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

⚖️ Compare🖨️ Print Report

Provider 1477869295

NPI: 1477869295Share
Active Billing Period:2018-01→2020-07(31 months)
Billing appears to have stoppedLast active: 2020-07

Total Paid

$12.5M

$12,451,853

Total Claims

322K

Beneficiaries

230K

1.4 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$6.2M
-29%
2019
$4.3M
-55%
2020
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J3490 (Unclassified drugs)) accounts for 14% of total spending.

J3490Top 25%

Unclassified drugs

$1.7M

31K claims · 13.5%

Your Cost: $53.64/claim|Median: $5.70
9.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.1M

14K claims · 9.0%

Your Cost: $77.75/claim|Median: $42.48
1.8× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$990K

4,046 claims · 8.0%

Your Cost: $244.77/claim|Median: $85.65
2.9× median
99284Top 25%

Emergency dept visit, high complexity

$841K

7,526 claims · 6.8%

Your Cost: $111.74/claim|Median: $69.51
1.6× median
36415Top 5%

Collection of venous blood by venipuncture

$328K

22K claims · 2.6%

Your Cost: $15.17/claim|Median: $1.57
9.7× median
Q9967Top 5%

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

$284K

2,184 claims · 2.3%

Your Cost: $129.95/claim|Median: $3.42
38.0× median
80053Top 25%

Comprehensive metabolic panel

$280K

17K claims · 2.3%

Your Cost: $16.41/claim|Median: $7.24
2.3× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$276K

18K claims · 2.2%

Your Cost: $15.41/claim|Median: $4.71
3.3× median
96361Normal range

IV infusion, hydration, each additional hour

$245K

3,751 claims · 2.0%

Your Cost: $65.40/claim|Median: $38.92
1.7× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$230K

7,171 claims · 1.8%

Your Cost: $32.06/claim|Median: $7.50
4.3× median
96365Normal range

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

$223K

3,313 claims · 1.8%

Your Cost: $67.45/claim|Median: $54.77
1.2× median
74176Normal range

CT abdomen and pelvis without contrast

$222K

1,833 claims · 1.8%

Your Cost: $121.15/claim|Median: $60.19
2.0× median
J3010Top 1%

$192K

2,773 claims · 1.5%

Your Cost: $69.29/claim|Median: $0.55
126.0× median
99282Normal range

Emergency dept visit, low complexity

$171K

2,732 claims · 1.4%

Your Cost: $62.42/claim|Median: $37.72
1.7× median
G0378Normal range

Hospital observation service, per hour

$164K

930 claims · 1.3%

Your Cost: $176.35/claim|Median: $99.39
1.8× median
J2250Top 5%

Injection, midazolam HCl, per one milligram

$164K

2,337 claims · 1.3%

Your Cost: $70.16/claim|Median: $0.32
219.2× median
70450Normal range

CT head/brain without contrast

$161K

2,181 claims · 1.3%

Your Cost: $73.97/claim|Median: $45.53
1.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$155K

3,618 claims · 1.2%

Your Cost: $42.76/claim|Median: $35.43
1.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$135K

6,233 claims · 1.1%

Your Cost: $21.60/claim|Median: $9.56
2.3× median
71045Top 10%

Chest X-ray, single view

$131K

4,853 claims · 1.0%

Your Cost: $26.93/claim|Median: $4.93
5.5× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$127K

4,022 claims · 1.0%

Your Cost: $31.60/claim|Median: $0.58
54.5× median
80048Top 5%

Basic metabolic panel

$123K

3,557 claims · 1.0%

Your Cost: $34.48/claim|Median: $5.78
6.0× median
J2704Top 5%

$111K

1,924 claims · 0.9%

Your Cost: $57.68/claim|Median: $0.76
75.9× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$110K

4,269 claims · 0.9%

Your Cost: $25.71/claim|Median: $14.92
1.7× median
85027Top 5%

Complete blood count (CBC), automated

$109K

3,516 claims · 0.9%

Your Cost: $31.06/claim|Median: $3.72
8.3× median
J1885Top 5%

Injection, ketorolac tromethamine, fifteen milligrams

$108K

3,455 claims · 0.9%

Your Cost: $31.33/claim|Median: $0.91
34.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$107K

4,138 claims · 0.9%

Your Cost: $25.91/claim|Median: $21.76
1.2× median
85610Top 1%

Prothrombin time (PT) blood clotting test

$105K

2,589 claims · 0.8%

Your Cost: $40.44/claim|Median: $2.14
18.9× median
87400Top 10%

$105K

4,247 claims · 0.8%

Your Cost: $24.63/claim|Median: $8.40
2.9× median
99281Normal range

Emergency dept visit, minimal complexity

$101K

2,219 claims · 0.8%

Your Cost: $45.69/claim|Median: $52.03
0.9× median
← All providersHow we detect fraud →