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

Provider 1114239332

NPI: 1114239332Share
Active Billing Period:2018-122024-11(58 months)

Total Paid

$8.4M

$8,395,620

Total Claims

5,134

Beneficiaries

4,570

1.1 claims/patient

Avg Cost/Claim

$2K

Monthly Spending Trend

Yearly Spending

2018
$67K
+805%
2019
$606K
+329%
2020
$2.6M
+72%
2021
$4.5M
-96%
2022
$165K
-35%
2023
$107K
+261%
2024
$386K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (J0135 (Injection, adalimumab, twenty milligrams)) accounts for 56% of total spending.

J0135Top 25%

Injection, adalimumab, twenty milligrams

$4.7M

1,125 claims · 56.3%

Your Cost: $4,200.18/claim|Median: $2,044.06
2.1× median
J1438Top 25%

$1.1M

536 claims · 13.7%

Your Cost: $2,143.16/claim|Median: $1,184.84
1.8× median
J3490Top 1%

Unclassified drugs

$853K

1,494 claims · 10.2%

Your Cost: $570.68/claim|Median: $5.70
100.1× median
J3590Top 10%

Unclassified biologic drug injection

$724K

473 claims · 8.6%

Your Cost: $1,531.66/claim|Median: $24.77
61.8× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$593K

622 claims · 7.1%

Your Cost: $952.87/claim|Median: $470.36
2.0× median
J7325Top 25%

Synvisc or synvisc-one injection for joint supplementation

$131K

253 claims · 1.6%

Your Cost: $517.39/claim|Median: $85.94
6.0× median
J7324Top 5%

$117K

238 claims · 1.4%

Your Cost: $490.68/claim|Median: $56.65
8.7× median
J1726Normal range

$42K

31 claims · 0.5%

Your Cost: $1,369.71/claim|Median: $789.74
1.7× median
90750Top 5%

$33K

137 claims · 0.4%

Your Cost: $241.24/claim|Median: $96.16
2.5× median
J7321Top 5%

Hyaluronan injection for knee joint supplement

$27K

122 claims · 0.3%

Your Cost: $220.58/claim|Median: $24.72
8.9× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$1K

26 claims · 0.0%

Your Cost: $38.46/claim|Median: $25.93
1.5× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$800

20 claims · 0.0%

Your Cost: $40.00/claim|Median: $33.85
1.2× median
S9542Normal range

$26

57 claims · 0.0%

Your Cost: $0.46/claim|Median: $43.71
0.0× median