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

⚖️ Compare🖨️ Print Report

Provider 1356334510

NPI: 1356334510Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$10.6M

$10,627,738

Total Claims

306K

Beneficiaries

281K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$60K
-33%
2019
$40K
+1609%
2020
$689K
+522%
2021
$4.3M
-55%
2022
$1.9M
+1%
2023
$1.9M
-14%
2024
$1.7M

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 16% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$1.7M

18K claims · 16.0%

Your Cost: $96.86/claim|Median: $42.48
2.3× median
99284Top 25%

Emergency dept visit, high complexity

$1.5M

11K claims · 14.6%

Your Cost: $138.87/claim|Median: $69.51
2.0× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.3M

20K claims · 12.5%

Your Cost: $65.84/claim|Median: $121.16
0.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$561K

2,952 claims · 5.3%

Your Cost: $189.89/claim|Median: $85.65
2.2× median
U0003Top 25%

Infectious disease detection (COVID-19)

$530K

6,445 claims · 5.0%

Your Cost: $82.28/claim|Median: $63.08
1.3× median
G0378Top 25%

Hospital observation service, per hour

$478K

1,034 claims · 4.5%

Your Cost: $462.42/claim|Median: $99.39
4.7× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$331K

5,095 claims · 3.1%

Your Cost: $64.88/claim|Median: $37.56
1.7× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$329K

5,348 claims · 3.1%

Your Cost: $61.49/claim|Median: $35.43
1.7× median
G0463Normal range

Hospital outpatient clinic visit

$321K

6,910 claims · 3.0%

Your Cost: $46.49/claim|Median: $26.41
1.8× median
99282Normal range

Emergency dept visit, low complexity

$286K

6,291 claims · 2.7%

Your Cost: $45.42/claim|Median: $37.72
1.2× median
X0616Top 1%

$264K

1,035 claims · 2.5%

Your Cost: $254.95/claim|Median: $182.02
1.4× median
80053Normal range

Comprehensive metabolic panel

$236K

25K claims · 2.2%

Your Cost: $9.61/claim|Median: $7.24
1.3× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$168K

3,940 claims · 1.6%

Your Cost: $42.65/claim|Median: $21.76
2.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$108K

22K claims · 1.0%

Your Cost: $4.88/claim|Median: $4.71
1.0× median
74177Top 25%

CT abdomen and pelvis with contrast

$106K

606 claims · 1.0%

Your Cost: $175.58/claim|Median: $65.76
2.7× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$86K

4,421 claims · 0.8%

Your Cost: $19.46/claim|Median: $9.87
2.0× median
80061Top 25%

Lipid panel

$78K

6,020 claims · 0.7%

Your Cost: $12.98/claim|Median: $8.41
1.5× median
X0621Normal range

$78K

357 claims · 0.7%

Your Cost: $217.12/claim|Median: $212.75
1.0× median
80050Top 25%

General health panel

$68K

1,372 claims · 0.6%

Your Cost: $49.89/claim|Median: $25.59
1.9× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$68K

2,284 claims · 0.6%

Your Cost: $29.64/claim|Median: $30.04
1.0× median
X0620Top 25%

$67K

257 claims · 0.6%

Your Cost: $261.97/claim|Median: $191.98
1.4× median
73721Top 25%

MRI joint of lower extremity without contrast

$64K

248 claims · 0.6%

Your Cost: $258.97/claim|Median: $127.34
2.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$59K

561 claims · 0.6%

Your Cost: $105.32/claim|Median: $75.28
1.4× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$57K

2,091 claims · 0.5%

Your Cost: $27.07/claim|Median: $39.63
0.7× median
71045Top 25%

Chest X-ray, single view

$53K

3,813 claims · 0.5%

Your Cost: $13.78/claim|Median: $4.93
2.8× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$52K

707 claims · 0.5%

Your Cost: $74.21/claim|Median: $64.72
1.1× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$48K

6,213 claims · 0.5%

Your Cost: $7.73/claim|Median: $7.50
1.0× median
77067Top 25%

Screening mammography, bilateral, including CAD

$47K

599 claims · 0.4%

Your Cost: $79.27/claim|Median: $39.33
2.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$46K

484 claims · 0.4%

Your Cost: $94.72/claim|Median: $54.68
1.7× median
82306Top 25%

Vitamin D, 25 hydroxy

$42K

1,466 claims · 0.4%

Your Cost: $28.84/claim|Median: $18.18
1.6× median
← All providersHow we detect fraud →