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

⚖️ Compare🖨️ Print Report

Provider 1518996040

NPI: 1518996040Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$14.3M

$14,307,540

Total Claims

327K

Beneficiaries

260K

1.3 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-16%
2019
$1.9M
-11%
2020
$1.7M
+26%
2021
$2.2M
+1%
2022
$2.2M
-1%
2023
$2.2M
-17%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99281 (Emergency dept visit, minimal complexity)) accounts for 15% of total spending.

99281Top 25%

Emergency dept visit, minimal complexity

$2.1M

19K claims · 14.7%

Your Cost: $111.71/claim|Median: $52.03
2.1× median
99283Normal range

Emergency dept visit, moderate complexity

$2.1M

34K claims · 14.4%

Your Cost: $61.09/claim|Median: $42.48
1.4× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$984K

7,611 claims · 6.9%

Your Cost: $129.34/claim|Median: $40.11
3.2× median
97110Normal range

Therapeutic exercises, each 15 min

$687K

34K claims · 4.8%

Your Cost: $20.32/claim|Median: $24.49
0.8× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$670K

7,126 claims · 4.7%

Your Cost: $94.04/claim|Median: $27.38
3.4× median
70450Top 10%

CT head/brain without contrast

$499K

2,079 claims · 3.5%

Your Cost: $240.05/claim|Median: $45.53
5.3× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$407K

3,764 claims · 2.8%

Your Cost: $108.02/claim|Median: $21.76
5.0× median
74177Top 10%

CT abdomen and pelvis with contrast

$379K

911 claims · 2.7%

Your Cost: $416.29/claim|Median: $65.76
6.3× median
97139Normal range

$293K

14K claims · 2.0%

Your Cost: $20.35/claim|Median: $28.71
0.7× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$266K

1,607 claims · 1.9%

Your Cost: $165.39/claim|Median: $106.79
1.5× median
87502Top 25%

Influenza virus detection, reverse transcription, amplified probe

$256K

2,914 claims · 1.8%

Your Cost: $87.89/claim|Median: $65.64
1.3× median
77067Top 5%

Screening mammography, bilateral, including CAD

$251K

1,268 claims · 1.8%

Your Cost: $198.14/claim|Median: $39.33
5.0× median
97750Normal range

$244K

5,886 claims · 1.7%

Your Cost: $41.51/claim|Median: $30.89
1.3× median
96360Normal range

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

$240K

2,145 claims · 1.7%

Your Cost: $111.94/claim|Median: $61.57
1.8× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$236K

4,905 claims · 1.7%

Your Cost: $48.15/claim|Median: $7.50
6.4× median
96375Top 5%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$230K

2,725 claims · 1.6%

Your Cost: $84.43/claim|Median: $14.92
5.7× median
93976Top 1%

$211K

538 claims · 1.5%

Your Cost: $392.49/claim|Median: $42.06
9.3× median
76856Top 10%

Ultrasound, pelvic, complete

$197K

1,652 claims · 1.4%

Your Cost: $119.31/claim|Median: $47.58
2.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$194K

853 claims · 1.4%

Your Cost: $227.06/claim|Median: $60.19
3.8× median
86328Top 5%

$171K

3,772 claims · 1.2%

Your Cost: $45.25/claim|Median: $20.52
2.2× median
76700Top 25%

Ultrasound, abdominal, complete

$169K

1,355 claims · 1.2%

Your Cost: $125.03/claim|Median: $50.69
2.5× median
80053Top 25%

Comprehensive metabolic panel

$162K

16K claims · 1.1%

Your Cost: $10.42/claim|Median: $7.24
1.4× median
96365Top 25%

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

$153K

1,122 claims · 1.1%

Your Cost: $136.38/claim|Median: $54.77
2.5× median
J3490Normal range

Unclassified drugs

$153K

7,070 claims · 1.1%

Your Cost: $21.58/claim|Median: $5.70
3.8× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$152K

2,399 claims · 1.1%

Your Cost: $63.27/claim|Median: $37.56
1.7× median
71046Top 10%

Chest X-ray, 2 views

$132K

3,681 claims · 0.9%

Your Cost: $35.76/claim|Median: $8.92
4.0× median
76641Top 5%

Ultrasound imaging of one breast, complete

$122K

861 claims · 0.9%

Your Cost: $141.30/claim|Median: $49.03
2.9× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$115K

16K claims · 0.8%

Your Cost: $7.05/claim|Median: $4.71
1.5× median
73721Top 5%

MRI joint of lower extremity without contrast

$104K

207 claims · 0.7%

Your Cost: $504.35/claim|Median: $127.34
4.0× median
80306Top 25%

$95K

5,790 claims · 0.7%

Your Cost: $16.38/claim|Median: $10.29
1.6× median
← All providersHow we detect fraud →