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

Provider 1790241222

NPI: 1790241222Share
Active Billing Period:2019-072024-11(65 months)

Total Paid

$8.0M

$8,044,145

Total Claims

59K

Beneficiaries

35K

1.7 claims/patient

Avg Cost/Claim

$137

Monthly Spending Trend

Yearly Spending

2019
$790K
+126%
2020
$1.8M
-5%
2021
$1.7M
-13%
2022
$1.5M
-3%
2023
$1.4M
-38%
2024
$889K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (99479 (Subsequent intensive care, 2,501-5,000 grams)) accounts for 43% of total spending.

99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$3.5M

32K claims · 43.5%

Your Cost: $108.99/claim|Median: $103.70
1.1× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$2.7M

8,336 claims · 33.8%

Your Cost: $326.52/claim|Median: $293.45
1.1× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$1.4M

13K claims · 17.1%

Your Cost: $105.42/claim|Median: $98.15
1.1× median
99460Top 5%

Initial hospital or birthing center care, newborn, per day

$298K

2,524 claims · 3.7%

Your Cost: $118.12/claim|Median: $62.48
1.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$82K

2,283 claims · 1.0%

Your Cost: $36.12/claim|Median: $37.22
1.0× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$42K

121 claims · 0.5%

Your Cost: $348.85/claim|Median: $307.98
1.1× median
99464Normal range

$20K

262 claims · 0.2%

Your Cost: $75.24/claim|Median: $59.94
1.3× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$7K

103 claims · 0.1%

Your Cost: $71.57/claim|Median: $43.85
1.6× median
99462Top 25%

$2K

51 claims · 0.0%

Your Cost: $35.90/claim|Median: $27.49
1.3× median