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

⚖️ Compare🖨️ Print Report

Provider 1154379394

NPI: 1154379394Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,782,548

Total Claims

125K

Beneficiaries

119K

1.0 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+3%
2019
$1.2M
-5%
2020
$1.2M
+28%
2021
$1.5M
+12%
2022
$1.7M
+18%
2023
$2.0M
-5%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 38% of total spending.

99285Normal range

Emergency dept visit, high/urgent complexity

$4.1M

39K claims · 38.2%

Your Cost: $106.72/claim|Median: $85.65
1.2× median
99284Normal range

Emergency dept visit, high complexity

$3.7M

40K claims · 34.3%

Your Cost: $92.04/claim|Median: $69.51
1.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.6M

19K claims · 15.1%

Your Cost: $84.53/claim|Median: $42.48
2.0× median
99291Normal range

Critical care, first 30-74 minutes

$964K

7,118 claims · 8.9%

Your Cost: $135.40/claim|Median: $101.24
1.3× median
99282Normal range

Emergency dept visit, low complexity

$154K

1,740 claims · 1.4%

Your Cost: $88.22/claim|Median: $37.72
2.3× median
93308Normal range

$58K

3,121 claims · 0.5%

Your Cost: $18.71/claim|Median: $20.08
0.9× median
93042Top 25%

$58K

9,015 claims · 0.5%

Your Cost: $6.47/claim|Median: $2.53
2.6× median
76705Normal range

Ultrasound, abdominal, limited

$43K

2,668 claims · 0.4%

Your Cost: $16.25/claim|Median: $23.81
0.7× median
76604Normal range

$33K

2,299 claims · 0.3%

Your Cost: $14.18/claim|Median: $16.47
0.9× median
99217Normal range

$11K

445 claims · 0.1%

Your Cost: $25.47/claim|Median: $31.89
0.8× median
99220Normal range

$7K

120 claims · 0.1%

Your Cost: $62.11/claim|Median: $73.56
0.8× median
31500Normal range

$4K

70 claims · 0.0%

Your Cost: $63.39/claim|Median: $62.71
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$1K

55 claims · 0.0%

Your Cost: $19.45/claim|Median: $67.32
0.3× median
76882Normal range

$477

24 claims · 0.0%

Your Cost: $19.87/claim|Median: $22.22
0.9× median
76775Normal range

$419

27 claims · 0.0%

Your Cost: $15.52/claim|Median: $28.03
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$277

45 claims · 0.0%

Your Cost: $6.16/claim|Median: $37.22
0.2× median
← All providersHow we detect fraud →