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

⚖️ Compare🖨️ Print Report

Provider 1336172105

NPI: 1336172105Share
Active Billing Period:2019-04→2024-12(64 months)

Total Paid

$13.8M

$13,831,146

Total Claims

332K

Beneficiaries

299K

1.1 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2019
$3K
+7991%
2020
$233K
+1009%
2021
$2.6M
+61%
2022
$4.2M
+12%
2023
$4.7M
-54%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 43% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$5.9M

28K claims · 42.9%

Your Cost: $212.11/claim|Median: $69.51
3.1× median
99283Normal range

Emergency dept visit, moderate complexity

$1.7M

35K claims · 12.3%

Your Cost: $49.19/claim|Median: $42.48
1.2× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.1M

5,222 claims · 8.1%

Your Cost: $214.30/claim|Median: $85.65
2.5× median
11042Top 5%

Debridement, subcutaneous tissue, first 20 sq cm

$527K

961 claims · 3.8%

Your Cost: $548.20/claim|Median: $36.13
15.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$392K

9,465 claims · 2.8%

Your Cost: $41.37/claim|Median: $7.50
5.5× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$355K

3,660 claims · 2.6%

Your Cost: $96.96/claim|Median: $65.64
1.5× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$282K

38K claims · 2.0%

Your Cost: $7.42/claim|Median: $4.71
1.6× median
80053Top 25%

Comprehensive metabolic panel

$271K

23K claims · 2.0%

Your Cost: $11.93/claim|Median: $7.24
1.6× median
74177Normal range

CT abdomen and pelvis with contrast

$249K

1,629 claims · 1.8%

Your Cost: $152.83/claim|Median: $65.76
2.3× median
71045Top 25%

Chest X-ray, single view

$231K

9,620 claims · 1.7%

Your Cost: $24.05/claim|Median: $4.93
4.9× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$176K

3,330 claims · 1.3%

Your Cost: $53.00/claim|Median: $39.70
1.3× median
C9803Normal range

$173K

10K claims · 1.3%

Your Cost: $17.24/claim|Median: $13.20
1.3× median
70450Normal range

CT head/brain without contrast

$168K

2,783 claims · 1.2%

Your Cost: $60.25/claim|Median: $45.53
1.3× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$167K

1,324 claims · 1.2%

Your Cost: $126.02/claim|Median: $100.62
1.3× median
99282Normal range

Emergency dept visit, low complexity

$124K

2,861 claims · 0.9%

Your Cost: $43.29/claim|Median: $37.72
1.1× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$112K

1,077 claims · 0.8%

Your Cost: $103.59/claim|Median: $65.45
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$93K

1,013 claims · 0.7%

Your Cost: $92.00/claim|Median: $60.19
1.5× median
87651Top 25%

Streptococcus Group A detection, nucleic acid, amplified probe

$90K

2,474 claims · 0.6%

Your Cost: $36.34/claim|Median: $28.46
1.3× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$88K

1,225 claims · 0.6%

Your Cost: $71.80/claim|Median: $58.16
1.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$83K

1,850 claims · 0.6%

Your Cost: $45.13/claim|Median: $63.08
0.7× median
CP007Normal range

$80K

1,798 claims · 0.6%

Your Cost: $44.66/claim|Median: $43.87
1.0× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$78K

1,144 claims · 0.6%

Your Cost: $68.28/claim|Median: $37.56
1.8× median
93976Normal range

$69K

1,110 claims · 0.5%

Your Cost: $61.89/claim|Median: $42.06
1.5× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$68K

1,563 claims · 0.5%

Your Cost: $43.32/claim|Median: $35.43
1.2× median
76856Top 25%

Ultrasound, pelvic, complete

$65K

719 claims · 0.5%

Your Cost: $90.62/claim|Median: $47.58
1.9× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$64K

1,347 claims · 0.5%

Your Cost: $47.42/claim|Median: $34.62
1.4× median
81001Top 25%

Urinalysis, automated, with microscopy

$61K

18K claims · 0.4%

Your Cost: $3.30/claim|Median: $2.03
1.6× median
72125Normal range

CT cervical spine without contrast

$57K

1,175 claims · 0.4%

Your Cost: $48.63/claim|Median: $32.30
1.5× median
80048Normal range

Basic metabolic panel

$53K

6,956 claims · 0.4%

Your Cost: $7.69/claim|Median: $5.78
1.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$50K

5,653 claims · 0.4%

Your Cost: $8.90/claim|Median: $21.76
0.4× median
← All providersHow we detect fraud →