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

⚖️ Compare🖨️ Print Report

Provider 1538137799

NPI: 1538137799Share
Active Billing Period:2018-01→2024-05(57 months)
Billing appears to have stoppedLast active: 2024-05

Total Paid

$16.8M

$16,770,094

Total Claims

114K

Beneficiaries

15K

7.7 claims/patient

Avg Cost/Claim

$147

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+83%
2019
$5.9M
-12%
2020
$5.2M
-66%
2021
$1.8M
-71%
2022
$506K
-85%
2023
$78K
-76%
2024
$19K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (Q4081 (Injection, epoetin alfa, 100 units (non-ESRD))) accounts for 32% of total spending.

Q4081Top 5%

Injection, epoetin alfa, 100 units (non-ESRD)

$5.4M

38K claims · 32.5%

Your Cost: $143.94/claim|Median: $4.98
28.9× median
90999Top 25%

Unlisted dialysis procedure

$4.5M

29K claims · 26.8%

Your Cost: $153.16/claim|Median: $63.73
2.4× median
J1270Top 5%

Injection, doxercalciferol, 1 mcg

$3.4M

24K claims · 20.1%

Your Cost: $138.16/claim|Median: $0.73
189.3× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$795K

5,470 claims · 4.7%

Your Cost: $145.25/claim|Median: $4.58
31.7× median
A4657Top 10%

Syringe with needle, each

$768K

4,058 claims · 4.6%

Your Cost: $189.34/claim|Median: $2.19
86.5× median
83540Top 5%

Iron blood level test

$319K

2,127 claims · 1.9%

Your Cost: $150.14/claim|Median: $2.93
51.2× median
83550Top 5%

$319K

2,127 claims · 1.9%

Your Cost: $150.14/claim|Median: $3.49
43.0× median
82728Top 5%

Ferritin

$296K

1,986 claims · 1.8%

Your Cost: $149.17/claim|Median: $6.00
24.9× median
85048Top 10%

$289K

1,912 claims · 1.7%

Your Cost: $151.08/claim|Median: $0.81
186.5× median
85041Top 5%

$288K

1,920 claims · 1.7%

Your Cost: $150.10/claim|Median: $0.76
197.5× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$271K

1,786 claims · 1.6%

Your Cost: $151.73/claim|Median: $10.20
14.9× median
G0499Top 25%

$36K

359 claims · 0.2%

Your Cost: $100.55/claim|Median: $2.76
36.4× median
82306Top 5%

Vitamin D, 25 hydroxy

$36K

329 claims · 0.2%

Your Cost: $109.14/claim|Median: $18.18
6.0× median
82108Top 10%

$19K

126 claims · 0.1%

Your Cost: $153.65/claim|Median: $2.12
72.5× median
G0008Top 1%

$6K

22 claims · 0.0%

Your Cost: $263.33/claim|Median: $2.54
103.7× median
90674Top 1%

$6K

20 claims · 0.0%

Your Cost: $289.66/claim|Median: $15.16
19.1× median
0004ATop 5%

$1K

12 claims · 0.0%

Your Cost: $90.28/claim|Median: $35.62
2.5× median
J0604Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.09
← All providersHow we detect fraud →