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

⚖️ Compare🖨️ Print Report

Provider 1780608216

NPI: 1780608216Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.3M

$18,330,200

Total Claims

263K

Beneficiaries

235K

1.1 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+30%
2019
$2.1M
-3%
2020
$2.0M
+37%
2021
$2.8M
+15%
2022
$3.2M
+7%
2023
$3.4M
-4%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 36% of total spending.

99285Top 10%

Emergency dept visit, high/urgent complexity

$6.5M

21K claims · 35.7%

Your Cost: $311.37/claim|Median: $85.65
3.6× median
99284Top 5%

Emergency dept visit, high complexity

$4.5M

19K claims · 24.8%

Your Cost: $237.45/claim|Median: $69.51
3.4× median
99283Top 10%

Emergency dept visit, moderate complexity

$3.1M

18K claims · 16.7%

Your Cost: $165.95/claim|Median: $42.48
3.9× median
96374Top 10%

Therapeutic/prophylactic/diagnostic IV push, single substance

$926K

7,699 claims · 5.0%

Your Cost: $120.23/claim|Median: $21.76
5.5× median
19318Top 25%

$701K

152 claims · 3.8%

Your Cost: $4,612.09/claim|Median: $1,485.84
3.1× median
99213Normal range

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

$621K

12K claims · 3.4%

Your Cost: $53.57/claim|Median: $37.81
1.4× median
G0463Normal range

Hospital outpatient clinic visit

$352K

9,315 claims · 1.9%

Your Cost: $37.74/claim|Median: $26.41
1.4× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$260K

3,131 claims · 1.4%

Your Cost: $83.05/claim|Median: $57.85
1.4× median
92134Normal range

$185K

8,879 claims · 1.0%

Your Cost: $20.79/claim|Median: $15.46
1.3× median
19303Top 25%

$178K

39 claims · 1.0%

Your Cost: $4,567.09/claim|Median: $3,410.38
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$140K

2,890 claims · 0.8%

Your Cost: $48.45/claim|Median: $54.68
0.9× median
71046Top 10%

Chest X-ray, 2 views

$96K

2,252 claims · 0.5%

Your Cost: $42.80/claim|Median: $8.92
4.8× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$71K

1,720 claims · 0.4%

Your Cost: $41.23/claim|Median: $14.92
2.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$67K

14K claims · 0.4%

Your Cost: $4.66/claim|Median: $5.60
0.8× median
71271Normal range

$63K

1,261 claims · 0.3%

Your Cost: $49.62/claim|Median: $50.75
1.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$53K

645 claims · 0.3%

Your Cost: $81.54/claim|Median: $91.47
0.9× median
96361Normal range

IV infusion, hydration, each additional hour

$52K

1,463 claims · 0.3%

Your Cost: $35.57/claim|Median: $38.92
0.9× median
70450Top 25%

CT head/brain without contrast

$46K

394 claims · 0.3%

Your Cost: $117.10/claim|Median: $45.53
2.6× median
95811Top 25%

Sleep study with CPAP titration, polysomnography

$42K

77 claims · 0.2%

Your Cost: $547.61/claim|Median: $255.03
2.1× median
99214Normal range

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

$29K

825 claims · 0.2%

Your Cost: $34.92/claim|Median: $53.41
0.7× median
U0003Normal range

Infectious disease detection (COVID-19)

$25K

466 claims · 0.1%

Your Cost: $52.90/claim|Median: $63.08
0.8× median
71045Top 10%

Chest X-ray, single view

$22K

500 claims · 0.1%

Your Cost: $43.78/claim|Median: $4.93
8.9× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$21K

19K claims · 0.1%

Your Cost: $1.12/claim|Median: $7.50
0.1× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$21K

1,164 claims · 0.1%

Your Cost: $18.15/claim|Median: $58.82
0.3× median
66984Top 25%

Extracapsular cataract removal with IOL insertion

$21K

40 claims · 0.1%

Your Cost: $522.57/claim|Median: $268.70
1.9× median
74177Top 25%

CT abdomen and pelvis with contrast

$21K

104 claims · 0.1%

Your Cost: $200.50/claim|Median: $65.76
3.0× median
G0297Normal range

$16K

663 claims · 0.1%

Your Cost: $24.89/claim|Median: $49.65
0.5× median
99282Top 25%

Emergency dept visit, low complexity

$15K

142 claims · 0.1%

Your Cost: $107.76/claim|Median: $37.72
2.9× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$15K

28 claims · 0.1%

Your Cost: $546.48/claim|Median: $233.73
2.3× median
92285Top 25%

$15K

469 claims · 0.1%

Your Cost: $31.75/claim|Median: $16.47
1.9× median
← All providersHow we detect fraud →