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

⚖️ Compare🖨️ Print Report

Provider 1336478163

NPI: 1336478163Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.5M

$15,451,207

Total Claims

419K

Beneficiaries

317K

1.3 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-20%
2019
$997K
+0%
2020
$1000K
+28%
2021
$1.3M
+5%
2022
$1.4M
+332%
2023
$5.8M
-36%
2024
$3.7M

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 28% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$4.3M

36K claims · 27.5%

Your Cost: $118.63/claim|Median: $42.48
2.8× median
99284Top 25%

Emergency dept visit, high complexity

$2.8M

23K claims · 17.8%

Your Cost: $122.22/claim|Median: $69.51
1.8× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.2M

9,785 claims · 7.9%

Your Cost: $124.25/claim|Median: $85.65
1.5× median
96361Top 25%

IV infusion, hydration, each additional hour

$707K

2,827 claims · 4.6%

Your Cost: $250.23/claim|Median: $38.92
6.4× median
74177Top 25%

CT abdomen and pelvis with contrast

$659K

2,715 claims · 4.3%

Your Cost: $242.66/claim|Median: $65.76
3.7× median
G0463Top 25%

Hospital outpatient clinic visit

$615K

9,322 claims · 4.0%

Your Cost: $65.97/claim|Median: $26.41
2.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$548K

9,732 claims · 3.5%

Your Cost: $56.35/claim|Median: $24.49
2.3× median
70450Top 10%

CT head/brain without contrast

$512K

2,397 claims · 3.3%

Your Cost: $213.66/claim|Median: $45.53
4.7× median
99282Top 25%

Emergency dept visit, low complexity

$446K

4,100 claims · 2.9%

Your Cost: $108.82/claim|Median: $37.72
2.9× median
43239Top 25%

Upper GI endoscopy with biopsy

$401K

1,252 claims · 2.6%

Your Cost: $320.39/claim|Median: $151.68
2.1× median
96366Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$263K

1,128 claims · 1.7%

Your Cost: $233.11/claim|Median: $40.12
5.8× median
G0378Normal range

Hospital observation service, per hour

$252K

3,389 claims · 1.6%

Your Cost: $74.37/claim|Median: $99.39
0.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$191K

783 claims · 1.2%

Your Cost: $243.73/claim|Median: $60.19
4.0× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$182K

1,734 claims · 1.2%

Your Cost: $104.87/claim|Median: $54.77
1.9× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$181K

4,688 claims · 1.2%

Your Cost: $38.55/claim|Median: $16.79
2.3× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$176K

1,755 claims · 1.1%

Your Cost: $100.34/claim|Median: $10.88
9.2× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$125K

659 claims · 0.8%

Your Cost: $190.36/claim|Median: $54.68
3.5× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$99K

978 claims · 0.6%

Your Cost: $100.81/claim|Median: $36.13
2.8× median
U0003Top 1%

Infectious disease detection (COVID-19)

$97K

524 claims · 0.6%

Your Cost: $185.56/claim|Median: $63.08
2.9× median
71260Normal range

CT chest with contrast

$94K

886 claims · 0.6%

Your Cost: $106.07/claim|Median: $48.36
2.2× median
70553Normal range

MRI brain without contrast, then with contrast

$92K

515 claims · 0.6%

Your Cost: $178.86/claim|Median: $133.68
1.3× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$83K

161 claims · 0.5%

Your Cost: $517.95/claim|Median: $255.17
2.0× median
76642Top 5%

$70K

595 claims · 0.5%

Your Cost: $118.34/claim|Median: $32.06
3.7× median
80048Normal range

Basic metabolic panel

$70K

17K claims · 0.5%

Your Cost: $4.22/claim|Median: $5.78
0.7× median
70496Top 25%

$65K

337 claims · 0.4%

Your Cost: $191.80/claim|Median: $78.92
2.4× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$65K

222 claims · 0.4%

Your Cost: $291.00/claim|Median: $106.14
2.7× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$62K

453 claims · 0.4%

Your Cost: $135.87/claim|Median: $61.57
2.2× median
76856Top 5%

Ultrasound, pelvic, complete

$56K

323 claims · 0.4%

Your Cost: $173.90/claim|Median: $47.58
3.7× median
71046Normal range

Chest X-ray, 2 views

$56K

6,956 claims · 0.4%

Your Cost: $8.00/claim|Median: $8.92
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$56K

1,262 claims · 0.4%

Your Cost: $44.07/claim|Median: $39.33
1.1× median
← All providersHow we detect fraud →