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

⚖️ Compare🖨️ Print Report

Provider 1639101199

NPI: 1639101199Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.1M

$15,110,211

Total Claims

458K

Beneficiaries

373K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+7%
2019
$2.7M
-36%
2020
$1.7M
+72%
2021
$2.9M
+10%
2022
$3.2M
-53%
2023
$1.5M
-61%
2024
$579K

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 10% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$1.5M

11K claims · 9.7%

Your Cost: $134.01/claim|Median: $69.51
1.9× median
0202UTop 25%

Proprietary lab analysis, human genomic sequencing

$1.4M

5,425 claims · 9.4%

Your Cost: $262.76/claim|Median: $144.30
1.8× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.3M

9,075 claims · 8.4%

Your Cost: $140.12/claim|Median: $42.48
3.3× median
74177Top 10%

CT abdomen and pelvis with contrast

$820K

1,894 claims · 5.4%

Your Cost: $432.91/claim|Median: $65.76
6.6× median
87633Top 10%

Respiratory virus detection, 12-25 targets, nucleic acid

$739K

1,733 claims · 4.9%

Your Cost: $426.22/claim|Median: $169.17
2.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$664K

4,288 claims · 4.4%

Your Cost: $154.85/claim|Median: $85.65
1.8× median
96361Top 25%

IV infusion, hydration, each additional hour

$643K

2,359 claims · 4.3%

Your Cost: $272.61/claim|Median: $38.92
7.0× median
70450Top 5%

CT head/brain without contrast

$475K

1,886 claims · 3.1%

Your Cost: $251.84/claim|Median: $45.53
5.5× median
97110Top 25%

Therapeutic exercises, each 15 min

$461K

9,628 claims · 3.0%

Your Cost: $47.85/claim|Median: $24.49
2.0× median
92507Top 25%

Speech/hearing/language treatment

$445K

5,528 claims · 2.9%

Your Cost: $80.57/claim|Median: $49.45
1.6× median
97530Top 25%

Therapeutic activities, each 15 min

$372K

5,543 claims · 2.5%

Your Cost: $67.15/claim|Median: $33.11
2.0× median
96365Top 25%

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

$331K

3,279 claims · 2.2%

Your Cost: $100.90/claim|Median: $54.77
1.8× median
43239Top 5%

Upper GI endoscopy with biopsy

$327K

457 claims · 2.2%

Your Cost: $715.81/claim|Median: $151.68
4.7× median
G0378Normal range

Hospital observation service, per hour

$236K

2,413 claims · 1.6%

Your Cost: $97.84/claim|Median: $99.39
1.0× median
99212Top 5%

Office/outpatient visit, low complexity

$226K

1,167 claims · 1.5%

Your Cost: $193.83/claim|Median: $25.06
7.7× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$204K

496 claims · 1.3%

Your Cost: $410.34/claim|Median: $54.68
7.5× median
80053Normal range

Comprehensive metabolic panel

$200K

33K claims · 1.3%

Your Cost: $6.15/claim|Median: $7.24
0.8× median
A0425Top 25%

Ground mileage, per statute mile

$191K

2,755 claims · 1.3%

Your Cost: $69.49/claim|Median: $23.36
3.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$167K

14K claims · 1.1%

Your Cost: $12.18/claim|Median: $9.87
1.2× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$164K

4,794 claims · 1.1%

Your Cost: $34.16/claim|Median: $23.39
1.5× median
76705Top 5%

Ultrasound, abdominal, limited

$149K

1,043 claims · 1.0%

Your Cost: $143.31/claim|Median: $23.81
6.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$145K

36K claims · 1.0%

Your Cost: $4.06/claim|Median: $4.71
0.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$142K

4,788 claims · 0.9%

Your Cost: $29.70/claim|Median: $24.95
1.2× median
96366Top 5%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$139K

382 claims · 0.9%

Your Cost: $364.63/claim|Median: $40.12
9.1× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$128K

846 claims · 0.8%

Your Cost: $150.89/claim|Median: $61.57
2.5× median
74176Top 5%

CT abdomen and pelvis without contrast

$127K

340 claims · 0.8%

Your Cost: $374.84/claim|Median: $60.19
6.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$120K

1,598 claims · 0.8%

Your Cost: $75.09/claim|Median: $63.08
1.2× median
82306Top 25%

Vitamin D, 25 hydroxy

$118K

4,138 claims · 0.8%

Your Cost: $28.43/claim|Median: $18.18
1.6× median
A4649Normal range

Surgical supply, miscellaneous, not otherwise classified

$117K

5,837 claims · 0.8%

Your Cost: $20.01/claim|Median: $5.04
4.0× median
A0427Normal range

Ambulance, ALS emergency transport Level 1

$114K

988 claims · 0.8%

Your Cost: $115.82/claim|Median: $164.22
0.7× median
← All providersHow we detect fraud →