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

⚖️ Compare🖨️ Print Report

Provider 1518950484

NPI: 1518950484Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.8M

$11,821,440

Total Claims

181K

Beneficiaries

144K

1.3 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$420K
+136%
2019
$990K
+45%
2020
$1.4M
+27%
2021
$1.8M
+21%
2022
$2.2M
+21%
2023
$2.7M
-14%
2024
$2.3M

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 20% of total spending.

99283Top 5%

Emergency dept visit, moderate complexity

$2.4M

10K claims · 19.9%

Your Cost: $233.02/claim|Median: $42.48
5.5× median
99284Top 10%

Emergency dept visit, high complexity

$2.2M

11K claims · 18.8%

Your Cost: $202.32/claim|Median: $69.51
2.9× median
96361Top 5%

IV infusion, hydration, each additional hour

$1.6M

3,360 claims · 13.6%

Your Cost: $477.99/claim|Median: $38.92
12.3× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.4M

5,185 claims · 11.6%

Your Cost: $263.57/claim|Median: $85.65
3.1× median
99282Top 5%

Emergency dept visit, low complexity

$651K

3,018 claims · 5.5%

Your Cost: $215.82/claim|Median: $37.72
5.7× median
97110Top 10%

Therapeutic exercises, each 15 min

$559K

6,960 claims · 4.7%

Your Cost: $80.37/claim|Median: $24.49
3.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$557K

2,005 claims · 4.7%

Your Cost: $278.02/claim|Median: $65.76
4.2× median
70450Top 5%

CT head/brain without contrast

$454K

1,764 claims · 3.8%

Your Cost: $257.60/claim|Median: $45.53
5.7× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$288K

2,992 claims · 2.4%

Your Cost: $96.35/claim|Median: $91.47
1.1× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$243K

453 claims · 2.1%

Your Cost: $535.38/claim|Median: $54.68
9.8× median
96360Top 5%

IV infusion, hydration, initial, 31 minutes to 1 hour

$191K

887 claims · 1.6%

Your Cost: $215.66/claim|Median: $61.57
3.5× median
96365Top 25%

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

$153K

1,399 claims · 1.3%

Your Cost: $109.32/claim|Median: $54.77
2.0× median
71275Top 10%

CT angiography, chest, with contrast

$148K

448 claims · 1.3%

Your Cost: $330.82/claim|Median: $92.96
3.6× median
76705Top 5%

Ultrasound, abdominal, limited

$110K

787 claims · 0.9%

Your Cost: $140.10/claim|Median: $23.81
5.9× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$102K

1,472 claims · 0.9%

Your Cost: $69.06/claim|Median: $35.43
1.9× median
74176Top 25%

CT abdomen and pelvis without contrast

$101K

411 claims · 0.9%

Your Cost: $245.15/claim|Median: $60.19
4.1× median
77067Top 25%

Screening mammography, bilateral, including CAD

$69K

804 claims · 0.6%

Your Cost: $85.36/claim|Median: $39.33
2.2× median
97161Top 5%

Physical therapy evaluation, low complexity

$66K

352 claims · 0.6%

Your Cost: $186.84/claim|Median: $47.89
3.9× median
96366Top 5%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$61K

172 claims · 0.5%

Your Cost: $353.82/claim|Median: $40.12
8.8× median
71046Top 25%

Chest X-ray, 2 views

$52K

2,714 claims · 0.4%

Your Cost: $19.32/claim|Median: $8.92
2.2× median
97140Top 1%

Manual therapy techniques, per 15 minutes

$44K

398 claims · 0.4%

Your Cost: $111.72/claim|Median: $16.79
6.7× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$42K

588 claims · 0.4%

Your Cost: $72.05/claim|Median: $10.88
6.6× median
80053Normal range

Comprehensive metabolic panel

$42K

6,993 claims · 0.4%

Your Cost: $6.02/claim|Median: $7.24
0.8× median
97162Top 1%

PT evaluation, moderate complexity

$31K

118 claims · 0.3%

Your Cost: $265.18/claim|Median: $46.10
5.8× median
80048Normal range

Basic metabolic panel

$30K

5,229 claims · 0.3%

Your Cost: $5.67/claim|Median: $5.78
1.0× median
99220Normal range

$24K

363 claims · 0.2%

Your Cost: $67.16/claim|Median: $73.56
0.9× median
99213Top 25%

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

$23K

427 claims · 0.2%

Your Cost: $53.69/claim|Median: $37.81
1.4× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$19K

5,562 claims · 0.2%

Your Cost: $3.42/claim|Median: $21.76
0.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$18K

5,910 claims · 0.2%

Your Cost: $3.09/claim|Median: $7.50
0.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$17K

1,131 claims · 0.1%

Your Cost: $15.01/claim|Median: $37.56
0.4× median
← All providersHow we detect fraud →