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

⚖️ Compare🖨️ Print Report

Provider 1356433049

NPI: 1356433049Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.7M

$14,715,674

Total Claims

176K

Beneficiaries

143K

1.2 claims/patient

Avg Cost/Claim

$83

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-22%
2019
$2.0M
-32%
2020
$1.4M
+42%
2021
$2.0M
+10%
2022
$2.2M
+1%
2023
$2.2M
+4%
2024
$2.3M

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 17% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$2.5M

9,991 claims · 16.7%

Your Cost: $245.73/claim|Median: $69.51
3.5× median
G0330Top 25%

$2.3M

999 claims · 15.4%

Your Cost: $2,263.96/claim|Median: $1,205.70
1.9× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$1.9M

6,022 claims · 12.9%

Your Cost: $315.38/claim|Median: $85.65
3.7× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$981K

11K claims · 6.7%

Your Cost: $85.76/claim|Median: $129.75
0.7× median
H0035Normal range

Mental health partial hospitalization, treatment, per hour

$954K

6,179 claims · 6.5%

Your Cost: $154.34/claim|Median: $148.53
1.0× median
99283Top 10%

Emergency dept visit, moderate complexity

$895K

5,655 claims · 6.1%

Your Cost: $158.29/claim|Median: $42.48
3.7× median
D2930Top 1%

Prefabricated stainless steel crown, primary tooth

$889K

1,794 claims · 6.0%

Your Cost: $495.51/claim|Median: $120.85
4.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$788K

44K claims · 5.4%

Your Cost: $17.94/claim|Median: $12.93
1.4× median
D1206Top 1%

Topical application of fluoride varnish

$726K

1,474 claims · 4.9%

Your Cost: $492.60/claim|Median: $18.12
27.2× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$378K

2,692 claims · 2.6%

Your Cost: $140.25/claim|Median: $21.76
6.4× median
90853Top 10%

Group psychotherapy

$330K

5,221 claims · 2.2%

Your Cost: $63.19/claim|Median: $25.02
2.5× median
S9480Normal range

Intensive outpatient psychiatric services, per diem

$326K

2,999 claims · 2.2%

Your Cost: $108.56/claim|Median: $135.70
0.8× median
D1120Top 1%

Prophylaxis, adult

$293K

566 claims · 2.0%

Your Cost: $516.88/claim|Median: $33.86
15.3× median
D1351Top 1%

Sealant, per tooth

$272K

557 claims · 1.8%

Your Cost: $488.14/claim|Median: $26.10
18.7× median
G0463Top 25%

Hospital outpatient clinic visit

$265K

3,065 claims · 1.8%

Your Cost: $86.34/claim|Median: $26.41
3.3× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$254K

222 claims · 1.7%

Your Cost: $1,142.96/claim|Median: $57.39
19.9× median
90791Normal range

Psychiatric diagnostic evaluation

$204K

1,697 claims · 1.4%

Your Cost: $120.42/claim|Median: $99.21
1.2× median
D3220Top 1%

Therapeutic pulpotomy

$138K

288 claims · 0.9%

Your Cost: $479.99/claim|Median: $81.27
5.9× median
96361Normal range

IV infusion, hydration, each additional hour

$87K

899 claims · 0.6%

Your Cost: $96.88/claim|Median: $38.92
2.5× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$67K

210 claims · 0.5%

Your Cost: $317.74/claim|Median: $144.30
2.2× median
H0017Normal range

$48K

344 claims · 0.3%

Your Cost: $138.56/claim|Median: $470.95
0.3× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$36K

102 claims · 0.2%

Your Cost: $355.97/claim|Median: $54.68
6.5× median
36415Normal range

Collection of venous blood by venipuncture

$36K

19K claims · 0.2%

Your Cost: $1.91/claim|Median: $1.57
1.2× median
90832Top 10%

Psychotherapy, 30 minutes

$19K

178 claims · 0.1%

Your Cost: $107.34/claim|Median: $41.28
2.6× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$17K

170 claims · 0.1%

Your Cost: $100.92/claim|Median: $97.61
1.0× median
71046Top 5%

Chest X-ray, 2 views

$14K

203 claims · 0.1%

Your Cost: $69.87/claim|Median: $8.92
7.8× median
D2934Top 5%

$14K

26 claims · 0.1%

Your Cost: $522.35/claim|Median: $143.67
3.6× median
99281Normal range

Emergency dept visit, minimal complexity

$12K

1,919 claims · 0.1%

Your Cost: $6.22/claim|Median: $52.03
0.1× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$9K

255 claims · 0.1%

Your Cost: $35.42/claim|Median: $14.92
2.4× median
95913Top 5%

$7K

16 claims · 0.0%

Your Cost: $428.06/claim|Median: $166.25
2.6× median
← All providersHow we detect fraud →