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

⚖️ Compare🖨️ Print Report

Provider 1154799948

NPI: 1154799948Share
Active Billing Period:2018-01→2024-07(78 months)

Total Paid

$17.4M

$17,449,184

Total Claims

151K

Beneficiaries

20K

7.6 claims/patient

Avg Cost/Claim

$115

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+32%
2019
$4.1M
+67%
2020
$6.9M
-74%
2021
$1.8M
-41%
2022
$1.0M
-72%
2023
$294K
-52%
2024
$141K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 29% of total spending.

90999Top 25%

Unlisted dialysis procedure

$5.1M

42K claims · 29.0%

Your Cost: $119.57/claim|Median: $63.73
1.9× median
Q4081Top 10%

Injection, epoetin alfa, 100 units (non-ESRD)

$4.9M

47K claims · 28.3%

Your Cost: $104.21/claim|Median: $4.98
20.9× median
J1270Top 10%

Injection, doxercalciferol, 1 mcg

$3.1M

27K claims · 18.0%

Your Cost: $117.38/claim|Median: $0.73
160.8× median
A4657Top 10%

Syringe with needle, each

$1.4M

6,692 claims · 7.8%

Your Cost: $203.23/claim|Median: $2.19
92.8× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$963K

11K claims · 5.5%

Your Cost: $86.43/claim|Median: $4.58
18.9× median
85041Top 25%

$323K

2,756 claims · 1.8%

Your Cost: $117.06/claim|Median: $0.76
154.0× median
85048Top 10%

$318K

2,625 claims · 1.8%

Your Cost: $121.07/claim|Median: $0.81
149.5× median
82728Top 5%

Ferritin

$316K

2,841 claims · 1.8%

Your Cost: $111.40/claim|Median: $6.00
18.6× median
83540Top 5%

Iron blood level test

$298K

2,781 claims · 1.7%

Your Cost: $107.09/claim|Median: $2.93
36.5× median
83550Top 5%

$298K

2,787 claims · 1.7%

Your Cost: $106.84/claim|Median: $3.49
30.6× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$272K

1,882 claims · 1.6%

Your Cost: $144.69/claim|Median: $10.20
14.2× median
G0499Top 25%

$135K

1,132 claims · 0.8%

Your Cost: $119.25/claim|Median: $2.76
43.2× median
G0008Top 1%

$16K

87 claims · 0.1%

Your Cost: $178.31/claim|Median: $2.54
70.2× median
82306Top 5%

Vitamin D, 25 hydroxy

$14K

152 claims · 0.1%

Your Cost: $92.65/claim|Median: $18.18
5.1× median
82108Top 10%

$6K

36 claims · 0.0%

Your Cost: $180.46/claim|Median: $2.12
85.1× median
90674Top 1%

$5K

27 claims · 0.0%

Your Cost: $201.90/claim|Median: $15.16
13.3× median
J0887Top 25%

Injection, epoetin alfa, non-ESRD, 1000 units

$5K

36 claims · 0.0%

Your Cost: $126.43/claim|Median: $30.48
4.1× median
90662Top 1%

$3K

12 claims · 0.0%

Your Cost: $251.43/claim|Median: $6.55
38.4× median
90732Normal range

Pneumococcal vaccine (PPSV23)

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.96
J0604Normal range

$0

50 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.09
G0009Normal range

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.11
← All providersHow we detect fraud →