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

⚖️ Compare🖨️ Print Report

Provider 1245521269

NPI: 1245521269Share
Active Billing Period:2018-01→2024-10(77 months)

Total Paid

$17.0M

$16,977,005

Total Claims

43K

Beneficiaries

5,592

7.7 claims/patient

Avg Cost/Claim

$396

Monthly Spending Trend

Yearly Spending

2018
$449K
+285%
2019
$1.7M
+72%
2020
$3.0M
+7%
2021
$3.2M
+19%
2022
$3.8M
-3%
2023
$3.7M
-67%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (0658 (Revenue code, pharmacy, generic drugs)) accounts for 61% of total spending.

0658Top 25%

Revenue code, pharmacy, generic drugs

$10.3M

1,936 claims · 60.9%

Your Cost: $5,338.22/claim|Median: $4,158.95
1.3× median
0659Normal range

Revenue code, clinic services

$4.4M

24K claims · 26.2%

Your Cost: $188.57/claim|Median: $421.95
0.4× median
0650Normal range

$2.1M

8,777 claims · 12.3%

Your Cost: $238.43/claim|Median: $453.45
0.5× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$57K

3,018 claims · 0.3%

Your Cost: $18.93/claim|Median: $51.67
0.4× median
0651Normal range

$26K

133 claims · 0.2%

Your Cost: $198.25/claim|Median: $210.85
0.9× median
G0155Normal range

Services of clinical social worker in home health, per 15 min

$7K

557 claims · 0.0%

Your Cost: $12.03/claim|Median: $7.04
1.7× median
G0156Normal range

Home health aide services, per visit

$5K

3,360 claims · 0.0%

Your Cost: $1.48/claim|Median: $39.42
0.0× median
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$5K

642 claims · 0.0%

Your Cost: $7.49/claim|Median: $45.50
0.2× median
0250Normal range

$914

150 claims · 0.0%

Your Cost: $6.10/claim|Median: $3.70
1.6× median
Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$0

657 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.43
← All providersHow we detect fraud →