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

Provider 1265857890

NPI: 1265857890Share
Active Billing Period:2018-012024-06(70 months)

Extreme procedure concentration — 100% of $8.0M billed through a single code

Total Paid

$8.0M

$8,014,706

Total Claims

29K

Beneficiaries

1,588

18.1 claims/patient

Avg Cost/Claim

$278

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+10%
2019
$1.5M
+14%
2020
$1.8M
-17%
2021
$1.5M
-46%
2022
$784K
-18%
2023
$643K
-32%
2024
$435K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 1 distinct procedure code. The top code (T1024 (Evaluation & treatment, integrated specialty team)) accounts for 100% of total spending.

T1024Top 25%

Evaluation & treatment, integrated specialty team

$8.0M

29K claims · 100.0%

Your Cost: $278.31/claim|Median: $119.08
2.3× median