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

⚖️ Compare🖨️ Print Report

Provider 1356319859

NPI: 1356319859Share
Active Billing Period:2018-01→2024-04(70 months)
Billing appears to have stoppedLast active: 2024-04

Total Paid

$14.5M

$14,493,212

Total Claims

123K

Beneficiaries

17K

7.2 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+31%
2019
$3.3M
+24%
2020
$4.1M
-45%
2021
$2.3M
-14%
2022
$1.9M
-79%
2023
$403K
-90%
2024
$42K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (Q4081 (Injection, epoetin alfa, 100 units (non-ESRD))) accounts for 32% of total spending.

Q4081Top 10%

Injection, epoetin alfa, 100 units (non-ESRD)

$4.7M

40K claims · 32.3%

Your Cost: $115.61/claim|Median: $4.98
23.2× median
90999Top 25%

Unlisted dialysis procedure

$4.1M

34K claims · 28.3%

Your Cost: $121.17/claim|Median: $63.73
1.9× median
J1270Top 10%

Injection, doxercalciferol, 1 mcg

$2.5M

23K claims · 17.3%

Your Cost: $107.17/claim|Median: $0.73
146.8× median
A4657Top 5%

Syringe with needle, each

$1.2M

5,234 claims · 8.1%

Your Cost: $225.60/claim|Median: $2.19
103.0× median
J1756Top 10%

Injection, iron sucrose, 1 mg

$612K

7,485 claims · 4.2%

Your Cost: $81.70/claim|Median: $4.58
17.8× median
85041Top 10%

$248K

2,081 claims · 1.7%

Your Cost: $119.28/claim|Median: $0.76
156.9× median
85048Top 10%

$247K

2,078 claims · 1.7%

Your Cost: $118.76/claim|Median: $0.81
146.6× median
82728Top 5%

Ferritin

$203K

1,758 claims · 1.4%

Your Cost: $115.66/claim|Median: $6.00
19.3× median
83540Top 5%

Iron blood level test

$188K

1,792 claims · 1.3%

Your Cost: $105.17/claim|Median: $2.93
35.9× median
83970Top 10%

Parathormone (parathyroid hormone) blood test

$188K

1,609 claims · 1.3%

Your Cost: $116.76/claim|Median: $10.20
11.4× median
83550Top 5%

$187K

1,787 claims · 1.3%

Your Cost: $104.74/claim|Median: $3.49
30.0× median
82108Top 25%

$70K

630 claims · 0.5%

Your Cost: $111.08/claim|Median: $2.12
52.4× median
G0499Top 25%

$37K

315 claims · 0.3%

Your Cost: $116.00/claim|Median: $2.76
42.0× median
82306Top 5%

Vitamin D, 25 hydroxy

$26K

293 claims · 0.2%

Your Cost: $90.20/claim|Median: $18.18
5.0× median
82607Top 5%

Cyanocobalamin (vitamin B-12)

$10K

159 claims · 0.1%

Your Cost: $65.09/claim|Median: $8.72
7.5× median
90674Top 1%

$7K

41 claims · 0.1%

Your Cost: $178.65/claim|Median: $15.16
11.8× median
G0008Top 1%

$4K

21 claims · 0.0%

Your Cost: $172.20/claim|Median: $2.54
67.8× median
J0604Normal range

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.09
← All providersHow we detect fraud →