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

⚖️ Compare🖨️ Print Report

Provider 1538492194

NPI: 1538492194Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,282,884

Total Claims

32K

Beneficiaries

14K

2.3 claims/patient

Avg Cost/Claim

$256

Monthly Spending Trend

Yearly Spending

2018
$799K
+10%
2019
$878K
+21%
2020
$1.1M
+21%
2021
$1.3M
+11%
2022
$1.4M
+22%
2023
$1.7M
-36%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (A4222) accounts for 92% of total spending.

A4222Top 5%

$7.6M

15K claims · 92.1%

Your Cost: $495.53/claim|Median: $62.70
7.9× median
A4221Top 10%

Supplies for maintenance of drug infusion catheter

$217K

6,248 claims · 2.6%

Your Cost: $34.72/claim|Median: $16.19
2.1× median
B4035Top 25%

Enteral feeding supply kit, pump fed, per day

$104K

517 claims · 1.3%

Your Cost: $200.50/claim|Median: $117.24
1.7× median
E0791Top 25%

$75K

280 claims · 0.9%

Your Cost: $267.44/claim|Median: $137.65
1.9× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$50K

4,486 claims · 0.6%

Your Cost: $11.25/claim|Median: $1.53
7.4× median
B4185Normal range

$32K

229 claims · 0.4%

Your Cost: $140.20/claim|Median: $134.70
1.0× median
B4224Top 10%

$32K

211 claims · 0.4%

Your Cost: $150.59/claim|Median: $78.83
1.9× median
99601Normal range

$31K

504 claims · 0.4%

Your Cost: $61.20/claim|Median: $82.41
0.7× median
E0781Top 25%

$21K

117 claims · 0.2%

Your Cost: $176.33/claim|Median: $54.38
3.2× median
M0245Normal range

$16K

64 claims · 0.2%

Your Cost: $250.08/claim|Median: $246.46
1.0× median
E0776Normal range

$14K

1,053 claims · 0.2%

Your Cost: $13.22/claim|Median: $8.13
1.6× median
E0779Normal range

$11K

662 claims · 0.1%

Your Cost: $15.99/claim|Median: $7.60
2.1× median
B4220Top 25%

$10K

214 claims · 0.1%

Your Cost: $48.73/claim|Median: $27.49
1.8× median
B9002Top 25%

$8K

88 claims · 0.1%

Your Cost: $88.60/claim|Median: $54.41
1.6× median
M0243Normal range

$6K

23 claims · 0.1%

Your Cost: $241.58/claim|Median: $215.21
1.1× median
J1200Top 5%

$6K

495 claims · 0.1%

Your Cost: $11.21/claim|Median: $0.60
18.7× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$5K

631 claims · 0.1%

Your Cost: $7.59/claim|Median: $0.58
13.1× median
M0247Normal range

$4K

17 claims · 0.1%

Your Cost: $250.95/claim|Median: $235.71
1.1× median
J7120Top 25%

Ringer's lactate infusion, up to 1000 cc

$3K

320 claims · 0.0%

Your Cost: $10.62/claim|Median: $1.51
7.0× median
J1642Top 25%

$3K

274 claims · 0.0%

Your Cost: $9.40/claim|Median: $1.11
8.5× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$3K

15 claims · 0.0%

Your Cost: $167.91/claim|Median: $92.20
1.8× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$2K

151 claims · 0.0%

Your Cost: $14.89/claim|Median: $24.33
0.6× median
99602Normal range

$2K

38 claims · 0.0%

Your Cost: $58.86/claim|Median: $84.91
0.7× median
B4036Normal range

$1K

17 claims · 0.0%

Your Cost: $86.79/claim|Median: $74.87
1.2× median
J3490Normal range

Unclassified drugs

$1K

57 claims · 0.0%

Your Cost: $24.34/claim|Median: $5.70
4.3× median
S0028Top 25%

$1K

253 claims · 0.0%

Your Cost: $4.60/claim|Median: $0.83
5.5× median
← All providersHow we detect fraud →