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

Provider 1457361271

NPI: 1457361271Share
Active Billing Period:2018-012021-12(48 months)
Billing appears to have stoppedLast active: 2021-12

Total Paid

$8.4M

$8,354,932

Total Claims

32K

Beneficiaries

22K

1.5 claims/patient

Avg Cost/Claim

$260

Monthly Spending Trend

Yearly Spending

2018
$3.1M
+27%
2019
$3.9M
-68%
2020
$1.3M
-91%
2021
$118K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (J2505) accounts for 43% of total spending.

J2505Top 25%

$3.6M

906 claims · 43.2%

Your Cost: $3,979.76/claim|Median: $1,842.27
2.2× median
J9355Top 25%

Injection, trastuzumab, ten milligrams

$3.2M

785 claims · 38.0%

Your Cost: $4,040.90/claim|Median: $1,942.13
2.1× median
J1453Top 10%

$398K

1,554 claims · 4.8%

Your Cost: $256.22/claim|Median: $65.90
3.9× median
99214Normal range

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

$329K

6,464 claims · 3.9%

Your Cost: $50.83/claim|Median: $53.41
1.0× median
J9202Normal range

$217K

452 claims · 2.6%

Your Cost: $480.62/claim|Median: $483.75
1.0× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$152K

3,093 claims · 1.8%

Your Cost: $49.15/claim|Median: $75.28
0.7× median
96367Top 25%

$104K

1,695 claims · 1.2%

Your Cost: $61.46/claim|Median: $29.27
2.1× median
96415Normal range

Chemotherapy infusion, each additional hour

$100K

1,659 claims · 1.2%

Your Cost: $60.52/claim|Median: $43.68
1.4× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$48K

2,020 claims · 0.6%

Your Cost: $23.66/claim|Median: $0.58
40.8× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$38K

1,427 claims · 0.5%

Your Cost: $26.86/claim|Median: $9.56
2.8× median
96417Normal range

$31K

917 claims · 0.4%

Your Cost: $34.10/claim|Median: $37.60
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$25K

5,480 claims · 0.3%

Your Cost: $4.56/claim|Median: $4.71
1.0× median
J1442Top 25%

Injection, filgrastim, one microgram

$22K

53 claims · 0.3%

Your Cost: $420.43/claim|Median: $182.78
2.3× median
J3489Normal range

Injection, zoledronic acid, one milligram

$22K

477 claims · 0.3%

Your Cost: $45.95/claim|Median: $24.58
1.9× median
96368Normal range

$21K

1,484 claims · 0.3%

Your Cost: $14.08/claim|Median: $14.35
1.0× median
J9171Top 25%

$20K

94 claims · 0.2%

Your Cost: $214.79/claim|Median: $97.17
2.2× median
J9070Top 10%

$13K

29 claims · 0.1%

Your Cost: $431.63/claim|Median: $163.22
2.6× median
J0885Top 5%

$9K

27 claims · 0.1%

Your Cost: $330.81/claim|Median: $67.33
4.9× median
J1100Top 25%

$7K

1,737 claims · 0.1%

Your Cost: $4.28/claim|Median: $0.52
8.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$6K

440 claims · 0.1%

Your Cost: $13.54/claim|Median: $12.93
1.0× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$5K

44 claims · 0.1%

Your Cost: $123.64/claim|Median: $111.09
1.1× median
99070Normal range

$4K

802 claims · 0.1%

Your Cost: $5.31/claim|Median: $8.08
0.7× median
96402Normal range

$4K

444 claims · 0.1%

Your Cost: $9.49/claim|Median: $20.95
0.5× median
96401Normal range

$113

21 claims · 0.0%

Your Cost: $5.38/claim|Median: $40.24
0.1× median