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

Provider 1417904574

NPI: 1417904574Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$15.1M

$15,122,055

Total Claims

103K

Beneficiaries

54K

1.9 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2018
$893K
+9%
2019
$973K
-1%
2020
$961K
+82%
2021
$1.8M
-2%
2022
$1.7M
+268%
2023
$6.3M
-60%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0068) accounts for 44% of total spending.

G0068Top 1%

$6.7M

4,108 claims · 44.1%

Your Cost: $1,622.49/claim|Median: $31.42
51.6× median
S9500Top 25%

$2.0M

5,910 claims · 13.1%

Your Cost: $334.43/claim|Median: $144.40
2.3× median
99601Normal range

$1.1M

12K claims · 7.3%

Your Cost: $93.62/claim|Median: $82.41
1.1× median
A4223Normal range

$781K

18K claims · 5.2%

Your Cost: $42.43/claim|Median: $60.92
0.7× median
S9374Top 10%

$762K

2,369 claims · 5.0%

Your Cost: $321.56/claim|Median: $136.10
2.4× median
G0070Top 1%

$755K

599 claims · 5.0%

Your Cost: $1,260.23/claim|Median: $631.23
2.0× median
S9366Top 5%

$467K

533 claims · 3.1%

Your Cost: $876.94/claim|Median: $394.05
2.2× median
S9502Top 10%

$348K

871 claims · 2.3%

Your Cost: $399.81/claim|Median: $165.71
2.4× median
S9343Normal range

$313K

2,012 claims · 2.1%

Your Cost: $155.64/claim|Median: $99.47
1.6× median
S9501Top 25%

$298K

935 claims · 2.0%

Your Cost: $318.70/claim|Median: $160.52
2.0× median
S9342Top 25%

Home infusion therapy, continuous or intermittent, per diem

$280K

777 claims · 1.9%

Your Cost: $360.43/claim|Median: $176.25
2.0× median
S9379Top 5%

$172K

530 claims · 1.1%

Your Cost: $323.87/claim|Median: $70.89
4.6× median
A4216Top 5%

$151K

1,714 claims · 1.0%

Your Cost: $88.33/claim|Median: $8.45
10.5× median
G0088Normal range

$132K

657 claims · 0.9%

Your Cost: $200.52/claim|Median: $200.52
1.0× median
E0776Top 10%

$119K

1,942 claims · 0.8%

Your Cost: $61.15/claim|Median: $8.13
7.5× median
S5501Top 10%

$110K

656 claims · 0.7%

Your Cost: $167.94/claim|Median: $43.74
3.8× median
J1642Top 5%

$81K

1,620 claims · 0.5%

Your Cost: $49.92/claim|Median: $1.11
45.0× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$76K

1,147 claims · 0.5%

Your Cost: $66.58/claim|Median: $117.24
0.6× median
99602Top 5%

$69K

423 claims · 0.5%

Your Cost: $163.81/claim|Median: $84.91
1.9× median
B4185Normal range

$56K

807 claims · 0.4%

Your Cost: $69.63/claim|Median: $134.70
0.5× median
S1015Normal range

$56K

11K claims · 0.4%

Your Cost: $5.10/claim|Median: $5.10
1.0× median
A4212Normal range

$52K

2,176 claims · 0.3%

Your Cost: $23.96/claim|Median: $10.64
2.3× median
E0781Top 25%

$48K

275 claims · 0.3%

Your Cost: $173.96/claim|Median: $54.38
3.2× median
S5502Top 1%

$47K

117 claims · 0.3%

Your Cost: $403.49/claim|Median: $25.28
16.0× median
A4322Top 10%

$39K

627 claims · 0.3%

Your Cost: $61.55/claim|Median: $14.10
4.4× median
S9338Top 25%

$19K

193 claims · 0.1%

Your Cost: $100.03/claim|Median: $60.83
1.6× median
A4657Normal range

Syringe with needle, each

$15K

1,964 claims · 0.1%

Your Cost: $7.71/claim|Median: $2.19
3.5× median
B4034Normal range

$14K

554 claims · 0.1%

Your Cost: $24.84/claim|Median: $46.28
0.5× median
A6457Normal range

$12K

8,383 claims · 0.1%

Your Cost: $1.48/claim|Median: $8.95
0.2× median
B4224Normal range

$12K

414 claims · 0.1%

Your Cost: $28.31/claim|Median: $78.83
0.4× median