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

⚖️ Compare🖨️ Print Report

Provider 1235290651

NPI: 1235290651Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$16.9M

$16,877,285

Total Claims

2.5M

Beneficiaries

2.1M

1.2 claims/patient

Avg Cost/Claim

$7

Monthly Spending Trend

Yearly Spending

2018
$3.9M
-10%
2019
$3.5M
+0%
2020
$3.5M
-35%
2021
$2.3M
-30%
2022
$1.6M
-10%
2023
$1.4M
-63%
2024
$527K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (87389 (HIV-1 antigen with HIV-1 and HIV-2 antibodies)) accounts for 29% of total spending.

87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$4.8M

666K claims · 28.6%

Your Cost: $7.26/claim|Median: $18.03
0.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$3.2M

349K claims · 19.0%

Your Cost: $9.19/claim|Median: $23.39
0.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$3.2M

349K claims · 18.8%

Your Cost: $9.11/claim|Median: $24.95
0.4× median
83655Top 25%

$1.9M

146K claims · 11.5%

Your Cost: $13.28/claim|Median: $10.49
1.3× median
86803Normal range

Hepatitis C antibody

$540K

132K claims · 3.2%

Your Cost: $4.09/claim|Median: $10.17
0.4× median
86592Normal range

$414K

327K claims · 2.5%

Your Cost: $1.27/claim|Median: $3.35
0.4× median
83020Normal range

$400K

34K claims · 2.4%

Your Cost: $11.86/claim|Median: $9.42
1.3× median
86762Top 25%

$396K

29K claims · 2.3%

Your Cost: $13.77/claim|Median: $9.97
1.4× median
86593Normal range

$391K

295K claims · 2.3%

Your Cost: $1.32/claim|Median: $2.84
0.5× median
87340Normal range

Hepatitis B surface antigen detection

$354K

52K claims · 2.1%

Your Cost: $6.75/claim|Median: $5.52
1.2× median
U0001Normal range

$248K

37K claims · 1.5%

Your Cost: $6.78/claim|Median: $24.79
0.3× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$232K

4,622 claims · 1.4%

Your Cost: $50.11/claim|Median: $97.61
0.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$123K

11K claims · 0.7%

Your Cost: $11.59/claim|Median: $39.70
0.3× median
87529Normal range

$78K

13K claims · 0.5%

Your Cost: $5.86/claim|Median: $24.98
0.2× median
86706Normal range

$66K

17K claims · 0.4%

Your Cost: $3.75/claim|Median: $5.39
0.7× median
86780Normal range

$64K

19K claims · 0.4%

Your Cost: $3.44/claim|Median: $9.83
0.4× median
83021Top 25%

$63K

3,566 claims · 0.4%

Your Cost: $17.64/claim|Median: $12.07
1.5× median
87521Normal range

$52K

9,447 claims · 0.3%

Your Cost: $5.49/claim|Median: $23.26
0.2× median
86704Normal range

$45K

6,194 claims · 0.3%

Your Cost: $7.31/claim|Median: $7.48
1.0× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$39K

1,358 claims · 0.2%

Your Cost: $28.41/claim|Median: $38.79
0.7× median
87501Normal range

$22K

1,250 claims · 0.1%

Your Cost: $18.00/claim|Median: $16.41
1.1× median
83498Top 10%

$22K

667 claims · 0.1%

Your Cost: $32.47/claim|Median: $16.62
2.0× median
87077Normal range

Bacterial culture, aerobic, additional methods required

$21K

9,975 claims · 0.1%

Your Cost: $2.14/claim|Median: $4.52
0.5× median
87116Normal range

$18K

7,305 claims · 0.1%

Your Cost: $2.40/claim|Median: $5.30
0.5× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$17K

1,013 claims · 0.1%

Your Cost: $16.62/claim|Median: $26.72
0.6× median
82775Top 10%

$17K

667 claims · 0.1%

Your Cost: $25.17/claim|Median: $16.27
1.5× median
82017Top 25%

$13K

667 claims · 0.1%

Your Cost: $20.16/claim|Median: $9.66
2.1× median
82139Top 25%

$13K

667 claims · 0.1%

Your Cost: $20.16/claim|Median: $9.63
2.1× median
82261Top 10%

$13K

667 claims · 0.1%

Your Cost: $20.16/claim|Median: $8.14
2.5× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$13K

667 claims · 0.1%

Your Cost: $19.29/claim|Median: $9.87
2.0× median
← All providersHow we detect fraud →