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

⚖️ Compare🖨️ Print Report

Provider 1619952595

NPI: 1619952595Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.7M

$9,743,312

Total Claims

98K

Beneficiaries

85K

1.2 claims/patient

Avg Cost/Claim

$100

Monthly Spending Trend

Yearly Spending

2018
$819K
+3%
2019
$845K
+26%
2020
$1.1M
+211%
2021
$3.3M
-62%
2022
$1.3M
+16%
2023
$1.4M
-31%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J1568 (Injection, immune globulin (OCTAGAM), intravenous, non-lyophilized)) accounts for 24% of total spending.

J1568Top 1%

Injection, immune globulin (OCTAGAM), intravenous, non-lyophilized

$2.3M

387 claims · 23.6%

Your Cost: $5,938.73/claim|Median: $1,911.51
3.1× median
99214Top 25%

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

$1.8M

18K claims · 18.1%

Your Cost: $96.56/claim|Median: $53.41
1.8× median
99213Top 25%

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

$1.7M

26K claims · 17.3%

Your Cost: $65.60/claim|Median: $37.81
1.7× median
99203Top 10%

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

$1.4M

13K claims · 14.5%

Your Cost: $105.53/claim|Median: $57.85
1.8× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$1.0M

11K claims · 10.6%

Your Cost: $90.88/claim|Median: $29.03
3.1× median
73564Top 25%

$163K

4,585 claims · 1.7%

Your Cost: $35.58/claim|Median: $15.00
2.4× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$135K

132 claims · 1.4%

Your Cost: $1,019.59/claim|Median: $470.36
2.2× median
L0650Normal range

$126K

222 claims · 1.3%

Your Cost: $565.67/claim|Median: $339.16
1.7× median
99204Top 25%

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

$97K

681 claims · 1.0%

Your Cost: $141.93/claim|Median: $84.03
1.7× median
J7323Top 25%

$83K

319 claims · 0.9%

Your Cost: $259.98/claim|Median: $101.00
2.6× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$83K

2,643 claims · 0.9%

Your Cost: $31.35/claim|Median: $12.06
2.6× median
64483Top 25%

$79K

263 claims · 0.8%

Your Cost: $300.46/claim|Median: $124.24
2.4× median
L3000Normal range

Foot insert, removable, molded to patient model

$70K

413 claims · 0.7%

Your Cost: $170.19/claim|Median: $205.41
0.8× median
L0651Normal range

$68K

191 claims · 0.7%

Your Cost: $357.07/claim|Median: $106.65
3.3× median
72100Top 10%

$67K

1,644 claims · 0.7%

Your Cost: $40.55/claim|Median: $15.14
2.7× median
L4361Top 25%

$55K

244 claims · 0.6%

Your Cost: $226.30/claim|Median: $161.24
1.4× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$51K

1,587 claims · 0.5%

Your Cost: $32.40/claim|Median: $13.55
2.4× median
73130Top 25%

$47K

1,518 claims · 0.5%

Your Cost: $31.12/claim|Median: $10.69
2.9× median
J1040Top 10%

$45K

3,315 claims · 0.5%

Your Cost: $13.66/claim|Median: $6.87
2.0× median
72110Top 25%

$45K

840 claims · 0.5%

Your Cost: $53.18/claim|Median: $21.02
2.5× median
73010Top 25%

$34K

1,113 claims · 0.3%

Your Cost: $30.24/claim|Median: $9.02
3.4× median
73020Top 10%

$33K

1,223 claims · 0.3%

Your Cost: $27.05/claim|Median: $5.89
4.6× median
95886Normal range

$26K

264 claims · 0.3%

Your Cost: $98.04/claim|Median: $67.70
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$24K

496 claims · 0.2%

Your Cost: $47.44/claim|Median: $39.70
1.2× median
99244Top 5%

Office or other outpatient consultation, moderate complexity

$20K

96 claims · 0.2%

Your Cost: $204.85/claim|Median: $121.58
1.7× median
96365Normal range

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

$19K

504 claims · 0.2%

Your Cost: $36.75/claim|Median: $54.77
0.7× median
95885Normal range

$18K

309 claims · 0.2%

Your Cost: $59.87/claim|Median: $39.97
1.5× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$18K

568 claims · 0.2%

Your Cost: $31.43/claim|Median: $12.64
2.5× median
72148Top 5%

MRI lumbar spine without contrast

$13K

28 claims · 0.1%

Your Cost: $480.32/claim|Median: $101.03
4.8× median
L1833Normal range

$12K

39 claims · 0.1%

Your Cost: $307.08/claim|Median: $278.90
1.1× median
← All providersHow we detect fraud →