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

⚖️ Compare🖨️ Print Report

Provider 1780859280

NPI: 1780859280Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,618,354

Total Claims

235K

Beneficiaries

203K

1.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$997K
+5%
2019
$1.0M
+16%
2020
$1.2M
+86%
2021
$2.3M
-28%
2022
$1.6M
+17%
2023
$1.9M
-18%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (H1010) accounts for 42% of total spending.

H1010Top 25%

$4.5M

49K claims · 42.5%

Your Cost: $92.00/claim|Median: $75.85
1.2× median
S4993Normal range

$2.9M

40K claims · 27.3%

Your Cost: $72.23/claim|Median: $46.61
1.5× median
99214Normal range

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

$667K

11K claims · 6.3%

Your Cost: $58.54/claim|Median: $53.41
1.1× median
99213Normal range

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

$511K

14K claims · 4.8%

Your Cost: $36.18/claim|Median: $37.81
1.0× median
J8499Top 25%

$342K

15K claims · 3.2%

Your Cost: $23.10/claim|Median: $1.99
11.6× median
A4267Top 25%

$316K

26K claims · 3.0%

Your Cost: $12.20/claim|Median: $7.86
1.6× median
99204Normal range

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

$176K

1,803 claims · 1.7%

Your Cost: $97.82/claim|Median: $84.03
1.2× median
99203Normal range

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

$168K

2,614 claims · 1.6%

Your Cost: $64.16/claim|Median: $57.85
1.1× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$158K

217 claims · 1.5%

Your Cost: $727.45/claim|Median: $786.43
0.9× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$153K

8,583 claims · 1.4%

Your Cost: $17.79/claim|Median: $41.92
0.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$133K

3,437 claims · 1.3%

Your Cost: $38.84/claim|Median: $40.11
1.0× median
87806Normal range

$89K

3,668 claims · 0.8%

Your Cost: $24.36/claim|Median: $20.54
1.2× median
99000Normal range

$80K

23K claims · 0.8%

Your Cost: $3.50/claim|Median: $2.30
1.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$62K

4,392 claims · 0.6%

Your Cost: $14.17/claim|Median: $12.93
1.1× median
87210Top 25%

$60K

11K claims · 0.6%

Your Cost: $5.60/claim|Median: $3.65
1.5× median
81025Top 10%

Urine pregnancy test

$59K

7,175 claims · 0.6%

Your Cost: $8.21/claim|Median: $4.81
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$51K

1,850 claims · 0.5%

Your Cost: $27.66/claim|Median: $25.06
1.1× median
Q0144Top 25%

$48K

2,829 claims · 0.5%

Your Cost: $17.09/claim|Median: $5.57
3.1× median
J7304Normal range

$48K

239 claims · 0.4%

Your Cost: $198.97/claim|Median: $630.59
0.3× median
J3490Normal range

Unclassified drugs

$34K

3,030 claims · 0.3%

Your Cost: $11.10/claim|Median: $5.70
1.9× median
11982Normal range

$17K

191 claims · 0.2%

Your Cost: $87.03/claim|Median: $90.51
1.0× median
87563Top 25%

$14K

553 claims · 0.1%

Your Cost: $24.72/claim|Median: $16.98
1.5× median
81002Top 10%

Urinalysis, non-automated without microscopy

$9K

2,947 claims · 0.1%

Your Cost: $3.22/claim|Median: $2.00
1.6× median
11981Normal range

$5K

62 claims · 0.0%

Your Cost: $85.56/claim|Median: $117.16
0.7× median
Q3014Top 25%

Telehealth originating site facility fee

$5K

222 claims · 0.0%

Your Cost: $21.87/claim|Median: $15.37
1.4× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$2K

92 claims · 0.0%

Your Cost: $25.03/claim|Median: $27.38
0.9× median
J0696Normal range

$1K

1,618 claims · 0.0%

Your Cost: $0.80/claim|Median: $1.34
0.6× median
86703Normal range

$532

44 claims · 0.0%

Your Cost: $12.09/claim|Median: $10.37
1.2× median
J7303Normal range

$294

13 claims · 0.0%

Your Cost: $22.65/claim|Median: $125.58
0.2× median
← All providersHow we detect fraud →