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

⚖️ Compare🖨️ Print Report

Provider 1639147259

NPI: 1639147259Share
Active Billing Period:2018-01→2024-01(69 months)
Billing appears to have stoppedLast active: 2024-01

Total Paid

$13.4M

$13,410,969

Total Claims

82K

Beneficiaries

10K

7.9 claims/patient

Avg Cost/Claim

$164

Monthly Spending Trend

Yearly Spending

2018
$3.4M
-7%
2019
$3.2M
+1%
2020
$3.2M
-62%
2021
$1.2M
+61%
2022
$2.0M
-84%
2023
$309K
-99%
2024
$3K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 17 distinct procedure codes. The top code (Q4081 (Injection, epoetin alfa, 100 units (non-ESRD))) accounts for 37% of total spending.

Q4081Top 5%

Injection, epoetin alfa, 100 units (non-ESRD)

$4.9M

28K claims · 36.6%

Your Cost: $172.88/claim|Median: $4.98
34.7× median
90999Top 25%

Unlisted dialysis procedure

$3.6M

24K claims · 27.0%

Your Cost: $153.02/claim|Median: $63.73
2.4× median
J1270Top 5%

Injection, doxercalciferol, 1 mcg

$2.5M

15K claims · 19.0%

Your Cost: $166.50/claim|Median: $0.73
228.1× median
J1756Top 5%

Injection, iron sucrose, 1 mg

$584K

4,246 claims · 4.4%

Your Cost: $137.50/claim|Median: $4.58
30.0× median
A4657Top 10%

Syringe with needle, each

$507K

2,502 claims · 3.8%

Your Cost: $202.57/claim|Median: $2.19
92.5× median
85041Top 10%

$239K

1,607 claims · 1.8%

Your Cost: $148.77/claim|Median: $0.76
195.7× median
85048Top 10%

$232K

1,590 claims · 1.7%

Your Cost: $145.72/claim|Median: $0.81
179.9× median
83970Top 5%

Parathormone (parathyroid hormone) blood test

$195K

1,011 claims · 1.5%

Your Cost: $192.81/claim|Median: $10.20
18.9× median
83550Top 5%

$173K

1,073 claims · 1.3%

Your Cost: $161.50/claim|Median: $3.49
46.3× median
83540Top 5%

Iron blood level test

$173K

1,073 claims · 1.3%

Your Cost: $161.50/claim|Median: $2.93
55.1× median
82728Top 5%

Ferritin

$139K

835 claims · 1.0%

Your Cost: $165.94/claim|Median: $6.00
27.7× median
G0499Top 5%

$27K

125 claims · 0.2%

Your Cost: $218.99/claim|Median: $2.76
79.3× median
82607Top 1%

Cyanocobalamin (vitamin B-12)

$21K

126 claims · 0.2%

Your Cost: $165.95/claim|Median: $8.72
19.0× median
82746Top 5%

$21K

123 claims · 0.2%

Your Cost: $166.92/claim|Median: $6.83
24.4× median
82108Top 10%

$21K

127 claims · 0.2%

Your Cost: $161.67/claim|Median: $2.12
76.3× median
G0008Top 1%

$3K

13 claims · 0.0%

Your Cost: $265.01/claim|Median: $2.54
104.3× median
90662Top 1%

$3K

13 claims · 0.0%

Your Cost: $265.01/claim|Median: $6.55
40.5× median
← All providersHow we detect fraud →