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

Provider 1245603109

NPI: 1245603109Share
Active Billing Period:2021-012024-11(47 months)

Total Paid

$7.9M

$7,853,867

Total Claims

15K

Beneficiaries

15K

1.0 claims/patient

Avg Cost/Claim

$538

Monthly Spending Trend

Yearly Spending

2021
$717K
+85%
2022
$1.3M
+131%
2023
$3.1M
-10%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (G9002 (Coordinated care fee, maintenance period)) accounts for 54% of total spending.

G9002Top 5%

Coordinated care fee, maintenance period

$4.2M

13K claims · 53.7%

Your Cost: $319.88/claim|Median: $108.80
2.9× median
0658Normal range

Revenue code, pharmacy, generic drugs

$1.4M

352 claims · 18.3%

Your Cost: $4,073.46/claim|Median: $4,158.95
1.0× median
G9001Top 5%

$1.2M

774 claims · 15.7%

Your Cost: $1,591.21/claim|Median: $53.98
29.5× median
0650Top 25%

$797K

259 claims · 10.1%

Your Cost: $3,075.69/claim|Median: $453.45
6.8× median
0659Top 25%

Revenue code, clinic services

$176K

38 claims · 2.2%

Your Cost: $4,643.28/claim|Median: $421.95
11.0× median