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

⚖️ Compare🖨️ Print Report

Provider 1659657856

NPI: 1659657856Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$7,983,773

Total Claims

25K

Beneficiaries

23K

1.1 claims/patient

Avg Cost/Claim

$320

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-20%
2019
$991K
+5%
2020
$1.0M
+14%
2021
$1.2M
-7%
2022
$1.1M
-2%
2023
$1.1M
+27%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 14 distinct procedure codes. The top code (43239 (Upper GI endoscopy with biopsy)) accounts for 37% of total spending.

43239Top 25%

Upper GI endoscopy with biopsy

$3.0M

7,703 claims · 37.1%

Your Cost: $384.65/claim|Median: $151.68
2.5× median
45378Top 25%

Colonoscopy, diagnostic

$1.9M

4,896 claims · 24.2%

Your Cost: $394.52/claim|Median: $225.49
1.7× median
45385Top 25%

Colonoscopy with polyp removal, snare technique

$1.5M

3,176 claims · 18.4%

Your Cost: $461.97/claim|Median: $255.17
1.8× median
45380Top 25%

Colonoscopy with biopsy

$1.2M

2,902 claims · 14.9%

Your Cost: $411.01/claim|Median: $200.68
2.0× median
43235Top 25%

Upper GI endoscopy, diagnostic, including collection

$170K

453 claims · 2.1%

Your Cost: $374.30/claim|Median: $114.30
3.3× median
0490Normal range

$114K

1,943 claims · 1.4%

Your Cost: $58.70/claim|Median: $58.18
1.0× median
0360Normal range

$77K

810 claims · 1.0%

Your Cost: $94.59/claim|Median: $95.40
1.0× median
0160Normal range

$32K

861 claims · 0.4%

Your Cost: $37.35/claim|Median: $54.01
0.7× median
0760Normal range

$23K

819 claims · 0.3%

Your Cost: $27.59/claim|Median: $22.01
1.3× median
0710Normal range

$14K

827 claims · 0.2%

Your Cost: $16.99/claim|Median: $18.49
0.9× median
0761Normal range

$259

14 claims · 0.0%

Your Cost: $18.49/claim|Median: $24.10
0.8× median
G8918Normal range

$0

259 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.03
0.0× median
G8907Normal range

$0

259 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38
0.0× median
99499Normal range

Unlisted evaluation and management service

$0

48 claims · 0.0%

Your Cost: $0.00/claim|Median: $30.88
← All providersHow we detect fraud →