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

⚖️ Compare🖨️ Print Report

Provider 1396283339

NPI: 1396283339Share
Active Billing Period:2018-08→2024-05(68 months)
Billing appears to have stoppedLast active: 2024-05

Total Paid

$10.9M

$10,865,174

Total Claims

75K

Beneficiaries

20K

3.8 claims/patient

Avg Cost/Claim

$146

Monthly Spending Trend

Yearly Spending

2018
$319K
+981%
2019
$3.5M
+34%
2020
$4.6M
-79%
2021
$963K
+27%
2022
$1.2M
-79%
2023
$260K
-91%
2024
$22K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90999 (Unlisted dialysis procedure)) accounts for 30% of total spending.

90999Top 25%

Unlisted dialysis procedure

$3.3M

23K claims · 30.1%

Your Cost: $143.16/claim|Median: $63.73
2.2× median
J1644Top 5%

$1.9M

11K claims · 17.5%

Your Cost: $166.49/claim|Median: $0.37
450.0× median
J0606Top 25%

$888K

3,476 claims · 8.2%

Your Cost: $255.44/claim|Median: $25.87
9.9× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$445K

3,515 claims · 4.1%

Your Cost: $126.55/claim|Median: $4.58
27.6× median
84520Top 5%

$424K

3,109 claims · 3.9%

Your Cost: $136.31/claim|Median: $0.89
153.2× median
84100Top 5%

$348K

2,504 claims · 3.2%

Your Cost: $138.99/claim|Median: $1.34
103.7× median
A4657Top 25%

Syringe with needle, each

$280K

3,818 claims · 2.6%

Your Cost: $73.38/claim|Median: $2.19
33.5× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$263K

1,645 claims · 2.4%

Your Cost: $159.59/claim|Median: $10.20
15.6× median
84132Top 5%

$260K

1,587 claims · 2.4%

Your Cost: $164.11/claim|Median: $1.09
150.6× median
82040Top 5%

$257K

1,888 claims · 2.4%

Your Cost: $135.87/claim|Median: $0.92
147.7× median
82310Top 5%

$234K

1,752 claims · 2.2%

Your Cost: $133.36/claim|Median: $0.91
146.6× median
83540Top 5%

Iron blood level test

$219K

1,627 claims · 2.0%

Your Cost: $134.71/claim|Median: $2.93
46.0× median
83550Top 5%

$219K

1,458 claims · 2.0%

Your Cost: $150.30/claim|Median: $3.49
43.1× median
82565Top 5%

Creatinine blood test

$210K

1,504 claims · 1.9%

Your Cost: $139.50/claim|Median: $1.94
71.9× median
82374Top 5%

$209K

1,347 claims · 1.9%

Your Cost: $155.31/claim|Median: $0.58
267.8× median
J0887Top 25%

Injection, epoetin alfa, non-ESRD, 1000 units

$207K

1,515 claims · 1.9%

Your Cost: $136.84/claim|Median: $30.48
4.5× median
84155Top 5%

$207K

1,501 claims · 1.9%

Your Cost: $137.86/claim|Median: $0.60
229.8× median
84075Top 5%

$206K

1,491 claims · 1.9%

Your Cost: $137.94/claim|Median: $0.72
191.6× median
82435Top 1%

$204K

1,194 claims · 1.9%

Your Cost: $170.92/claim|Median: $0.69
247.7× median
84460Top 1%

$202K

1,348 claims · 1.9%

Your Cost: $150.02/claim|Median: $2.58
58.1× median
84450Top 5%

$202K

1,459 claims · 1.9%

Your Cost: $138.61/claim|Median: $2.49
55.7× median
82728Top 5%

Ferritin

$79K

546 claims · 0.7%

Your Cost: $145.56/claim|Median: $6.00
24.3× median
82306Top 5%

Vitamin D, 25 hydroxy

$31K

251 claims · 0.3%

Your Cost: $123.01/claim|Median: $18.18
6.8× median
86706Top 5%

$21K

112 claims · 0.2%

Your Cost: $188.98/claim|Median: $5.39
35.1× median
87340Top 1%

Hepatitis B surface antigen detection

$21K

115 claims · 0.2%

Your Cost: $184.05/claim|Median: $5.52
33.3× median
82108Top 10%

$21K

113 claims · 0.2%

Your Cost: $187.31/claim|Median: $2.12
88.4× median
G0008Top 5%

$13K

91 claims · 0.1%

Your Cost: $143.96/claim|Median: $2.54
56.7× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

42 claims · 0.1%

Your Cost: $247.96/claim|Median: $7.18
34.5× median
86803Top 5%

Hepatitis C antibody

$3K

26 claims · 0.0%

Your Cost: $130.70/claim|Median: $10.17
12.9× median
90674Top 1%

$2K

31 claims · 0.0%

Your Cost: $67.29/claim|Median: $15.16
4.4× median
← All providersHow we detect fraud →