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

Provider 1609922707

NPI: 1609922707Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$10.1M

$10,133,851

Total Claims

273K

Beneficiaries

79K

3.5 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$645K
+25%
2019
$804K
-22%
2020
$625K
+192%
2021
$1.8M
-0%
2022
$1.8M
+26%
2023
$2.3M
-8%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (Q5001 (Injection, filgrastim-sndz, biosimilar, 1 mcg)) accounts for 67% of total spending.

Q5001Top 25%

Injection, filgrastim-sndz, biosimilar, 1 mcg

$6.8M

30K claims · 67.2%

Your Cost: $225.36/claim|Median: $23.43
9.6× median
Q5005Normal range

$1.6M

3,790 claims · 16.2%

Your Cost: $432.46/claim|Median: $432.46
1.0× median
Q5006Normal range

$1.3M

1,396 claims · 12.4%

Your Cost: $901.22/claim|Median: $544.82
1.7× median
Q5003Normal range

Injection, infliximab-dyyb, biosimilar, 10 mg

$154K

12K claims · 1.5%

Your Cost: $12.47/claim|Median: $177.99
0.1× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$143K

97K claims · 1.4%

Your Cost: $1.48/claim|Median: $51.67
0.0× median
Q5004Normal range

$98K

3,727 claims · 1.0%

Your Cost: $26.27/claim|Median: $127.12
0.2× median
G0155Normal range

Services of clinical social worker in home health, per 15 min

$29K

27K claims · 0.3%

Your Cost: $1.07/claim|Median: $7.04
0.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$560

510 claims · 0.0%

Your Cost: $1.10/claim|Median: $35.30
0.0× median
99223Normal range

Initial hospital care, per day, high complexity

$356

173 claims · 0.0%

Your Cost: $2.06/claim|Median: $67.32
0.0× median
99350Normal range

$190

237 claims · 0.0%

Your Cost: $0.80/claim|Median: $35.62
0.0× median
99344Normal range

$145

13 claims · 0.0%

Your Cost: $11.18/claim|Median: $50.43
0.2× median
G0156Normal range

Home health aide services, per visit

$16

91K claims · 0.0%

Your Cost: $0.00/claim|Median: $39.42
0.0× median
J2270Normal range

Injection, morphine sulfate, up to ten milligrams

$0

642 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.00
J2060Normal range

Injection, lorazepam, two milligrams

$0

1,923 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.62
99306Normal range

$0

41 claims · 0.0%

Your Cost: $0.00/claim|Median: $29.97
99309Normal range

Nursing facility care, subsequent, low complexity

$0

53 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.00
99345Normal range

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $56.78
99232Normal range

Subsequent hospital care, per day, moderate complexity

$0

140 claims · 0.0%

Your Cost: $0.00/claim|Median: $23.99
99310Normal range

$0

40 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.82
G0300Normal range

Skilled nursing services, home health, per visit, LPN

$0

2,128 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.50
J1630Normal range

$0

50 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.57
99349Normal range

$0

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.29
J1170Normal range

Injection, hydromorphone, up to four milligrams

$0

808 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.03