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

⚖️ Compare🖨️ Print Report

Provider 1295823540

NPI: 1295823540Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,174,458

Total Claims

6.7M

Beneficiaries

3.3M

2.1 claims/patient

Avg Cost/Claim

$1

Monthly Spending Trend

Yearly Spending

2018
$791K
-14%
2019
$681K
+261%
2020
$2.5M
+29%
2021
$3.2M
-66%
2022
$1.1M
-29%
2023
$763K
-68%
2024
$242K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 47% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$4.3M

280K claims · 46.6%

Your Cost: $15.30/claim|Median: $63.08
0.2× median
80053Normal range

Comprehensive metabolic panel

$682K

581K claims · 7.4%

Your Cost: $1.17/claim|Median: $7.24
0.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$574K

729K claims · 6.3%

Your Cost: $0.79/claim|Median: $4.71
0.2× median
82306Normal range

Vitamin D, 25 hydroxy

$412K

122K claims · 4.5%

Your Cost: $3.38/claim|Median: $18.18
0.2× median
80048Normal range

Basic metabolic panel

$398K

430K claims · 4.3%

Your Cost: $0.93/claim|Median: $5.78
0.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$307K

224K claims · 3.3%

Your Cost: $1.37/claim|Median: $9.87
0.1× median
80061Normal range

Lipid panel

$239K

199K claims · 2.6%

Your Cost: $1.20/claim|Median: $8.41
0.1× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$214K

225K claims · 2.3%

Your Cost: $0.95/claim|Median: $5.50
0.2× median
87086Normal range

Urine culture, colony count, with identification

$150K

185K claims · 1.6%

Your Cost: $0.81/claim|Median: $5.31
0.2× median
36415Normal range

Collection of venous blood by venipuncture

$125K

360K claims · 1.4%

Your Cost: $0.35/claim|Median: $1.57
0.2× median
85027Normal range

Complete blood count (CBC), automated

$121K

208K claims · 1.3%

Your Cost: $0.58/claim|Median: $3.72
0.2× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$106K

87K claims · 1.2%

Your Cost: $1.22/claim|Median: $8.72
0.1× median
87077Normal range

Bacterial culture, aerobic, additional methods required

$100K

120K claims · 1.1%

Your Cost: $0.83/claim|Median: $4.52
0.2× median
87186Normal range

Antimicrobial susceptibility testing, microdilution, per agent

$93K

120K claims · 1.0%

Your Cost: $0.77/claim|Median: $4.65
0.2× median
80164Normal range

$92K

64K claims · 1.0%

Your Cost: $1.44/claim|Median: $5.91
0.2× median
83880Normal range

$85K

35K claims · 0.9%

Your Cost: $2.42/claim|Median: $11.81
0.2× median
85610Normal range

Prothrombin time (PT) blood clotting test

$77K

178K claims · 0.8%

Your Cost: $0.43/claim|Median: $2.14
0.2× median
80177Normal range

$72K

32K claims · 0.8%

Your Cost: $2.22/claim|Median: $6.09
0.4× median
83735Normal range

Magnesium blood level test

$63K

88K claims · 0.7%

Your Cost: $0.72/claim|Median: $2.77
0.3× median
80202Normal range

$59K

27K claims · 0.6%

Your Cost: $2.20/claim|Median: $4.80
0.5× median
82140Normal range

$58K

41K claims · 0.6%

Your Cost: $1.42/claim|Median: $4.31
0.3× median
83970Normal range

Parathormone (parathyroid hormone) blood test

$55K

11K claims · 0.6%

Your Cost: $5.07/claim|Median: $10.20
0.5× median
P9604Normal range

$45K

144K claims · 0.5%

Your Cost: $0.31/claim|Median: $0.81
0.4× median
82746Normal range

$44K

51K claims · 0.5%

Your Cost: $0.86/claim|Median: $6.83
0.1× median
87040Normal range

$43K

19K claims · 0.5%

Your Cost: $2.30/claim|Median: $5.54
0.4× median
82728Normal range

Ferritin

$35K

31K claims · 0.4%

Your Cost: $1.13/claim|Median: $6.00
0.2× median
81001Normal range

Urinalysis, automated, with microscopy

$33K

72K claims · 0.4%

Your Cost: $0.46/claim|Median: $2.03
0.2× median
80185Normal range

$31K

15K claims · 0.3%

Your Cost: $2.12/claim|Median: $6.29
0.3× median
84134Normal range

$28K

18K claims · 0.3%

Your Cost: $1.56/claim|Median: $5.60
0.3× median
86140Normal range

$22K

44K claims · 0.2%

Your Cost: $0.51/claim|Median: $3.02
0.2× median
← All providersHow we detect fraud →