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

⚖️ Compare🖨️ Print Report

Provider 1720038946

NPI: 1720038946Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,348,340

Total Claims

283K

Beneficiaries

234K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+18%
2019
$1.9M
-33%
2020
$1.3M
+14%
2021
$1.5M
+65%
2022
$2.4M
+1%
2023
$2.5M
-12%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 42% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$5.6M

42K claims · 42.2%

Your Cost: $135.00/claim|Median: $42.48
3.2× median
99284Top 25%

Emergency dept visit, high complexity

$4.1M

33K claims · 30.7%

Your Cost: $122.73/claim|Median: $69.51
1.8× median
99282Top 25%

Emergency dept visit, low complexity

$1000K

6,799 claims · 7.5%

Your Cost: $147.04/claim|Median: $37.72
3.9× median
96361Top 25%

IV infusion, hydration, each additional hour

$495K

1,763 claims · 3.7%

Your Cost: $280.88/claim|Median: $38.92
7.2× median
80053Top 25%

Comprehensive metabolic panel

$451K

30K claims · 3.4%

Your Cost: $15.27/claim|Median: $7.24
2.1× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$266K

203 claims · 2.0%

Your Cost: $1,309.41/claim|Median: $331.68
3.9× median
11042Top 10%

Debridement, subcutaneous tissue, first 20 sq cm

$179K

976 claims · 1.3%

Your Cost: $183.84/claim|Median: $36.13
5.1× median
80197Top 5%

$125K

4,212 claims · 0.9%

Your Cost: $29.70/claim|Median: $6.57
4.5× median
95782Top 25%

$123K

142 claims · 0.9%

Your Cost: $864.96/claim|Median: $216.35
4.0× median
84484Top 10%

Troponin, quantitative

$95K

5,652 claims · 0.7%

Your Cost: $16.89/claim|Median: $4.84
3.5× median
74177Top 25%

CT abdomen and pelvis with contrast

$84K

417 claims · 0.6%

Your Cost: $201.20/claim|Median: $65.76
3.1× median
99281Top 25%

Emergency dept visit, minimal complexity

$70K

452 claims · 0.5%

Your Cost: $155.42/claim|Median: $52.03
3.0× median
80048Top 25%

Basic metabolic panel

$70K

3,822 claims · 0.5%

Your Cost: $18.35/claim|Median: $5.78
3.2× median
U0003Normal range

Infectious disease detection (COVID-19)

$65K

902 claims · 0.5%

Your Cost: $71.60/claim|Median: $63.08
1.1× median
70450Top 10%

CT head/brain without contrast

$63K

355 claims · 0.5%

Your Cost: $177.29/claim|Median: $45.53
3.9× median
81001Top 25%

Urinalysis, automated, with microscopy

$53K

16K claims · 0.4%

Your Cost: $3.30/claim|Median: $2.03
1.6× median
85027Normal range

Complete blood count (CBC), automated

$46K

40K claims · 0.3%

Your Cost: $1.16/claim|Median: $3.72
0.3× median
95810Top 10%

Polysomnography, sleep study, 6+ hours

$45K

55 claims · 0.3%

Your Cost: $815.84/claim|Median: $233.73
3.5× median
30140Top 5%

$34K

12 claims · 0.3%

Your Cost: $2,857.08/claim|Median: $240.99
11.9× median
83735Top 25%

Magnesium blood level test

$32K

5,147 claims · 0.2%

Your Cost: $6.30/claim|Median: $2.77
2.3× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$29K

449 claims · 0.2%

Your Cost: $65.14/claim|Median: $35.43
1.8× median
31622Top 25%

$28K

69 claims · 0.2%

Your Cost: $404.35/claim|Median: $107.57
3.8× median
87496Top 25%

$27K

946 claims · 0.2%

Your Cost: $28.42/claim|Median: $10.20
2.8× median
80069Top 10%

Renal function panel

$26K

814 claims · 0.2%

Your Cost: $32.28/claim|Median: $4.12
7.8× median
76770Top 10%

Ultrasound, retroperitoneal, complete

$26K

169 claims · 0.2%

Your Cost: $151.86/claim|Median: $37.35
4.1× median
87086Normal range

Urine culture, colony count, with identification

$20K

3,098 claims · 0.2%

Your Cost: $6.54/claim|Median: $5.31
1.2× median
69436Top 10%

Tympanostomy, general anesthesia

$19K

14 claims · 0.1%

Your Cost: $1,342.24/claim|Median: $205.50
6.5× median
82306Top 5%

Vitamin D, 25 hydroxy

$15K

261 claims · 0.1%

Your Cost: $56.26/claim|Median: $18.18
3.1× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$14K

226 claims · 0.1%

Your Cost: $63.37/claim|Median: $39.70
1.6× median
85610Top 25%

Prothrombin time (PT) blood clotting test

$14K

3,906 claims · 0.1%

Your Cost: $3.57/claim|Median: $2.14
1.7× median
← All providersHow we detect fraud →