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

Provider 1700829199

NPI: 1700829199Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$11.9M

$11,949,174

Total Claims

317K

Beneficiaries

268K

1.2 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.8M
-10%
2019
$1.6M
-37%
2020
$1.0M
+67%
2021
$1.7M
+31%
2022
$2.3M
+13%
2023
$2.5M
-62%
2024
$955K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99499 (Unlisted evaluation and management service)) accounts for 19% of total spending.

99499Top 5%

Unlisted evaluation and management service

$2.3M

9,489 claims · 19.3%

Your Cost: $243.63/claim|Median: $30.88
7.9× median
0450Top 25%

Emergency room visit

$1.8M

25K claims · 15.0%

Your Cost: $72.25/claim|Median: $44.95
1.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.1M

15K claims · 9.5%

Your Cost: $74.76/claim|Median: $42.48
1.8× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$629K

8,857 claims · 5.3%

Your Cost: $71.00/claim|Median: $21.76
3.3× median
74177Top 25%

CT abdomen and pelvis with contrast

$565K

2,045 claims · 4.7%

Your Cost: $276.28/claim|Median: $65.76
4.2× median
80053Top 25%

Comprehensive metabolic panel

$487K

31K claims · 4.1%

Your Cost: $15.92/claim|Median: $7.24
2.2× median
93005Top 25%

Electrocardiogram, tracing only, without interpretation

$391K

13K claims · 3.3%

Your Cost: $30.21/claim|Median: $7.50
4.0× median
87636Top 5%

Respiratory virus detection, 6-11 targets, nucleic acid

$357K

2,174 claims · 3.0%

Your Cost: $164.11/claim|Median: $97.61
1.7× median
0762Top 5%

$354K

264 claims · 3.0%

Your Cost: $1,340.03/claim|Median: $102.28
13.1× median
70450Top 25%

CT head/brain without contrast

$330K

2,437 claims · 2.8%

Your Cost: $135.46/claim|Median: $45.53
3.0× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$312K

35K claims · 2.6%

Your Cost: $8.97/claim|Median: $4.71
1.9× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$295K

5,868 claims · 2.5%

Your Cost: $50.28/claim|Median: $14.92
3.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$197K

1,345 claims · 1.6%

Your Cost: $146.44/claim|Median: $85.65
1.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$196K

1,180 claims · 1.6%

Your Cost: $165.99/claim|Median: $60.19
2.8× median
U0003Top 25%

Infectious disease detection (COVID-19)

$164K

1,942 claims · 1.4%

Your Cost: $84.23/claim|Median: $63.08
1.3× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$164K

2,379 claims · 1.4%

Your Cost: $68.73/claim|Median: $35.43
1.9× median
99284Top 25%

Emergency dept visit, high complexity

$160K

1,541 claims · 1.3%

Your Cost: $103.91/claim|Median: $69.51
1.5× median
Z7502Normal range

$151K

4,241 claims · 1.3%

Your Cost: $35.61/claim|Median: $37.17
1.0× median
72125Top 10%

CT cervical spine without contrast

$124K

665 claims · 1.0%

Your Cost: $186.53/claim|Median: $32.30
5.8× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$120K

9,053 claims · 1.0%

Your Cost: $13.28/claim|Median: $13.14
1.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$120K

1,584 claims · 1.0%

Your Cost: $75.59/claim|Median: $65.64
1.2× median
71046Top 25%

Chest X-ray, 2 views

$118K

4,856 claims · 1.0%

Your Cost: $24.32/claim|Median: $8.92
2.7× median
U0002Top 25%

COVID-19 lab test, non-CDC, nucleic acid

$115K

2,294 claims · 1.0%

Your Cost: $50.28/claim|Median: $34.62
1.5× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$85K

3,141 claims · 0.7%

Your Cost: $26.92/claim|Median: $9.56
2.8× median
84484Top 25%

Troponin, quantitative

$83K

7,484 claims · 0.7%

Your Cost: $11.12/claim|Median: $4.84
2.3× median
96361Normal range

IV infusion, hydration, each additional hour

$83K

2,300 claims · 0.7%

Your Cost: $35.98/claim|Median: $38.92
0.9× median
71045Top 25%

Chest X-ray, single view

$70K

4,478 claims · 0.6%

Your Cost: $15.72/claim|Median: $4.93
3.2× median
83690Top 25%

$58K

7,255 claims · 0.5%

Your Cost: $8.01/claim|Median: $3.35
2.4× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$56K

3,606 claims · 0.5%

Your Cost: $15.63/claim|Median: $3.42
4.6× median
96365Normal range

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

$55K

640 claims · 0.5%

Your Cost: $85.68/claim|Median: $54.77
1.6× median