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

⚖️ Compare🖨️ Print Report

Provider 1215014956

NPI: 1215014956Share
Active Billing Period:2018-01→2023-11(71 months)
Billing appears to have stoppedLast active: 2023-11

Total Paid

$9.3M

$9,306,899

Total Claims

93K

Beneficiaries

15K

6.1 claims/patient

Avg Cost/Claim

$100

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-55%
2019
$1.3M
+11%
2020
$1.4M
+23%
2021
$1.8M
-30%
2022
$1.2M
-42%
2023
$709K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (G0299 (Skilled nursing services, home health, per visit, RN)) accounts for 58% of total spending.

G0299Top 25%

Skilled nursing services, home health, per visit, RN

$5.4M

54K claims · 57.6%

Your Cost: $98.62/claim|Median: $51.67
1.9× median
0551Top 25%

$2.6M

21K claims · 28.1%

Your Cost: $125.31/claim|Median: $2.10
59.7× median
G0151Normal range

Physical therapy services, home health, per visit

$856K

13K claims · 9.2%

Your Cost: $65.60/claim|Median: $67.94
1.0× median
0421Top 25%

$447K

3,349 claims · 4.8%

Your Cost: $133.46/claim|Median: $28.39
4.7× median
G0152Normal range

Occupational therapy services, home health, per visit

$25K

480 claims · 0.3%

Your Cost: $53.06/claim|Median: $68.93
0.8× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$113

756 claims · 0.0%

Your Cost: $0.15/claim|Median: $23.43
0.0× median
S9131Normal range

Physical therapy, in the home, per diem

$0

35 claims · 0.0%

Your Cost: $0.00/claim|Median: $90.35
← All providersHow we detect fraud →