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

Provider 1649264706

NPI: 1649264706Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$8.2M

$8,215,705

Total Claims

48K

Beneficiaries

43K

1.1 claims/patient

Avg Cost/Claim

$171

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+17%
2019
$1.3M
+3%
2020
$1.3M
+36%
2021
$1.8M
-21%
2022
$1.4M
-41%
2023
$843K
-47%
2024
$447K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (01967 (Anesthesia, neuraxial labor analgesia/delivery)) accounts for 36% of total spending.

01967Top 25%

Anesthesia, neuraxial labor analgesia/delivery

$3.0M

5,620 claims · 36.3%

Your Cost: $531.14/claim|Median: $283.78
1.9× median
00731Top 25%

$985K

9,230 claims · 12.0%

Your Cost: $106.75/claim|Median: $64.75
1.6× median
00812Top 25%

$609K

6,628 claims · 7.4%

Your Cost: $91.94/claim|Median: $59.54
1.5× median
01922Normal range

$544K

2,607 claims · 6.6%

Your Cost: $208.52/claim|Median: $166.77
1.3× median
00840Top 25%

$502K

2,337 claims · 6.1%

Your Cost: $214.98/claim|Median: $96.47
2.2× median
00813Top 25%

$309K

2,613 claims · 3.8%

Your Cost: $118.29/claim|Median: $71.82
1.6× median
00790Top 25%

$305K

1,391 claims · 3.7%

Your Cost: $219.35/claim|Median: $115.06
1.9× median
00811Top 25%

$293K

2,970 claims · 3.6%

Your Cost: $98.49/claim|Median: $56.15
1.8× median
01961Normal range

$280K

1,351 claims · 3.4%

Your Cost: $207.20/claim|Median: $156.02
1.3× median
00170Top 25%

Anesthesia for intraoral procedures

$276K

1,300 claims · 3.4%

Your Cost: $212.18/claim|Median: $132.89
1.6× median
00104Top 25%

$233K

2,623 claims · 2.8%

Your Cost: $88.75/claim|Median: $51.82
1.7× median
00142Top 25%

$185K

2,488 claims · 2.2%

Your Cost: $74.16/claim|Median: $43.11
1.7× median
00400Top 25%

$125K

966 claims · 1.5%

Your Cost: $129.87/claim|Median: $49.18
2.6× median
01480Top 25%

$109K

750 claims · 1.3%

Your Cost: $145.12/claim|Median: $63.26
2.3× median
00635Normal range

$104K

949 claims · 1.3%

Your Cost: $109.11/claim|Median: $109.11
1.0× median
01844Top 25%

$81K

687 claims · 1.0%

Your Cost: $117.45/claim|Median: $40.74
2.9× median
00797Top 25%

$72K

236 claims · 0.9%

Your Cost: $303.53/claim|Median: $201.73
1.5× median
00920Top 25%

$51K

344 claims · 0.6%

Your Cost: $147.52/claim|Median: $88.17
1.7× median
00300Top 25%

$26K

141 claims · 0.3%

Your Cost: $183.12/claim|Median: $66.59
2.7× median
00320Top 25%

$20K

82 claims · 0.2%

Your Cost: $245.99/claim|Median: $80.46
3.1× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$20K

811 claims · 0.2%

Your Cost: $24.63/claim|Median: $16.77
1.5× median
01810Normal range

$20K

246 claims · 0.2%

Your Cost: $80.30/claim|Median: $54.69
1.5× median
01992Normal range

$20K

255 claims · 0.2%

Your Cost: $77.07/claim|Median: $54.01
1.4× median
01968Top 25%

$10K

64 claims · 0.1%

Your Cost: $154.49/claim|Median: $72.10
2.1× median
76942Normal range

$9K

547 claims · 0.1%

Your Cost: $15.78/claim|Median: $24.73
0.6× median
01916Top 10%

$7K

43 claims · 0.1%

Your Cost: $172.73/claim|Median: $24.17
7.1× median
00952Top 25%

$7K

72 claims · 0.1%

Your Cost: $102.37/claim|Median: $55.47
1.8× median
36620Top 25%

$6K

190 claims · 0.1%

Your Cost: $33.89/claim|Median: $23.48
1.4× median
01402Top 10%

$5K

21 claims · 0.1%

Your Cost: $258.33/claim|Median: $89.92
2.9× median
31500Normal range

$5K

61 claims · 0.1%

Your Cost: $74.71/claim|Median: $62.71
1.2× median