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

Provider 1194238782

NPI: 1194238782Share
Active Billing Period:2018-012024-11(68 months)

Extreme procedure concentration — 58% of $12.5M billed through just 2 codes

Total Paid

$12.5M

$12,543,442

Total Claims

59K

Beneficiaries

2,483

23.7 claims/patient

Avg Cost/Claim

$213

Monthly Spending Trend

Yearly Spending

2018
$678K
+77%
2019
$1.2M
+33%
2020
$1.6M
-83%
2021
$267K
+911%
2022
$2.7M
+1%
2023
$2.7M
+23%
2024
$3.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (W7350 (Waiver service, state-specific code)) accounts for 58% of total spending.

W7350Normal range

Waiver service, state-specific code

$7.3M

34K claims · 58.2%

Your Cost: $214.65/claim|Median: $222.14
1.0× median
W7330Normal range

$5.2M

25K claims · 41.8%

Your Cost: $210.88/claim|Median: $215.80
1.0× median