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

⚖️ Compare🖨️ Print Report

Provider 1679677983

NPI: 1679677983Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.5M

$18,468,288

Total Claims

468K

Beneficiaries

370K

1.3 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$615K
+222%
2019
$2.0M
+99%
2020
$3.9M
+11%
2021
$4.4M
-27%
2022
$3.2M
-41%
2023
$1.9M
+28%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96361 (IV infusion, hydration, each additional hour)) accounts for 18% of total spending.

96361Top 10%

IV infusion, hydration, each additional hour

$3.3M

10K claims · 17.9%

Your Cost: $329.80/claim|Median: $38.92
8.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$2.7M

17K claims · 14.4%

Your Cost: $158.22/claim|Median: $85.65
1.8× median
99284Top 25%

Emergency dept visit, high complexity

$2.5M

18K claims · 13.6%

Your Cost: $143.46/claim|Median: $69.51
2.1× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.4M

17K claims · 13.3%

Your Cost: $140.35/claim|Median: $42.48
3.3× median
G0378Normal range

Hospital observation service, per hour

$682K

3,012 claims · 3.7%

Your Cost: $226.55/claim|Median: $99.39
2.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$599K

3,028 claims · 3.2%

Your Cost: $197.69/claim|Median: $65.76
3.0× median
70450Top 10%

CT head/brain without contrast

$596K

3,300 claims · 3.2%

Your Cost: $180.47/claim|Median: $45.53
4.0× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$516K

1,833 claims · 2.8%

Your Cost: $281.34/claim|Median: $54.68
5.1× median
99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$419K

3,067 claims · 2.3%

Your Cost: $136.51/claim|Median: $37.81
3.6× median
96365Top 25%

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

$415K

3,939 claims · 2.2%

Your Cost: $105.36/claim|Median: $54.77
1.9× median
G0463Top 25%

Hospital outpatient clinic visit

$409K

6,132 claims · 2.2%

Your Cost: $66.72/claim|Median: $26.41
2.5× median
96360Top 25%

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

$370K

2,905 claims · 2.0%

Your Cost: $127.50/claim|Median: $61.57
2.1× median
99282Top 25%

Emergency dept visit, low complexity

$330K

2,536 claims · 1.8%

Your Cost: $130.12/claim|Median: $37.72
3.4× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$295K

1,652 claims · 1.6%

Your Cost: $178.77/claim|Median: $75.28
2.4× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$282K

5,096 claims · 1.5%

Your Cost: $55.37/claim|Median: $91.47
0.6× median
96366Top 10%

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

$228K

1,060 claims · 1.2%

Your Cost: $215.27/claim|Median: $40.12
5.4× median
99212Top 5%

Office/outpatient visit, low complexity

$199K

1,436 claims · 1.1%

Your Cost: $138.92/claim|Median: $25.06
5.5× median
74176Top 25%

CT abdomen and pelvis without contrast

$170K

889 claims · 0.9%

Your Cost: $191.60/claim|Median: $60.19
3.2× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$168K

1,868 claims · 0.9%

Your Cost: $90.14/claim|Median: $10.88
8.3× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$165K

4,599 claims · 0.9%

Your Cost: $35.85/claim|Median: $35.43
1.0× median
71275Top 25%

CT angiography, chest, with contrast

$158K

681 claims · 0.9%

Your Cost: $232.26/claim|Median: $92.96
2.5× median
80053Normal range

Comprehensive metabolic panel

$152K

31K claims · 0.8%

Your Cost: $4.86/claim|Median: $7.24
0.7× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$132K

1,416 claims · 0.7%

Your Cost: $93.39/claim|Median: $53.41
1.7× median
59025Top 10%

Fetal non-stress test

$125K

739 claims · 0.7%

Your Cost: $169.38/claim|Median: $26.45
6.4× median
93971Top 10%

Duplex scan of extremity veins, unilateral or limited

$96K

870 claims · 0.5%

Your Cost: $110.33/claim|Median: $25.43
4.3× median
99281Normal range

Emergency dept visit, minimal complexity

$84K

913 claims · 0.5%

Your Cost: $91.95/claim|Median: $52.03
1.8× median
J2469Top 10%

Injection, palonosetron HCl, twenty-five micrograms

$75K

500 claims · 0.4%

Your Cost: $150.88/claim|Median: $25.23
6.0× median
93017Top 10%

$63K

291 claims · 0.3%

Your Cost: $216.61/claim|Median: $56.03
3.9× median
76705Top 10%

Ultrasound, abdominal, limited

$61K

660 claims · 0.3%

Your Cost: $92.02/claim|Median: $23.81
3.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$52K

2,543 claims · 0.3%

Your Cost: $20.35/claim|Median: $39.70
0.5× median
← All providersHow we detect fraud →