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

⚖️ Compare🖨️ Print Report

Provider 1457346413

NPI: 1457346413Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.8M

$15,815,960

Total Claims

126K

Beneficiaries

90K

1.4 claims/patient

Avg Cost/Claim

$126

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+78%
2019
$4.7M
-71%
2020
$1.3M
+16%
2021
$1.6M
+19%
2022
$1.8M
+18%
2023
$2.2M
-28%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 9% of total spending.

99285Top 5%

Emergency dept visit, high/urgent complexity

$1.5M

3,120 claims · 9.3%

Your Cost: $469.37/claim|Median: $85.65
5.5× median
97110Top 5%

Therapeutic exercises, each 15 min

$1.1M

11K claims · 7.1%

Your Cost: $105.79/claim|Median: $24.49
4.3× median
99284Top 5%

Emergency dept visit, high complexity

$1.1M

4,516 claims · 6.7%

Your Cost: $234.29/claim|Median: $69.51
3.4× median
99283Top 10%

Emergency dept visit, moderate complexity

$918K

5,115 claims · 5.8%

Your Cost: $179.40/claim|Median: $42.48
4.2× median
80053Top 1%

Comprehensive metabolic panel

$704K

5,029 claims · 4.5%

Your Cost: $140.05/claim|Median: $7.24
19.3× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$642K

8,611 claims · 4.1%

Your Cost: $74.59/claim|Median: $4.71
15.8× median
74177Top 5%

CT abdomen and pelvis with contrast

$440K

762 claims · 2.8%

Your Cost: $576.97/claim|Median: $65.76
8.8× median
77067Top 5%

Screening mammography, bilateral, including CAD

$419K

2,452 claims · 2.6%

Your Cost: $170.75/claim|Median: $39.33
4.3× median
80048Top 1%

Basic metabolic panel

$403K

3,533 claims · 2.5%

Your Cost: $113.96/claim|Median: $5.78
19.7× median
Q9967Top 1%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$351K

1,607 claims · 2.2%

Your Cost: $218.43/claim|Median: $3.42
63.9× median
99282Top 5%

Emergency dept visit, low complexity

$330K

1,693 claims · 2.1%

Your Cost: $194.98/claim|Median: $37.72
5.2× median
97140Top 1%

Manual therapy techniques, per 15 minutes

$311K

3,711 claims · 2.0%

Your Cost: $83.75/claim|Median: $16.79
5.0× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$267K

2,621 claims · 1.7%

Your Cost: $102.05/claim|Median: $7.50
13.6× median
82248Top 1%

Bilirubin, direct blood test

$266K

2,654 claims · 1.7%

Your Cost: $100.14/claim|Median: $2.55
39.3× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$251K

1,756 claims · 1.6%

Your Cost: $143.15/claim|Median: $21.76
6.6× median
96375Top 1%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$222K

1,188 claims · 1.4%

Your Cost: $186.50/claim|Median: $14.92
12.5× median
71046Top 5%

Chest X-ray, 2 views

$217K

2,668 claims · 1.4%

Your Cost: $81.46/claim|Median: $8.92
9.1× median
J7030Top 1%

Normal saline solution infusion, 1000 cc

$207K

896 claims · 1.3%

Your Cost: $231.49/claim|Median: $1.53
151.3× median
87624Top 5%

HPV detection, high-risk types, nucleic acid

$188K

1,804 claims · 1.2%

Your Cost: $104.12/claim|Median: $25.57
4.1× median
88175Top 5%

Cytopathology, cervical or vaginal, ThinPrep

$181K

2,620 claims · 1.1%

Your Cost: $69.27/claim|Median: $19.06
3.6× median
J2405Top 1%

Injection, ondansetron HCl, per one milligram

$181K

957 claims · 1.1%

Your Cost: $189.17/claim|Median: $0.58
326.2× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$174K

2,039 claims · 1.1%

Your Cost: $85.54/claim|Median: $24.95
3.4× median
87591Top 5%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$173K

2,028 claims · 1.1%

Your Cost: $85.13/claim|Median: $23.39
3.6× median
81003Top 1%

Urinalysis, automated without microscopy

$170K

1,948 claims · 1.1%

Your Cost: $87.04/claim|Median: $1.48
58.8× median
G0480Top 1%

Drug test, definitive, 1-7 drug classes

$167K

972 claims · 1.1%

Your Cost: $171.82/claim|Median: $37.56
4.6× median
80061Top 1%

Lipid panel

$165K

2,501 claims · 1.0%

Your Cost: $66.08/claim|Median: $8.41
7.9× median
96361Top 25%

IV infusion, hydration, each additional hour

$161K

1,016 claims · 1.0%

Your Cost: $157.99/claim|Median: $38.92
4.1× median
83690Top 1%

$160K

1,396 claims · 1.0%

Your Cost: $114.46/claim|Median: $3.35
34.2× median
84484Top 1%

Troponin, quantitative

$155K

1,712 claims · 1.0%

Your Cost: $90.30/claim|Median: $4.84
18.7× median
G0378Top 25%

Hospital observation service, per hour

$144K

331 claims · 0.9%

Your Cost: $436.35/claim|Median: $99.39
4.4× median
← All providersHow we detect fraud →