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

⚖️ Compare🖨️ Print Report

Provider 1568459436

NPI: 1568459436Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$11.9M

$11,901,421

Total Claims

289K

Beneficiaries

266K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$108K
+5%
2019
$113K
+751%
2020
$964K
+348%
2021
$4.3M
-49%
2022
$2.2M
+5%
2023
$2.3M
-18%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 33% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$3.9M

24K claims · 32.7%

Your Cost: $164.85/claim|Median: $69.51
2.4× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.1M

18K claims · 17.9%

Your Cost: $119.91/claim|Median: $42.48
2.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.1M

6,692 claims · 9.4%

Your Cost: $166.54/claim|Median: $85.65
1.9× median
G0378Top 10%

Hospital observation service, per hour

$379K

541 claims · 3.2%

Your Cost: $700.00/claim|Median: $99.39
7.0× median
80053Normal range

Comprehensive metabolic panel

$288K

28K claims · 2.4%

Your Cost: $10.17/claim|Median: $7.24
1.4× median
X0621Normal range

$272K

1,273 claims · 2.3%

Your Cost: $213.76/claim|Median: $212.75
1.0× median
80061Top 25%

Lipid panel

$191K

13K claims · 1.6%

Your Cost: $14.25/claim|Median: $8.41
1.7× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$179K

2,325 claims · 1.5%

Your Cost: $76.92/claim|Median: $100.62
0.8× median
U0003Top 25%

Infectious disease detection (COVID-19)

$162K

1,962 claims · 1.4%

Your Cost: $82.52/claim|Median: $63.08
1.3× median
74177Normal range

CT abdomen and pelvis with contrast

$162K

1,143 claims · 1.4%

Your Cost: $141.50/claim|Median: $65.76
2.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$131K

27K claims · 1.1%

Your Cost: $4.90/claim|Median: $4.71
1.0× median
77067Top 25%

Screening mammography, bilateral, including CAD

$126K

1,528 claims · 1.1%

Your Cost: $82.66/claim|Median: $39.33
2.1× median
82306Top 10%

Vitamin D, 25 hydroxy

$114K

2,736 claims · 1.0%

Your Cost: $41.83/claim|Median: $18.18
2.3× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$111K

4,697 claims · 0.9%

Your Cost: $23.70/claim|Median: $9.87
2.4× median
76830Normal range

Ultrasound, transvaginal

$111K

2,395 claims · 0.9%

Your Cost: $46.39/claim|Median: $57.47
0.8× median
80050Top 25%

General health panel

$107K

2,305 claims · 0.9%

Your Cost: $46.58/claim|Median: $25.59
1.8× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$95K

4,671 claims · 0.8%

Your Cost: $20.42/claim|Median: $21.76
0.9× median
70450Top 25%

CT head/brain without contrast

$92K

1,161 claims · 0.8%

Your Cost: $78.86/claim|Median: $45.53
1.7× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$75K

793 claims · 0.6%

Your Cost: $94.14/claim|Median: $75.28
1.3× median
96361Normal range

IV infusion, hydration, each additional hour

$66K

2,548 claims · 0.6%

Your Cost: $25.94/claim|Median: $38.92
0.7× median
86003Top 5%

Allergen specific IgE blood test, each allergen

$64K

299 claims · 0.5%

Your Cost: $215.44/claim|Median: $40.67
5.3× median
70553Normal range

MRI brain without contrast, then with contrast

$64K

245 claims · 0.5%

Your Cost: $260.31/claim|Median: $133.68
1.9× median
73721Top 25%

MRI joint of lower extremity without contrast

$64K

231 claims · 0.5%

Your Cost: $275.91/claim|Median: $127.34
2.2× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$61K

985 claims · 0.5%

Your Cost: $62.24/claim|Median: $35.43
1.8× median
99282Normal range

Emergency dept visit, low complexity

$56K

1,220 claims · 0.5%

Your Cost: $46.11/claim|Median: $37.72
1.2× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$54K

1,336 claims · 0.5%

Your Cost: $40.61/claim|Median: $121.16
0.3× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$52K

6,605 claims · 0.4%

Your Cost: $7.89/claim|Median: $7.50
1.1× median
71046Normal range

Chest X-ray, 2 views

$49K

3,323 claims · 0.4%

Your Cost: $14.80/claim|Median: $8.92
1.7× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$48K

850 claims · 0.4%

Your Cost: $57.02/claim|Median: $37.56
1.5× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$47K

550 claims · 0.4%

Your Cost: $84.55/claim|Median: $54.68
1.5× median
← All providersHow we detect fraud →