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

⚖️ Compare🖨️ Print Report

Provider 1679653356

NPI: 1679653356Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.4M

$9,379,111

Total Claims

122K

Beneficiaries

102K

1.2 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$879K
+54%
2019
$1.4M
+20%
2020
$1.6M
-23%
2021
$1.3M
-4%
2022
$1.2M
+10%
2023
$1.3M
+31%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (A6212) accounts for 13% of total spending.

A6212Top 25%

$1.2M

5,995 claims · 12.9%

Your Cost: $201.56/claim|Median: $76.51
2.6× median
A6197Top 25%

$1.2M

2,974 claims · 12.4%

Your Cost: $389.89/claim|Median: $156.22
2.5× median
A6021Top 10%

$948K

2,975 claims · 10.1%

Your Cost: $318.65/claim|Median: $111.06
2.9× median
A6252Top 10%

$666K

7,147 claims · 7.1%

Your Cost: $93.20/claim|Median: $46.15
2.0× median
A6222Top 5%

$619K

6,386 claims · 6.6%

Your Cost: $96.93/claim|Median: $23.17
4.2× median
A6210Top 25%

$529K

1,358 claims · 5.6%

Your Cost: $389.75/claim|Median: $163.78
2.4× median
A6253Top 25%

$485K

2,139 claims · 5.2%

Your Cost: $226.88/claim|Median: $93.50
2.4× median
A6196Top 25%

$361K

2,276 claims · 3.9%

Your Cost: $158.78/claim|Median: $71.68
2.2× median
A4385Top 25%

$277K

3,317 claims · 3.0%

Your Cost: $83.56/claim|Median: $49.51
1.7× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$275K

2,258 claims · 2.9%

Your Cost: $121.93/claim|Median: $116.15
1.0× median
A6446Top 25%

$247K

6,943 claims · 2.6%

Your Cost: $35.55/claim|Median: $14.64
2.4× median
A6209Top 25%

$215K

1,628 claims · 2.3%

Your Cost: $131.86/claim|Median: $55.36
2.4× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$207K

1,583 claims · 2.2%

Your Cost: $130.68/claim|Median: $110.54
1.2× median
A4452Top 25%

$206K

10K claims · 2.2%

Your Cost: $19.87/claim|Median: $9.98
2.0× median
A6266Top 25%

$186K

1,883 claims · 2.0%

Your Cost: $98.73/claim|Median: $47.46
2.1× median
A4409Top 25%

$170K

1,761 claims · 1.8%

Your Cost: $96.52/claim|Median: $61.38
1.6× median
A4394Top 10%

$132K

4,644 claims · 1.4%

Your Cost: $28.43/claim|Median: $12.65
2.2× median
A6223Top 25%

$123K

2,009 claims · 1.3%

Your Cost: $61.13/claim|Median: $35.60
1.7× median
A6402Top 25%

$122K

7,861 claims · 1.3%

Your Cost: $15.52/claim|Median: $7.69
2.0× median
A6449Top 10%

$105K

1,795 claims · 1.1%

Your Cost: $58.76/claim|Median: $5.88
10.0× median
A4353Normal range

Intermittent urinary catheter, with insertion supplies

$94K

152 claims · 1.0%

Your Cost: $621.49/claim|Median: $508.29
1.2× median
A4456Top 5%

$88K

5,107 claims · 0.9%

Your Cost: $17.27/claim|Median: $6.74
2.6× median
A6240Top 10%

$79K

876 claims · 0.8%

Your Cost: $90.07/claim|Median: $38.71
2.3× median
A5063Top 10%

$77K

1,563 claims · 0.8%

Your Cost: $49.38/claim|Median: $27.93
1.8× median
A6454Top 25%

$71K

2,054 claims · 0.8%

Your Cost: $34.71/claim|Median: $15.74
2.2× median
A6213Top 25%

$69K

270 claims · 0.7%

Your Cost: $255.64/claim|Median: $95.60
2.7× median
A4414Top 25%

$66K

895 claims · 0.7%

Your Cost: $73.63/claim|Median: $48.85
1.5× median
A4425Top 25%

$63K

1,069 claims · 0.7%

Your Cost: $59.23/claim|Median: $38.79
1.5× median
A6250Top 25%

Skin sealant protectant, moisturizer, each ounce

$61K

2,409 claims · 0.7%

Your Cost: $25.36/claim|Median: $9.88
2.6× median
A4927Normal range

Gloves, non-sterile, per 100

$56K

3,452 claims · 0.6%

Your Cost: $16.11/claim|Median: $12.90
1.2× median
← All providersHow we detect fraud →