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

⚖️ Compare🖨️ Print Report

Provider 1316047392

NPI: 1316047392Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.3M

$12,298,770

Total Claims

117K

Beneficiaries

89K

1.3 claims/patient

Avg Cost/Claim

$105

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+12%
2019
$1.8M
-6%
2020
$1.7M
+17%
2021
$2.0M
-3%
2022
$1.9M
-3%
2023
$1.9M
-22%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (A0427 (Ambulance, ALS emergency transport Level 1)) accounts for 46% of total spending.

A0427Normal range

Ambulance, ALS emergency transport Level 1

$5.6M

32K claims · 45.5%

Your Cost: $172.80/claim|Median: $164.22
1.1× median
A0429Top 25%

Ambulance, BLS emergency transport

$3.9M

19K claims · 31.7%

Your Cost: $205.27/claim|Median: $138.19
1.5× median
A0425Normal range

Ground mileage, per statute mile

$2.3M

48K claims · 18.7%

Your Cost: $47.96/claim|Median: $23.36
2.1× median
A0428Normal range

Ambulance service, BLS, non-emergency transport

$470K

7,410 claims · 3.8%

Your Cost: $63.42/claim|Median: $58.05
1.1× median
A0434Normal range

Ambulance, specialty care transport

$14K

53 claims · 0.1%

Your Cost: $256.56/claim|Median: $252.36
1.0× median
A0426Normal range

Ambulance service, ALS, non-emergency transport, level 1

$7K

50 claims · 0.1%

Your Cost: $132.66/claim|Median: $104.69
1.3× median
A0888Normal range

$910

9,684 claims · 0.0%

Your Cost: $0.09/claim|Median: $0.65
0.1× median
A0394Normal range

$313

208 claims · 0.0%

Your Cost: $1.50/claim|Median: $18.67
0.1× median
A0398Normal range

$118

372 claims · 0.0%

Your Cost: $0.32/claim|Median: $13.41
0.0× median
A0422Normal range

$14

45 claims · 0.0%

Your Cost: $0.32/claim|Median: $9.63
0.0× median
← All providersHow we detect fraud →