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

⚖️ Compare🖨️ Print Report

Provider 1245326255

NPI: 1245326255Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,057,257

Total Claims

251K

Beneficiaries

191K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$947K
+15%
2019
$1.1M
-21%
2020
$857K
+32%
2021
$1.1M
+30%
2022
$1.5M
+5%
2023
$1.5M
-34%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97530 (Therapeutic activities, each 15 min)) accounts for 11% of total spending.

97530Top 25%

Therapeutic activities, each 15 min

$878K

13K claims · 10.9%

Your Cost: $69.10/claim|Median: $33.11
2.1× median
99282Normal range

Emergency dept visit, low complexity

$755K

8,974 claims · 9.4%

Your Cost: $84.16/claim|Median: $37.72
2.2× median
81025Top 1%

Urine pregnancy test

$732K

5,015 claims · 9.1%

Your Cost: $145.89/claim|Median: $4.81
30.3× median
87635Top 1%

COVID-19 SARS-CoV-2 amplified probe detection

$633K

3,751 claims · 7.9%

Your Cost: $168.64/claim|Median: $39.70
4.2× median
97110Top 25%

Therapeutic exercises, each 15 min

$600K

9,643 claims · 7.4%

Your Cost: $62.19/claim|Median: $24.49
2.5× median
99283Normal range

Emergency dept visit, moderate complexity

$496K

18K claims · 6.2%

Your Cost: $27.42/claim|Median: $42.48
0.6× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$477K

15K claims · 5.9%

Your Cost: $32.08/claim|Median: $4.71
6.8× median
92507Normal range

Speech/hearing/language treatment

$476K

10K claims · 5.9%

Your Cost: $46.63/claim|Median: $49.45
0.9× median
99281Top 25%

Emergency dept visit, minimal complexity

$446K

3,873 claims · 5.5%

Your Cost: $115.08/claim|Median: $52.03
2.2× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$342K

4,955 claims · 4.2%

Your Cost: $69.09/claim|Median: $9.56
7.2× median
87502Top 1%

Influenza virus detection, reverse transcription, amplified probe

$319K

1,751 claims · 4.0%

Your Cost: $181.90/claim|Median: $65.64
2.8× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$191K

2,663 claims · 2.4%

Your Cost: $71.70/claim|Median: $28.46
2.5× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$187K

1,789 claims · 2.3%

Your Cost: $104.38/claim|Median: $100.62
1.0× median
81003Top 5%

Urinalysis, automated without microscopy

$164K

12K claims · 2.0%

Your Cost: $14.08/claim|Median: $1.48
9.5× median
36415Top 5%

Collection of venous blood by venipuncture

$146K

3,305 claims · 1.8%

Your Cost: $44.19/claim|Median: $1.57
28.1× median
71046Top 10%

Chest X-ray, 2 views

$91K

2,686 claims · 1.1%

Your Cost: $33.75/claim|Median: $8.92
3.8× median
80048Top 10%

Basic metabolic panel

$90K

3,327 claims · 1.1%

Your Cost: $27.05/claim|Median: $5.78
4.7× median
70450Normal range

CT head/brain without contrast

$87K

1,882 claims · 1.1%

Your Cost: $46.21/claim|Median: $45.53
1.0× median
87804Top 25%

Influenza virus detection, rapid test

$86K

3,805 claims · 1.1%

Your Cost: $22.55/claim|Median: $12.59
1.8× median
71045Top 25%

Chest X-ray, single view

$74K

4,977 claims · 0.9%

Your Cost: $14.94/claim|Median: $4.93
3.0× median
80320Top 1%

$59K

253 claims · 0.7%

Your Cost: $233.97/claim|Median: $4.02
58.2× median
99284Normal range

Emergency dept visit, high complexity

$57K

9,740 claims · 0.7%

Your Cost: $5.82/claim|Median: $69.51
0.1× median
87086Top 10%

Urine culture, colony count, with identification

$53K

2,755 claims · 0.7%

Your Cost: $19.27/claim|Median: $5.31
3.6× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$52K

655 claims · 0.6%

Your Cost: $79.85/claim|Median: $12.06
6.6× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$36K

5,812 claims · 0.4%

Your Cost: $6.20/claim|Median: $7.50
0.8× median
87631Top 5%

Respiratory virus detection, 3-5 targets, multiplex

$33K

196 claims · 0.4%

Your Cost: $170.66/claim|Median: $65.45
2.6× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$32K

4,055 claims · 0.4%

Your Cost: $7.95/claim|Median: $21.76
0.4× median
73560Top 5%

$32K

500 claims · 0.4%

Your Cost: $64.25/claim|Median: $10.28
6.3× median
80053Normal range

Comprehensive metabolic panel

$29K

13K claims · 0.4%

Your Cost: $2.25/claim|Median: $7.24
0.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$27K

3,997 claims · 0.3%

Your Cost: $6.77/claim|Median: $85.65
0.1× median
← All providersHow we detect fraud →