× median
85025Normal range

Complete blood count (CBC) with differential, automated

$158K

32K claims · 1.0%

Your Cost: $5.00/claim|Median: $4.71
1.1× median
71046Top 5%

Chest X-ray, 2 views

$118K

1,860 claims · 0.7%

Your Cost: $63.33/claim|Median: $8.92
7.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$102K

7,609 claims · 0.6%

Your Cost: $13.34/claim|Median: $9.56
1.4× median
36415Normal range

Collection of venous blood by venipuncture

$78K

42K claims · 0.5%

Your Cost: $1.83/claim|Median: $1.57
1.2× median
76700Top 10%

Ultrasound, abdominal, complete

$77K

446 claims · 0.5%

Your Cost: $172.89/claim|Median: $50.69
3.4× median
92551Top 1%

Screening audiometry, pure tone, air only

$57K

508 claims · 0.4%

Your Cost: $111.43/claim|Median: $6.61
16.9× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$44K

610 claims · 0.3%

Your Cost: $71.51/claim|Median: $12.06
5.9× median
84484Normal range

Troponin, quantitative

$40K

6,449 claims · 0.2%

Your Cost: $6.23/claim|Median: $4.84
1.3× median
← All providersHow we detect fraud →