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

⚖️ Compare🖨️ Print Report

Provider 1619939071

NPI: 1619939071Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$14.7M

$14,749,756

Total Claims

301K

Beneficiaries

265K

1.1 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-4%
2019
$2.3M
-9%
2020
$2.1M
+7%
2021
$2.3M
-13%
2022
$2.0M
+8%
2023
$2.1M
-30%
2024
$1.5M

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 50% of total spending.

99284Top 10%

Emergency dept visit, high complexity

$7.4M

36K claims · 50.0%

Your Cost: $204.09/claim|Median: $69.51
2.9× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.5M

23K claims · 23.7%

Your Cost: $148.65/claim|Median: $42.48
3.5× median
99282Top 25%

Emergency dept visit, low complexity

$810K

7,499 claims · 5.5%

Your Cost: $108.07/claim|Median: $37.72
2.9× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$563K

2,229 claims · 3.8%

Your Cost: $252.58/claim|Median: $85.65
2.9× median
U0003Normal range

Infectious disease detection (COVID-19)

$405K

6,469 claims · 2.7%

Your Cost: $62.65/claim|Median: $63.08
1.0× median
G0378Normal range

Hospital observation service, per hour

$356K

2,059 claims · 2.4%

Your Cost: $173.13/claim|Median: $99.39
1.7× median
92507Normal range

Speech/hearing/language treatment

$248K

5,448 claims · 1.7%

Your Cost: $45.48/claim|Median: $49.45
0.9× median
85025Normal range

Complete blood count (CBC) with differential, automated

$206K

44K claims · 1.4%

Your Cost: $4.72/claim|Median: $4.71
1.0× median
97530Normal range

Therapeutic activities, each 15 min

$195K

4,135 claims · 1.3%

Your Cost: $47.27/claim|Median: $33.11
1.4× median
80053Normal range

Comprehensive metabolic panel

$139K

40K claims · 0.9%

Your Cost: $3.46/claim|Median: $7.24
0.5× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$136K

9,961 claims · 0.9%

Your Cost: $13.70/claim|Median: $21.76
0.6× median
99281Normal range

Emergency dept visit, minimal complexity

$108K

1,142 claims · 0.7%

Your Cost: $94.49/claim|Median: $52.03
1.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$81K

2,416 claims · 0.5%

Your Cost: $33.35/claim|Median: $39.70
0.8× median
84484Top 25%

Troponin, quantitative

$63K

6,122 claims · 0.4%

Your Cost: $10.35/claim|Median: $4.84
2.1× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$55K

2,172 claims · 0.4%

Your Cost: $25.16/claim|Median: $30.04
0.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$45K

12K claims · 0.3%

Your Cost: $3.68/claim|Median: $7.50
0.5× median
87804Normal range

Influenza virus detection, rapid test

$39K

8,060 claims · 0.3%

Your Cost: $4.86/claim|Median: $12.59
0.4× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$27K

1,029 claims · 0.2%

Your Cost: $26.12/claim|Median: $37.56
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$26K

4,356 claims · 0.2%

Your Cost: $5.96/claim|Median: $9.56
0.6× median
84703Normal range

Human chorionic gonadotropin (hCG) quantitative blood test

$25K

3,833 claims · 0.2%

Your Cost: $6.47/claim|Median: $4.20
1.5× median
G0463Normal range

Hospital outpatient clinic visit

$22K

3,525 claims · 0.1%

Your Cost: $6.26/claim|Median: $26.41
0.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$22K

2,655 claims · 0.1%

Your Cost: $8.22/claim|Median: $14.92
0.6× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$20K

121 claims · 0.1%

Your Cost: $162.87/claim|Median: $233.73
0.7× median
96361Normal range

IV infusion, hydration, each additional hour

$19K

2,874 claims · 0.1%

Your Cost: $6.47/claim|Median: $38.92
0.2× median
71046Normal range

Chest X-ray, 2 views

$18K

3,558 claims · 0.1%

Your Cost: $5.05/claim|Median: $8.92
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$18K

712 claims · 0.1%

Your Cost: $24.86/claim|Median: $35.43
0.7× median
74177Normal range

CT abdomen and pelvis with contrast

$18K

254 claims · 0.1%

Your Cost: $69.17/claim|Median: $65.76
1.1× median
74176Normal range

CT abdomen and pelvis without contrast

$18K

452 claims · 0.1%

Your Cost: $38.84/claim|Median: $60.19
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$18K

2,674 claims · 0.1%

Your Cost: $6.56/claim|Median: $11.48
0.6× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$17K

2,241 claims · 0.1%

Your Cost: $7.59/claim|Median: $0.58
13.1× median
← All providersHow we detect fraud →