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

⚖️ Compare🖨️ Print Report

Provider 1366486102

NPI: 1366486102Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,876,024

Total Claims

13K

Beneficiaries

10K

1.2 claims/patient

Avg Cost/Claim

$776

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-98%
2019
$41K
+185%
2020
$118K
+152%
2021
$298K
+255%
2022
$1.1M
+347%
2023
$4.7M
-60%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (J2323 (Injection, natalizumab, one milligram)) accounts for 51% of total spending.

J2323Top 25%

Injection, natalizumab, one milligram

$5.0M

802 claims · 50.7%

Your Cost: $6,247.01/claim|Median: $2,797.07
2.2× median
J2350Top 25%

Ocrelizumab (Ocrevus) injection, 1 mg

$3.9M

148 claims · 39.5%

Your Cost: $26,378.33/claim|Median: $17,264.74
1.5× median
96413Top 10%

Chemotherapy administration, IV infusion, up to 1 hour

$331K

1,535 claims · 3.4%

Your Cost: $215.75/claim|Median: $75.28
2.9× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$248K

4,158 claims · 2.5%

Your Cost: $59.73/claim|Median: $53.41
1.1× median
96415Top 5%

Chemotherapy infusion, each additional hour

$121K

214 claims · 1.2%

Your Cost: $563.11/claim|Median: $43.68
12.9× median
96367Top 1%

$71K

137 claims · 0.7%

Your Cost: $519.05/claim|Median: $29.27
17.7× median
96365Top 25%

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

$59K

572 claims · 0.6%

Your Cost: $103.34/claim|Median: $54.77
1.9× median
J1100Top 1%

$41K

73 claims · 0.4%

Your Cost: $564.35/claim|Median: $0.52
1085.3× median
99215Normal range

Office/outpatient visit, high complexity

$21K

225 claims · 0.2%

Your Cost: $91.60/claim|Median: $74.09
1.2× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$19K

108 claims · 0.2%

Your Cost: $177.15/claim|Median: $111.09
1.6× median
93042Normal range

$18K

4,175 claims · 0.2%

Your Cost: $4.43/claim|Median: $2.53
1.7× median
95951Top 25%

$9K

28 claims · 0.1%

Your Cost: $329.28/claim|Median: $183.28
1.8× median
95816Normal range

$8K

218 claims · 0.1%

Your Cost: $35.05/claim|Median: $56.87
0.6× median
95720Normal range

$5K

66 claims · 0.1%

Your Cost: $80.35/claim|Median: $120.95
0.7× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$4K

31 claims · 0.0%

Your Cost: $116.69/claim|Median: $84.03
1.4× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$4K

63 claims · 0.0%

Your Cost: $56.28/claim|Median: $37.81
1.5× median
64615Normal range

$1K

12 claims · 0.0%

Your Cost: $102.08/claim|Median: $82.82
1.2× median
95819Normal range

Electroencephalogram with sleep recording

$785

27 claims · 0.0%

Your Cost: $29.08/claim|Median: $62.75
0.5× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$423

12 claims · 0.0%

Your Cost: $35.23/claim|Median: $49.03
0.7× median
95886Normal range

$219

13 claims · 0.0%

Your Cost: $16.82/claim|Median: $67.70
0.2× median
95885Normal range

$166

14 claims · 0.0%

Your Cost: $11.83/claim|Median: $39.97
0.3× median
93040Top 25%

$126

12 claims · 0.0%

Your Cost: $10.49/claim|Median: $5.65
1.9× median
99443Normal range

Telephone E/M by physician, 21-30 min

$0

79 claims · 0.0%

Your Cost: $0.00/claim|Median: $32.55
← All providersHow we detect fraud →