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

⚖️ Compare🖨️ Print Report

Provider 1205135340

NPI: 1205135340Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.7M

$15,684,402

Total Claims

65K

Beneficiaries

12K

5.6 claims/patient

Avg Cost/Claim

$241

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-1%
2019
$2.1M
-4%
2020
$2.0M
-7%
2021
$1.9M
+16%
2022
$2.2M
+14%
2023
$2.5M
+8%
2024
$2.7M

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 100% of total spending.

90999Top 1%

Unlisted dialysis procedure

$15.6M

37K claims · 99.6%

Your Cost: $417.40/claim|Median: $63.73
6.5× median
J1756Normal range

Injection, iron sucrose, 1 mg

$18K

5,492 claims · 0.1%

Your Cost: $3.19/claim|Median: $4.58
0.7× median
Q4081Normal range

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

$15K

6,639 claims · 0.1%

Your Cost: $2.25/claim|Median: $4.98
0.5× median
J1270Normal range

Injection, doxercalciferol, 1 mcg

$14K

12K claims · 0.1%

Your Cost: $1.19/claim|Median: $0.73
1.6× median
90674Top 25%

$4K

140 claims · 0.0%

Your Cost: $25.00/claim|Median: $15.16
1.6× median
J0887Normal range

Injection, epoetin alfa, non-ESRD, 1000 units

$3K

143 claims · 0.0%

Your Cost: $17.68/claim|Median: $30.48
0.6× median
90732Top 25%

Pneumococcal vaccine (PPSV23)

$1K

14 claims · 0.0%

Your Cost: $88.16/claim|Median: $36.96
2.4× median
0250Normal range

$1K

1,301 claims · 0.0%

Your Cost: $0.82/claim|Median: $3.70
0.2× median
A4657Normal range

Syringe with needle, each

$873

782 claims · 0.0%

Your Cost: $1.12/claim|Median: $2.19
0.5× median
90662Top 25%

$851

26 claims · 0.0%

Your Cost: $32.74/claim|Median: $6.55
5.0× median
G0499Normal range

$45

25 claims · 0.0%

Your Cost: $1.81/claim|Median: $2.76
0.7× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$7

193 claims · 0.0%

Your Cost: $0.04/claim|Median: $10.20
0.0× median
85041Normal range

$1

381 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.76
0.0× median
85048Normal range

$1

380 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.81
0.0× median
85045Normal range

$1

59 claims · 0.0%

Your Cost: $0.01/claim|Median: $1.64
0.0× median
83550Normal range

$0

55 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.49
G0008Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.54
82306Normal range

Vitamin D, 25 hydroxy

$0

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.18
82728Normal range

Ferritin

$0

97 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.00
82108Normal range

$0

69 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.12
83540Normal range

Iron blood level test

$0

98 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.93
← All providersHow we detect fraud →