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

⚖️ Compare🖨️ Print Report

Provider 1588938682

NPI: 1588938682Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$12,958,788

Total Claims

39K

Beneficiaries

39K

1.0 claims/patient

Avg Cost/Claim

$332

Monthly Spending Trend

Yearly Spending

2018
$372K
+117%
2019
$805K
+134%
2020
$1.9M
+34%
2021
$2.5M
-1%
2022
$2.5M
+3%
2023
$2.6M
-14%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 41% of total spending.

43239Top 10%

Upper GI endoscopy with biopsy

$5.3M

11K claims · 41.1%

Your Cost: $494.93/claim|Median: $151.68
3.3× median
45378Top 25%

Colonoscopy, diagnostic

$2.9M

5,445 claims · 22.2%

Your Cost: $528.46/claim|Median: $225.49
2.3× median
45380Top 25%

Colonoscopy with biopsy

$1.3M

2,777 claims · 10.1%

Your Cost: $473.29/claim|Median: $200.68
2.4× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$996K

1,944 claims · 7.7%

Your Cost: $512.54/claim|Median: $255.17
2.0× median
00731Top 25%

$854K

8,046 claims · 6.6%

Your Cost: $106.20/claim|Median: $64.75
1.6× median
G0121Normal range

Colorectal cancer screening; colonoscopy

$765K

1,499 claims · 5.9%

Your Cost: $510.49/claim|Median: $332.07
1.5× median
00811Top 25%

$414K

4,491 claims · 3.2%

Your Cost: $92.25/claim|Median: $56.15
1.6× median
00812Top 25%

$335K

3,550 claims · 2.6%

Your Cost: $94.35/claim|Median: $59.54
1.6× median
G0105Top 25%

$45K

96 claims · 0.3%

Your Cost: $470.67/claim|Median: $207.30
2.3× median
00813Top 25%

$27K

226 claims · 0.2%

Your Cost: $117.78/claim|Median: $71.82
1.6× median
G8907Normal range

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38
G8918Normal range

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.03
99213Normal range

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

$0

116 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.81
← All providersHow we detect fraud →