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

⚖️ Compare🖨️ Print Report

Provider 1154715845

NPI: 1154715845Share
Active Billing Period:2018-01→2024-10(53 months)

Total Paid

$8.6M

$8,626,332

Total Claims

84K

Beneficiaries

72K

1.2 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2018
$3.5M
-8%
2019
$3.2M
-41%
2020
$1.9M
-100%
2021
$2K
-40%
2023
$1K
+276%
2024
$5K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (0450 (Emergency room visit)) accounts for 39% of total spending.

0450Top 5%

Emergency room visit

$3.4M

9,265 claims · 39.1%

Your Cost: $364.01/claim|Median: $44.95
8.1× median
74177Top 1%

CT abdomen and pelvis with contrast

$841K

587 claims · 9.7%

Your Cost: $1,431.90/claim|Median: $65.76
21.8× median
70450Top 1%

CT head/brain without contrast

$520K

840 claims · 6.0%

Your Cost: $618.53/claim|Median: $45.53
13.6× median
96374Top 1%

Therapeutic/prophylactic/diagnostic IV push, single substance

$427K

2,285 claims · 4.9%

Your Cost: $186.85/claim|Median: $21.76
8.6× median
80053Top 5%

Comprehensive metabolic panel

$386K

4,657 claims · 4.5%

Your Cost: $82.87/claim|Median: $7.24
11.4× median
93005Top 1%

Electrocardiogram, tracing only, without interpretation

$365K

2,930 claims · 4.2%

Your Cost: $124.46/claim|Median: $7.50
16.6× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$246K

1,835 claims · 2.8%

Your Cost: $133.91/claim|Median: $14.92
9.0× median
96361Top 25%

IV infusion, hydration, each additional hour

$169K

1,505 claims · 2.0%

Your Cost: $112.55/claim|Median: $38.92
2.9× median
71045Top 5%

Chest X-ray, single view

$135K

2,457 claims · 1.6%

Your Cost: $55.00/claim|Median: $4.93
11.2× median
99284Top 25%

Emergency dept visit, high complexity

$131K

807 claims · 1.5%

Your Cost: $162.87/claim|Median: $69.51
2.3× median
96365Top 10%

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

$128K

876 claims · 1.5%

Your Cost: $146.08/claim|Median: $54.77
2.7× median
84512Top 1%

$116K

1,439 claims · 1.3%

Your Cost: $80.67/claim|Median: $5.41
14.9× median
81025Top 1%

Urine pregnancy test

$93K

2,101 claims · 1.1%

Your Cost: $44.09/claim|Median: $4.81
9.2× median
83690Top 5%

$90K

1,659 claims · 1.0%

Your Cost: $54.35/claim|Median: $3.35
16.2× median
99283Top 25%

Emergency dept visit, moderate complexity

$90K

673 claims · 1.0%

Your Cost: $133.77/claim|Median: $42.48
3.1× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$87K

833 claims · 1.0%

Your Cost: $104.12/claim|Median: $9.56
10.9× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$81K

5,571 claims · 0.9%

Your Cost: $14.57/claim|Median: $4.71
3.1× median
99281Normal range

Emergency dept visit, minimal complexity

$75K

1,697 claims · 0.9%

Your Cost: $44.42/claim|Median: $52.03
0.9× median
J3490Normal range

Unclassified drugs

$75K

4,665 claims · 0.9%

Your Cost: $16.09/claim|Median: $5.70
2.8× median
93017Top 5%

$72K

160 claims · 0.8%

Your Cost: $449.30/claim|Median: $56.03
8.0× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$69K

498 claims · 0.8%

Your Cost: $138.55/claim|Median: $61.57
2.3× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$65K

127 claims · 0.8%

Your Cost: $511.01/claim|Median: $85.65
6.0× median
74176Top 1%

CT abdomen and pelvis without contrast

$61K

56 claims · 0.7%

Your Cost: $1,092.01/claim|Median: $60.19
18.1× median
71046Top 5%

Chest X-ray, 2 views

$59K

788 claims · 0.7%

Your Cost: $75.27/claim|Median: $8.92
8.4× median
80048Top 5%

Basic metabolic panel

$57K

960 claims · 0.7%

Your Cost: $59.27/claim|Median: $5.78
10.3× median
83880Top 5%

$53K

834 claims · 0.6%

Your Cost: $64.13/claim|Median: $11.81
5.4× median
87086Top 5%

Urine culture, colony count, with identification

$53K

1,261 claims · 0.6%

Your Cost: $42.00/claim|Median: $5.31
7.9× median
83605Top 5%

$49K

950 claims · 0.6%

Your Cost: $51.51/claim|Median: $4.66
11.1× median
76377Top 1%

$48K

246 claims · 0.6%

Your Cost: $196.82/claim|Median: $20.27
9.7× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$38K

1,537 claims · 0.4%

Your Cost: $24.61/claim|Median: $2.14
11.5× median
← All providersHow we detect fraud →