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

⚖️ Compare🖨️ Print Report

Provider 1114929494

NPI: 1114929494Share
Active Billing Period:2018-01→2021-06(42 months)
Billing appears to have stoppedLast active: 2021-06

Total Paid

$11.8M

$11,849,558

Total Claims

348K

Beneficiaries

245K

1.4 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$4.0M
-7%
2019
$3.8M
-20%
2020
$3.0M
-65%
2021
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 35% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$4.2M

17K claims · 35.0%

Your Cost: $237.72/claim|Median: $69.51
3.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

10K claims · 11.7%

Your Cost: $137.21/claim|Median: $42.48
3.2× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$545K

2,459 claims · 4.6%

Your Cost: $221.71/claim|Median: $85.65
2.6× median
74176Top 25%

CT abdomen and pelvis without contrast

$340K

2,011 claims · 2.9%

Your Cost: $168.97/claim|Median: $60.19
2.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$250K

1,155 claims · 2.1%

Your Cost: $216.73/claim|Median: $65.76
3.3× median
G0463Normal range

Hospital outpatient clinic visit

$217K

7,761 claims · 1.8%

Your Cost: $27.95/claim|Median: $26.41
1.1× median
G0378Normal range

Hospital observation service, per hour

$207K

1,363 claims · 1.7%

Your Cost: $152.00/claim|Median: $99.39
1.5× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$184K

1,965 claims · 1.5%

Your Cost: $93.42/claim|Median: $36.13
2.6× median
97110Normal range

Therapeutic exercises, each 15 min

$175K

5,221 claims · 1.5%

Your Cost: $33.61/claim|Median: $24.49
1.4× median
99282Top 25%

Emergency dept visit, low complexity

$168K

1,353 claims · 1.4%

Your Cost: $124.24/claim|Median: $37.72
3.3× median
70553Top 10%

MRI brain without contrast, then with contrast

$166K

341 claims · 1.4%

Your Cost: $485.90/claim|Median: $133.68
3.6× median
70450Top 25%

CT head/brain without contrast

$163K

1,782 claims · 1.4%

Your Cost: $91.24/claim|Median: $45.53
2.0× median
72148Top 5%

MRI lumbar spine without contrast

$155K

381 claims · 1.3%

Your Cost: $407.93/claim|Median: $101.03
4.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$153K

4,385 claims · 1.3%

Your Cost: $34.86/claim|Median: $35.43
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$133K

5,296 claims · 1.1%

Your Cost: $25.18/claim|Median: $21.76
1.2× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$133K

2,777 claims · 1.1%

Your Cost: $48.00/claim|Median: $54.77
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$124K

21K claims · 1.0%

Your Cost: $6.03/claim|Median: $4.71
1.3× median
36415Top 25%

Collection of venous blood by venipuncture

$120K

45K claims · 1.0%

Your Cost: $2.65/claim|Median: $1.57
1.7× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$110K

1,097 claims · 0.9%

Your Cost: $99.94/claim|Median: $58.55
1.7× median
80053Normal range

Comprehensive metabolic panel

$106K

20K claims · 0.9%

Your Cost: $5.23/claim|Median: $7.24
0.7× median
71046Top 25%

Chest X-ray, 2 views

$106K

5,147 claims · 0.9%

Your Cost: $20.51/claim|Median: $8.92
2.3× median
81220Normal range

CFTR gene analysis, common variants

$105K

404 claims · 0.9%

Your Cost: $259.17/claim|Median: $183.31
1.4× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$103K

879 claims · 0.9%

Your Cost: $117.04/claim|Median: $74.78
1.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$103K

8,337 claims · 0.9%

Your Cost: $12.33/claim|Median: $9.56
1.3× median
77067Top 25%

Screening mammography, bilateral, including CAD

$102K

1,205 claims · 0.9%

Your Cost: $84.73/claim|Median: $39.33
2.2× median
96361Normal range

IV infusion, hydration, each additional hour

$102K

3,654 claims · 0.9%

Your Cost: $27.94/claim|Median: $38.92
0.7× median
76705Top 10%

Ultrasound, abdominal, limited

$91K

903 claims · 0.8%

Your Cost: $100.55/claim|Median: $23.81
4.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$86K

625 claims · 0.7%

Your Cost: $137.87/claim|Median: $54.68
2.5× median
76856Top 25%

Ultrasound, pelvic, complete

$86K

823 claims · 0.7%

Your Cost: $104.47/claim|Median: $47.58
2.2× median
71260Top 25%

CT chest with contrast

$79K

477 claims · 0.7%

Your Cost: $166.02/claim|Median: $48.36
3.4× median
← All providersHow we detect fraud →