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

⚖️ Compare🖨️ Print Report

Provider 1174555692

NPI: 1174555692Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.2M

$14,184,724

Total Claims

422K

Beneficiaries

311K

1.4 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$629K
+109%
2019
$1.3M
+24%
2020
$1.6M
+61%
2021
$2.6M
+17%
2022
$3.1M
+1%
2023
$3.1M
-41%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 12% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.7M

16K claims · 12.2%

Your Cost: $111.05/claim|Median: $42.48
2.6× median
99284Normal range

Emergency dept visit, high complexity

$1.7M

19K claims · 12.1%

Your Cost: $88.54/claim|Median: $69.51
1.3× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$1.6M

5,711 claims · 11.5%

Your Cost: $285.39/claim|Median: $36.13
7.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.1M

11K claims · 7.5%

Your Cost: $96.44/claim|Median: $85.65
1.1× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$871K

17K claims · 6.1%

Your Cost: $50.89/claim|Median: $7.50
6.8× median
97110Top 5%

Therapeutic exercises, each 15 min

$765K

8,357 claims · 5.4%

Your Cost: $91.50/claim|Median: $24.49
3.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$726K

6,517 claims · 5.1%

Your Cost: $111.40/claim|Median: $38.92
2.9× median
71045Top 1%

Chest X-ray, single view

$676K

5,128 claims · 4.8%

Your Cost: $131.76/claim|Median: $4.93
26.7× median
G0463Normal range

Hospital outpatient clinic visit

$432K

8,714 claims · 3.0%

Your Cost: $49.53/claim|Median: $26.41
1.9× median
71046Top 5%

Chest X-ray, 2 views

$262K

3,274 claims · 1.8%

Your Cost: $80.02/claim|Median: $8.92
9.0× median
99219Top 5%

$249K

1,008 claims · 1.8%

Your Cost: $246.69/claim|Median: $63.35
3.9× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$243K

9,076 claims · 1.7%

Your Cost: $26.77/claim|Median: $21.76
1.2× median
99282Top 25%

Emergency dept visit, low complexity

$205K

1,700 claims · 1.4%

Your Cost: $120.55/claim|Median: $37.72
3.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$186K

6,082 claims · 1.3%

Your Cost: $30.56/claim|Median: $23.99
1.3× median
36415Normal range

Collection of venous blood by venipuncture

$169K

90K claims · 1.2%

Your Cost: $1.88/claim|Median: $1.57
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$168K

46K claims · 1.2%

Your Cost: $3.67/claim|Median: $4.71
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$160K

4,848 claims · 1.1%

Your Cost: $33.03/claim|Median: $39.70
0.8× median
80050Top 5%

General health panel

$149K

1,191 claims · 1.0%

Your Cost: $124.97/claim|Median: $25.59
4.9× median
80053Normal range

Comprehensive metabolic panel

$141K

27K claims · 1.0%

Your Cost: $5.20/claim|Median: $7.24
0.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$130K

2,108 claims · 0.9%

Your Cost: $61.78/claim|Median: $65.64
0.9× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$128K

861 claims · 0.9%

Your Cost: $148.64/claim|Median: $75.28
2.0× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$126K

800 claims · 0.9%

Your Cost: $157.58/claim|Median: $51.25
3.1× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$126K

849 claims · 0.9%

Your Cost: $148.32/claim|Median: $74.78
2.0× median
36591Top 10%

$125K

2,333 claims · 0.9%

Your Cost: $53.57/claim|Median: $11.16
4.8× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$120K

1,110 claims · 0.8%

Your Cost: $108.12/claim|Median: $9.56
11.3× median
99239Top 10%

Hospital discharge day management, more than 30 minutes

$108K

1,221 claims · 0.8%

Your Cost: $88.59/claim|Median: $43.85
2.0× median
J0897Normal range

Injection, denosumab, one milligram

$102K

368 claims · 0.7%

Your Cost: $277.32/claim|Median: $493.25
0.6× median
U0004Top 25%

COVID-19 test, nucleic acid detection, CDC lab only

$100K

1,280 claims · 0.7%

Your Cost: $78.37/claim|Median: $60.05
1.3× median
G0108Top 5%

Diabetes self-management training, individual

$82K

851 claims · 0.6%

Your Cost: $96.31/claim|Median: $35.89
2.7× median
82306Normal range

Vitamin D, 25 hydroxy

$76K

5,830 claims · 0.5%

Your Cost: $13.05/claim|Median: $18.18
0.7× median
← All providersHow we detect fraud →