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

⚖️ Compare🖨️ Print Report

Provider 1275578064

NPI: 1275578064Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.5M

$16,474,218

Total Claims

732K

Beneficiaries

560K

1.3 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+15%
2019
$1.9M
-3%
2020
$1.9M
+30%
2021
$2.4M
+12%
2022
$2.7M
+13%
2023
$3.1M
-11%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 10% of total spending.

99283Normal range

Emergency dept visit, moderate complexity

$1.6M

27K claims · 9.8%

Your Cost: $59.31/claim|Median: $42.48
1.4× median
96361Top 25%

IV infusion, hydration, each additional hour

$1.5M

12K claims · 9.3%

Your Cost: $128.31/claim|Median: $38.92
3.3× median
99284Normal range

Emergency dept visit, high complexity

$1.5M

33K claims · 9.1%

Your Cost: $45.88/claim|Median: $69.51
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$1.4M

40K claims · 8.4%

Your Cost: $34.88/claim|Median: $24.49
1.4× median
99285Normal range

Emergency dept visit, high/urgent complexity

$880K

18K claims · 5.3%

Your Cost: $48.94/claim|Median: $85.65
0.6× median
97140Normal range

Manual therapy techniques, per 15 minutes

$457K

22K claims · 2.8%

Your Cost: $21.25/claim|Median: $16.79
1.3× median
99282Normal range

Emergency dept visit, low complexity

$452K

7,118 claims · 2.7%

Your Cost: $63.48/claim|Median: $37.72
1.7× median
80053Top 25%

Comprehensive metabolic panel

$451K

26K claims · 2.7%

Your Cost: $17.03/claim|Median: $7.24
2.4× median
74177Normal range

CT abdomen and pelvis with contrast

$368K

4,716 claims · 2.2%

Your Cost: $78.02/claim|Median: $65.76
1.2× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$303K

3,624 claims · 1.8%

Your Cost: $83.49/claim|Median: $61.57
1.4× median
70450Normal range

CT head/brain without contrast

$300K

4,034 claims · 1.8%

Your Cost: $74.43/claim|Median: $45.53
1.6× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$297K

4,631 claims · 1.8%

Your Cost: $64.08/claim|Median: $54.77
1.2× median
99211Top 10%

Office/outpatient visit, minimal complexity

$265K

4,921 claims · 1.6%

Your Cost: $53.93/claim|Median: $12.93
4.2× median
97530Normal range

Therapeutic activities, each 15 min

$264K

11K claims · 1.6%

Your Cost: $23.24/claim|Median: $33.11
0.7× median
64493Top 25%

$251K

1,147 claims · 1.5%

Your Cost: $219.04/claim|Median: $103.44
2.1× median
97161Normal range

Physical therapy evaluation, low complexity

$243K

5,982 claims · 1.5%

Your Cost: $40.66/claim|Median: $47.89
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$214K

33K claims · 1.3%

Your Cost: $6.40/claim|Median: $4.71
1.4× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$197K

4,704 claims · 1.2%

Your Cost: $41.82/claim|Median: $91.47
0.5× median
96366Normal range

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$195K

2,295 claims · 1.2%

Your Cost: $85.18/claim|Median: $40.12
2.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$189K

1,826 claims · 1.1%

Your Cost: $103.72/claim|Median: $54.68
1.9× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$186K

3,419 claims · 1.1%

Your Cost: $54.48/claim|Median: $35.43
1.5× median
64494Top 10%

$185K

1,459 claims · 1.1%

Your Cost: $126.53/claim|Median: $34.70
3.6× median
74176Normal range

CT abdomen and pelvis without contrast

$173K

2,284 claims · 1.0%

Your Cost: $75.69/claim|Median: $60.19
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$172K

840 claims · 1.0%

Your Cost: $204.53/claim|Median: $151.68
1.3× median
U0003Top 25%

Infectious disease detection (COVID-19)

$156K

1,981 claims · 0.9%

Your Cost: $78.64/claim|Median: $63.08
1.2× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$144K

4,071 claims · 0.9%

Your Cost: $35.26/claim|Median: $10.88
3.2× median
71275Normal range

CT angiography, chest, with contrast

$132K

1,558 claims · 0.8%

Your Cost: $84.61/claim|Median: $92.96
0.9× median
92507Normal range

Speech/hearing/language treatment

$130K

3,197 claims · 0.8%

Your Cost: $40.61/claim|Median: $49.45
0.8× median
80048Top 25%

Basic metabolic panel

$126K

7,590 claims · 0.8%

Your Cost: $16.59/claim|Median: $5.78
2.9× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$116K

2,470 claims · 0.7%

Your Cost: $46.98/claim|Median: $75.28
0.6× median
← All providersHow we detect fraud →