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

⚖️ Compare🖨️ Print Report

Provider 1295743169

NPI: 1295743169Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.8M

$17,795,550

Total Claims

190K

Beneficiaries

174K

1.1 claims/patient

Avg Cost/Claim

$94

Monthly Spending Trend

Yearly Spending

2018
$3.8M
-14%
2019
$3.2M
-46%
2020
$1.7M
-31%
2021
$1.2M
+109%
2022
$2.5M
+15%
2023
$2.9M
-15%
2024
$2.5M

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 16% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$2.9M

15K claims · 16.2%

Your Cost: $189.26/claim|Median: $42.48
4.5× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.8M

8,393 claims · 15.7%

Your Cost: $333.51/claim|Median: $85.65
3.9× median
X4011Normal range

Healthcare procedure, code X4011

$2.5M

8,233 claims · 14.0%

Your Cost: $302.90/claim|Median: $268.66
1.1× median
99284Top 5%

Emergency dept visit, high complexity

$1.9M

7,735 claims · 10.8%

Your Cost: $248.10/claim|Median: $69.51
3.6× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$1.2M

30K claims · 6.6%

Your Cost: $39.18/claim|Median: $4.71
8.3× median
80053Top 10%

Comprehensive metabolic panel

$786K

26K claims · 4.4%

Your Cost: $30.75/claim|Median: $7.24
4.2× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$776K

5,171 claims · 4.4%

Your Cost: $150.09/claim|Median: $21.76
6.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$523K

5,185 claims · 2.9%

Your Cost: $100.81/claim|Median: $91.47
1.1× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$510K

10K claims · 2.9%

Your Cost: $50.78/claim|Median: $7.50
6.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$273K

982 claims · 1.5%

Your Cost: $278.18/claim|Median: $65.76
4.2× median
71046Top 1%

Chest X-ray, 2 views

$244K

1,965 claims · 1.4%

Your Cost: $123.99/claim|Median: $8.92
13.9× median
81001Top 5%

Urinalysis, automated, with microscopy

$238K

6,092 claims · 1.3%

Your Cost: $39.02/claim|Median: $2.03
19.2× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$236K

1,404 claims · 1.3%

Your Cost: $168.25/claim|Median: $36.13
4.7× median
J3490Top 25%

Unclassified drugs

$225K

3,902 claims · 1.3%

Your Cost: $57.66/claim|Median: $5.70
10.1× median
71045Top 10%

Chest X-ray, single view

$215K

4,937 claims · 1.2%

Your Cost: $43.49/claim|Median: $4.93
8.8× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$205K

2,165 claims · 1.2%

Your Cost: $94.83/claim|Median: $35.43
2.7× median
96375Top 10%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$163K

2,870 claims · 0.9%

Your Cost: $56.65/claim|Median: $14.92
3.8× median
36415Top 5%

Collection of venous blood by venipuncture

$159K

7,198 claims · 0.9%

Your Cost: $22.09/claim|Median: $1.57
14.1× median
Y7507Normal range

$139K

812 claims · 0.8%

Your Cost: $170.66/claim|Median: $172.12
1.0× median
84484Top 10%

Troponin, quantitative

$105K

5,805 claims · 0.6%

Your Cost: $18.15/claim|Median: $4.84
3.7× median
87086Top 1%

Urine culture, colony count, with identification

$103K

1,833 claims · 0.6%

Your Cost: $56.13/claim|Median: $5.31
10.6× median
86900Top 1%

$100K

601 claims · 0.6%

Your Cost: $165.66/claim|Median: $2.55
65.0× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$96K

1,118 claims · 0.5%

Your Cost: $85.92/claim|Median: $24.95
3.4× median
87591Top 5%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$96K

1,148 claims · 0.5%

Your Cost: $83.58/claim|Median: $23.39
3.6× median
86850Top 1%

$82K

620 claims · 0.5%

Your Cost: $131.96/claim|Median: $5.44
24.3× median
G0463Top 25%

Hospital outpatient clinic visit

$79K

1,118 claims · 0.4%

Your Cost: $70.54/claim|Median: $26.41
2.7× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$77K

2,623 claims · 0.4%

Your Cost: $29.33/claim|Median: $9.87
3.0× median
86901Top 1%

$76K

600 claims · 0.4%

Your Cost: $127.11/claim|Median: $2.26
56.2× median
C9803Normal range

$69K

4,383 claims · 0.4%

Your Cost: $15.86/claim|Median: $13.20
1.2× median
87804Top 1%

Influenza virus detection, rapid test

$62K

310 claims · 0.3%

Your Cost: $200.86/claim|Median: $12.59
16.0× median
← All providersHow we detect fraud →