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

Provider 1093195075

NPI: 1093195075Share
Active Billing Period:2020-122024-12(45 months)

Extreme procedure concentration — 100% of $8.4M billed through a single code

Total Paid

$8.4M

$8,374,281

Total Claims

1,193

Beneficiaries

1,057

1.1 claims/patient

Avg Cost/Claim

$7K

Monthly Spending Trend

Yearly Spending

2020
$136K
+657%
2021
$1.0M
+105%
2022
$2.1M
+10%
2023
$2.3M
+21%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 1 distinct procedure code. The top code (S5165 (Home modifications, per service)) accounts for 100% of total spending.

S5165Top 10%

Home modifications, per service

$8.4M

1,193 claims · 100.0%

Your Cost: $7,019.51/claim|Median: $2,196.32
3.2× median