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

⚖️ Compare🖨️ Print Report

Provider 1407949191

NPI: 1407949191Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,520,414

Total Claims

304K

Beneficiaries

270K

1.1 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-13%
2019
$988K
-13%
2020
$862K
+52%
2021
$1.3M
+18%
2022
$1.5M
+28%
2023
$2.0M
-14%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (41899 (Unlisted procedure, dentoalveolar structures)) accounts for 22% of total spending.

41899Normal range

Unlisted procedure, dentoalveolar structures

$2.1M

1,532 claims · 21.7%

Your Cost: $1,346.66/claim|Median: $763.43
1.8× median
99284Top 10%

Emergency dept visit, high complexity

$1.6M

9,242 claims · 17.3%

Your Cost: $178.45/claim|Median: $69.51
2.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.0M

8,450 claims · 10.9%

Your Cost: $122.35/claim|Median: $42.48
2.9× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$917K

2,965 claims · 9.6%

Your Cost: $309.34/claim|Median: $85.65
3.6× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$490K

5,137 claims · 5.1%

Your Cost: $95.41/claim|Median: $21.76
4.4× median
99282Normal range

Emergency dept visit, low complexity

$338K

4,879 claims · 3.6%

Your Cost: $69.36/claim|Median: $37.72
1.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$245K

1,494 claims · 2.6%

Your Cost: $164.28/claim|Median: $65.76
2.5× median
99214Normal range

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

$225K

4,431 claims · 2.4%

Your Cost: $50.79/claim|Median: $53.41
1.0× median
97110Normal range

Therapeutic exercises, each 15 min

$165K

8,203 claims · 1.7%

Your Cost: $20.08/claim|Median: $24.49
0.8× median
99213Normal range

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

$159K

4,096 claims · 1.7%

Your Cost: $38.75/claim|Median: $37.81
1.0× median
71046Top 10%

Chest X-ray, 2 views

$135K

3,665 claims · 1.4%

Your Cost: $36.74/claim|Median: $8.92
4.1× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$131K

4,122 claims · 1.4%

Your Cost: $31.66/claim|Median: $14.92
2.1× median
99204Normal range

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

$123K

1,457 claims · 1.3%

Your Cost: $84.33/claim|Median: $84.03
1.0× median
U0003Normal range

Infectious disease detection (COVID-19)

$114K

2,572 claims · 1.2%

Your Cost: $44.27/claim|Median: $63.08
0.7× median
99203Normal range

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

$103K

1,822 claims · 1.1%

Your Cost: $56.27/claim|Median: $57.85
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$76K

2,569 claims · 0.8%

Your Cost: $29.58/claim|Median: $38.92
0.8× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$68K

840 claims · 0.7%

Your Cost: $81.11/claim|Median: $100.62
0.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$67K

1,442 claims · 0.7%

Your Cost: $46.34/claim|Median: $39.33
1.2× median
96365Normal range

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

$66K

857 claims · 0.7%

Your Cost: $77.45/claim|Median: $54.77
1.4× median
71045Top 10%

Chest X-ray, single view

$60K

1,477 claims · 0.6%

Your Cost: $40.52/claim|Median: $4.93
8.2× median
80061Normal range

Lipid panel

$57K

6,017 claims · 0.6%

Your Cost: $9.41/claim|Median: $8.41
1.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$57K

8,156 claims · 0.6%

Your Cost: $6.93/claim|Median: $9.87
0.7× median
80053Normal range

Comprehensive metabolic panel

$54K

20K claims · 0.6%

Your Cost: $2.76/claim|Median: $7.24
0.4× median
82306Normal range

Vitamin D, 25 hydroxy

$44K

2,984 claims · 0.5%

Your Cost: $14.62/claim|Median: $18.18
0.8× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$41K

2,108 claims · 0.4%

Your Cost: $19.30/claim|Median: $20.04
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$39K

21K claims · 0.4%

Your Cost: $1.87/claim|Median: $4.71
0.4× median
70450Normal range

CT head/brain without contrast

$36K

1,214 claims · 0.4%

Your Cost: $29.63/claim|Median: $45.53
0.7× median
99281Normal range

Emergency dept visit, minimal complexity

$34K

875 claims · 0.4%

Your Cost: $38.33/claim|Median: $52.03
0.7× median
76705Top 25%

Ultrasound, abdominal, limited

$32K

560 claims · 0.3%

Your Cost: $57.86/claim|Median: $23.81
2.4× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$31K

411 claims · 0.3%

Your Cost: $76.43/claim|Median: $97.61
0.8× median
← All providersHow we detect fraud →