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

⚖️ Compare🖨️ Print Report

Provider 1518085430

NPI: 1518085430Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$15.6M

$15,621,881

Total Claims

217K

Beneficiaries

175K

1.2 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+12%
2019
$2.1M
+8%
2020
$2.3M
+10%
2021
$2.5M
+9%
2022
$2.7M
+3%
2023
$2.8M
-54%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 25% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$3.9M

22K claims · 24.9%

Your Cost: $178.03/claim|Median: $42.48
4.2× median
99281Top 5%

Emergency dept visit, minimal complexity

$2.5M

13K claims · 15.7%

Your Cost: $195.82/claim|Median: $52.03
3.8× median
97110Top 10%

Therapeutic exercises, each 15 min

$1.1M

13K claims · 7.1%

Your Cost: $82.46/claim|Median: $24.49
3.4× median
96374Top 5%

Therapeutic/prophylactic/diagnostic IV push, single substance

$652K

3,916 claims · 4.2%

Your Cost: $166.58/claim|Median: $21.76
7.7× median
99202Top 1%

Office/outpatient visit, new patient, low complexity

$565K

1,294 claims · 3.6%

Your Cost: $436.26/claim|Median: $40.11
10.9× median
97750Top 1%

$533K

3,295 claims · 3.4%

Your Cost: $161.79/claim|Median: $30.89
5.2× median
99201Top 5%

Office/outpatient visit, new patient, straightforward

$532K

1,875 claims · 3.4%

Your Cost: $283.82/claim|Median: $27.38
10.4× median
74177Top 5%

CT abdomen and pelvis with contrast

$424K

570 claims · 2.7%

Your Cost: $743.76/claim|Median: $65.76
11.3× median
92507Top 1%

Speech/hearing/language treatment

$415K

1,817 claims · 2.7%

Your Cost: $228.19/claim|Median: $49.45
4.6× median
97139Normal range

$369K

7,638 claims · 2.4%

Your Cost: $48.26/claim|Median: $28.71
1.7× median
77067Top 1%

Screening mammography, bilateral, including CAD

$354K

1,123 claims · 2.3%

Your Cost: $315.51/claim|Median: $39.33
8.0× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$344K

2,776 claims · 2.2%

Your Cost: $124.09/claim|Median: $14.92
8.3× median
70450Top 5%

CT head/brain without contrast

$316K

813 claims · 2.0%

Your Cost: $388.85/claim|Median: $45.53
8.5× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$243K

3,136 claims · 1.6%

Your Cost: $77.45/claim|Median: $7.50
10.3× median
96361Normal range

IV infusion, hydration, each additional hour

$212K

2,301 claims · 1.4%

Your Cost: $92.27/claim|Median: $38.92
2.4× median
80053Top 25%

Comprehensive metabolic panel

$208K

15K claims · 1.3%

Your Cost: $13.73/claim|Median: $7.24
1.9× median
J3490Normal range

Unclassified drugs

$176K

13K claims · 1.1%

Your Cost: $13.79/claim|Median: $5.70
2.4× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$176K

2,228 claims · 1.1%

Your Cost: $79.05/claim|Median: $35.43
2.2× median
0241UTop 25%

Proprietary lab analysis, genomic sequencing

$160K

1,213 claims · 1.0%

Your Cost: $131.90/claim|Median: $91.47
1.4× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$155K

2,161 claims · 1.0%

Your Cost: $71.69/claim|Median: $9.56
7.5× median
U0003Top 25%

Infectious disease detection (COVID-19)

$143K

1,725 claims · 0.9%

Your Cost: $83.16/claim|Median: $63.08
1.3× median
85025Top 10%

Complete blood count (CBC) with differential, automated

$138K

14K claims · 0.9%

Your Cost: $9.73/claim|Median: $4.71
2.1× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$118K

5,209 claims · 0.8%

Your Cost: $22.62/claim|Median: $9.87
2.3× median
82306Top 10%

Vitamin D, 25 hydroxy

$101K

2,026 claims · 0.6%

Your Cost: $49.92/claim|Median: $18.18
2.7× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$101K

1,654 claims · 0.6%

Your Cost: $61.05/claim|Median: $37.56
1.6× median
80061Top 10%

Lipid panel

$84K

4,635 claims · 0.5%

Your Cost: $18.07/claim|Median: $8.41
2.1× median
71046Top 5%

Chest X-ray, 2 views

$79K

1,339 claims · 0.5%

Your Cost: $58.76/claim|Median: $8.92
6.6× median
71045Top 10%

Chest X-ray, single view

$78K

2,298 claims · 0.5%

Your Cost: $34.00/claim|Median: $4.93
6.9× median
J2704Top 5%

$76K

1,730 claims · 0.5%

Your Cost: $44.02/claim|Median: $0.76
57.9× median
72148Top 1%

MRI lumbar spine without contrast

$73K

94 claims · 0.5%

Your Cost: $776.03/claim|Median: $101.03
7.7× median
← All providersHow we detect fraud →