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

⚖️ Compare🖨️ Print Report

Provider 1578819850

NPI: 1578819850Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.8M

$7,779,122

Total Claims

230K

Beneficiaries

183K

1.3 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+10%
2019
$1.2M
-19%
2020
$927K
+20%
2021
$1.1M
+17%
2022
$1.3M
-4%
2023
$1.2M
-20%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (80307 (Drug test, presumptive, by chemistry analyzers)) accounts for 13% of total spending.

80307Normal range

Drug test, presumptive, by chemistry analyzers

$983K

24K claims · 12.6%

Your Cost: $40.82/claim|Median: $35.43
1.2× median
99214Normal range

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

$694K

12K claims · 8.9%

Your Cost: $58.30/claim|Median: $53.41
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$667K

8,945 claims · 8.6%

Your Cost: $74.62/claim|Median: $74.09
1.0× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$538K

1,171 claims · 6.9%

Your Cost: $459.66/claim|Median: $470.36
1.0× median
95886Normal range

$466K

4,621 claims · 6.0%

Your Cost: $100.81/claim|Median: $67.70
1.5× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$287K

2,570 claims · 3.7%

Your Cost: $111.62/claim|Median: $111.02
1.0× median
95911Normal range

$282K

2,435 claims · 3.6%

Your Cost: $115.93/claim|Median: $122.86
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$260K

22K claims · 3.3%

Your Cost: $11.68/claim|Median: $12.93
0.9× median
72148Normal range

MRI lumbar spine without contrast

$239K

2,579 claims · 3.1%

Your Cost: $92.62/claim|Median: $101.03
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$234K

12K claims · 3.0%

Your Cost: $19.53/claim|Median: $24.49
0.8× median
97140Normal range

Manual therapy techniques, per 15 minutes

$224K

12K claims · 2.9%

Your Cost: $18.41/claim|Median: $16.79
1.1× median
95910Normal range

$209K

2,151 claims · 2.7%

Your Cost: $97.12/claim|Median: $97.13
1.0× median
62321Normal range

$180K

1,752 claims · 2.3%

Your Cost: $102.49/claim|Median: $132.67
0.8× median
76942Normal range

$177K

7,310 claims · 2.3%

Your Cost: $24.18/claim|Median: $24.73
1.0× median
95812Normal range

$175K

952 claims · 2.2%

Your Cost: $183.74/claim|Median: $104.99
1.8× median
70551Normal range

MRI brain without contrast

$159K

1,612 claims · 2.0%

Your Cost: $98.79/claim|Median: $85.39
1.2× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$142K

1,635 claims · 1.8%

Your Cost: $87.01/claim|Median: $84.03
1.0× median
72141Normal range

MRI of cervical spine without contrast

$141K

1,571 claims · 1.8%

Your Cost: $89.60/claim|Median: $112.68
0.8× median
99213Normal range

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

$137K

3,474 claims · 1.8%

Your Cost: $39.29/claim|Median: $37.81
1.0× median
J0702Top 10%

$132K

6,671 claims · 1.7%

Your Cost: $19.74/claim|Median: $7.64
2.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$126K

1,197 claims · 1.6%

Your Cost: $105.07/claim|Median: $111.09
0.9× median
70553Normal range

MRI brain without contrast, then with contrast

$112K

714 claims · 1.4%

Your Cost: $156.32/claim|Median: $133.68
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$97K

16K claims · 1.2%

Your Cost: $6.19/claim|Median: $9.56
0.6× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$96K

5,259 claims · 1.2%

Your Cost: $18.31/claim|Median: $20.04
0.9× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$84K

2,198 claims · 1.1%

Your Cost: $38.11/claim|Median: $42.51
0.9× median
64505Normal range

$53K

604 claims · 0.7%

Your Cost: $88.34/claim|Median: $75.35
1.2× median
70544Normal range

$50K

490 claims · 0.6%

Your Cost: $103.01/claim|Median: $67.83
1.5× median
96365Normal range

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

$47K

1,593 claims · 0.6%

Your Cost: $29.51/claim|Median: $54.77
0.5× median
20553Normal range

$47K

1,622 claims · 0.6%

Your Cost: $28.94/claim|Median: $29.47
1.0× median
64635Normal range

$44K

304 claims · 0.6%

Your Cost: $145.50/claim|Median: $207.78
0.7× median
← All providersHow we detect fraud →