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

⚖️ Compare🖨️ Print Report

Provider 1306961511

NPI: 1306961511Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.8M

$10,823,806

Total Claims

183K

Beneficiaries

126K

1.5 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$108K
+390%
2019
$530K
+4%
2020
$553K
+137%
2021
$1.3M
+72%
2022
$2.3M
+37%
2023
$3.1M
-3%
2024
$3.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (K1005) accounts for 33% of total spending.

K1005Normal range

$3.6M

90K claims · 33.2%

Your Cost: $40.04/claim|Median: $37.63
1.1× median
E0603Top 25%

Breast pump, electric, any type

$3.4M

17K claims · 31.1%

Your Cost: $201.37/claim|Median: $131.70
1.5× median
A4287Normal range

$1.6M

45K claims · 15.0%

Your Cost: $36.31/claim|Median: $38.21
1.0× median
L2630Top 10%

$1.5M

6,462 claims · 14.1%

Your Cost: $235.35/claim|Median: $165.63
1.4× median
E0604Normal range

$301K

5,792 claims · 2.8%

Your Cost: $51.93/claim|Median: $48.56
1.1× median
S9445Top 25%

$209K

3,435 claims · 1.9%

Your Cost: $60.76/claim|Median: $12.72
4.8× median
L0621Top 25%

$62K

847 claims · 0.6%

Your Cost: $72.73/claim|Median: $56.03
1.3× median
E1399Normal range

Durable medical equipment, miscellaneous

$42K

982 claims · 0.4%

Your Cost: $42.53/claim|Median: $104.06
0.4× median
A4284Normal range

$37K

3,878 claims · 0.3%

Your Cost: $9.44/claim|Median: $9.85
1.0× median
A7000Normal range

$35K

4,175 claims · 0.3%

Your Cost: $8.46/claim|Median: $11.83
0.7× median
A7002Normal range

$17K

3,556 claims · 0.2%

Your Cost: $4.80/claim|Median: $4.97
1.0× median
A4282Normal range

$6K

1,285 claims · 0.1%

Your Cost: $4.84/claim|Median: $4.07
1.2× median
A4281Normal range

$6K

636 claims · 0.1%

Your Cost: $8.85/claim|Median: $6.31
1.4× median
A4283Normal range

$4K

609 claims · 0.0%

Your Cost: $6.06/claim|Median: $3.61
1.7× median
A6530Normal range

$688

26 claims · 0.0%

Your Cost: $26.47/claim|Median: $49.70
0.5× median
A4285Normal range

$3

108 claims · 0.0%

Your Cost: $0.03/claim|Median: $5.69
0.0× median
A9900Normal range

$0

61 claims · 0.0%

Your Cost: $0.00/claim|Median: $58.14
← All providersHow we detect fraud →