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

⚖️ Compare🖨️ Print Report

Provider 1194774299

NPI: 1194774299Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.5M

$15,541,576

Total Claims

266K

Beneficiaries

228K

1.2 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-10%
2019
$1.9M
-31%
2020
$1.3M
+72%
2021
$2.3M
+8%
2022
$2.5M
+16%
2023
$2.9M
-16%
2024
$2.4M

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 19% of total spending.

0450Top 25%

Emergency room visit

$2.9M

29K claims · 18.7%

Your Cost: $101.97/claim|Median: $44.95
2.3× median
99199Top 10%

Unlisted special service, procedure, or report

$1.8M

16K claims · 11.9%

Your Cost: $118.80/claim|Median: $5.39
22.0× median
99281Top 25%

Emergency dept visit, minimal complexity

$938K

7,118 claims · 6.0%

Your Cost: $131.74/claim|Median: $52.03
2.5× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$806K

7,701 claims · 5.2%

Your Cost: $104.64/claim|Median: $21.76
4.8× median
74177Top 10%

CT abdomen and pelvis with contrast

$701K

1,751 claims · 4.5%

Your Cost: $400.11/claim|Median: $65.76
6.1× median
70450Top 5%

CT head/brain without contrast

$568K

1,938 claims · 3.7%

Your Cost: $293.20/claim|Median: $45.53
6.4× median
87637Top 5%

Respiratory virus detection, 3-5 targets, nucleic acid

$441K

1,966 claims · 2.8%

Your Cost: $224.30/claim|Median: $100.62
2.2× median
0250Top 10%

$432K

8,917 claims · 2.8%

Your Cost: $48.42/claim|Median: $3.70
13.1× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$429K

5,942 claims · 2.8%

Your Cost: $72.21/claim|Median: $14.92
4.8× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$419K

3,665 claims · 2.7%

Your Cost: $114.45/claim|Median: $35.43
3.2× median
80053Top 10%

Comprehensive metabolic panel

$408K

14K claims · 2.6%

Your Cost: $29.60/claim|Median: $7.24
4.1× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$379K

4,710 claims · 2.4%

Your Cost: $80.42/claim|Median: $39.70
2.0× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$296K

6,062 claims · 1.9%

Your Cost: $48.76/claim|Median: $7.50
6.5× median
82077Top 1%

$285K

2,152 claims · 1.8%

Your Cost: $132.22/claim|Median: $4.44
29.8× median
96365Top 25%

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

$267K

2,106 claims · 1.7%

Your Cost: $126.85/claim|Median: $54.77
2.3× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$247K

19K claims · 1.6%

Your Cost: $13.23/claim|Median: $4.71
2.8× median
J3490Normal range

Unclassified drugs

$236K

12K claims · 1.5%

Your Cost: $20.17/claim|Median: $5.70
3.5× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$206K

6,059 claims · 1.3%

Your Cost: $33.93/claim|Median: $28.63
1.2× median
74176Top 25%

CT abdomen and pelvis without contrast

$193K

962 claims · 1.2%

Your Cost: $200.23/claim|Median: $60.19
3.3× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$182K

3,964 claims · 1.2%

Your Cost: $45.91/claim|Median: $9.56
4.8× median
71046Top 10%

Chest X-ray, 2 views

$181K

3,931 claims · 1.2%

Your Cost: $46.10/claim|Median: $8.92
5.2× median
Z7502Top 25%

$177K

4,681 claims · 1.1%

Your Cost: $37.76/claim|Median: $37.17
1.0× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$168K

4,167 claims · 1.1%

Your Cost: $40.31/claim|Median: $3.42
11.8× median
80143Top 1%

$166K

1,319 claims · 1.1%

Your Cost: $125.72/claim|Median: $6.23
20.2× median
96361Normal range

IV infusion, hydration, each additional hour

$158K

3,341 claims · 1.0%

Your Cost: $47.32/claim|Median: $38.92
1.2× median
80179Top 1%

$157K

1,285 claims · 1.0%

Your Cost: $122.02/claim|Median: $5.70
21.4× median
87502Top 5%

Influenza virus detection, reverse transcription, amplified probe

$134K

1,150 claims · 0.9%

Your Cost: $116.29/claim|Median: $65.64
1.8× median
71045Top 10%

Chest X-ray, single view

$119K

4,424 claims · 0.8%

Your Cost: $27.00/claim|Median: $4.93
5.5× median
96360Normal range

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

$108K

1,043 claims · 0.7%

Your Cost: $103.60/claim|Median: $61.57
1.7× median
99202Top 1%

Office/outpatient visit, new patient, low complexity

$108K

400 claims · 0.7%

Your Cost: $268.90/claim|Median: $40.11
6.7× median
← All providersHow we detect fraud →