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

⚖️ Compare🖨️ Print Report

Provider 1801897038

NPI: 1801897038Share
Active Billing Period:2018-01→2024-12(79 months)

Total Paid

$18.2M

$18,220,126

Total Claims

618K

Beneficiaries

563K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$15K
+21%
2019
$19K
+8677%
2020
$1.6M
+435%
2021
$8.8M
-67%
2022
$2.9M
-12%
2023
$2.6M
-11%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 9% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$1.7M

26K claims · 9.3%

Your Cost: $63.89/claim|Median: $121.16
0.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.7M

11K claims · 9.2%

Your Cost: $155.63/claim|Median: $85.65
1.8× median
99284Top 25%

Emergency dept visit, high complexity

$1.4M

12K claims · 7.8%

Your Cost: $115.69/claim|Median: $69.51
1.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

17K claims · 7.7%

Your Cost: $80.47/claim|Median: $42.48
1.9× median
U0003Top 10%

Infectious disease detection (COVID-19)

$1.4M

15K claims · 7.7%

Your Cost: $92.80/claim|Median: $63.08
1.5× median
G0378Top 25%

Hospital observation service, per hour

$640K

980 claims · 3.5%

Your Cost: $653.20/claim|Median: $99.39
6.6× median
X0621Top 25%

$554K

2,319 claims · 3.0%

Your Cost: $238.79/claim|Median: $212.75
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$409K

2,526 claims · 2.2%

Your Cost: $161.78/claim|Median: $65.76
2.5× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$277K

14K claims · 1.5%

Your Cost: $20.49/claim|Median: $15.76
1.3× median
36415Top 25%

Collection of venous blood by venipuncture

$269K

65K claims · 1.5%

Your Cost: $4.15/claim|Median: $1.57
2.6× median
U0004Top 25%

COVID-19 test, nucleic acid detection, CDC lab only

$259K

3,078 claims · 1.4%

Your Cost: $84.01/claim|Median: $60.05
1.4× median
99282Normal range

Emergency dept visit, low complexity

$257K

6,455 claims · 1.4%

Your Cost: $39.86/claim|Median: $37.72
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$248K

5,423 claims · 1.4%

Your Cost: $45.70/claim|Median: $25.06
1.8× median
93976Normal range

$201K

2,388 claims · 1.1%

Your Cost: $84.20/claim|Median: $42.06
2.0× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$196K

3,792 claims · 1.1%

Your Cost: $51.69/claim|Median: $35.43
1.5× median
99211Top 10%

Office/outpatient visit, minimal complexity

$190K

4,484 claims · 1.0%

Your Cost: $42.48/claim|Median: $12.93
3.3× median
84443Top 10%

Thyroid stimulating hormone (TSH)

$185K

7,656 claims · 1.0%

Your Cost: $24.14/claim|Median: $9.87
2.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$174K

2,796 claims · 1.0%

Your Cost: $62.36/claim|Median: $47.65
1.3× median
85025Normal range

Complete blood count (CBC) with differential, automated

$168K

30K claims · 0.9%

Your Cost: $5.63/claim|Median: $4.71
1.2× median
80048Top 25%

Basic metabolic panel

$165K

19K claims · 0.9%

Your Cost: $8.59/claim|Median: $5.78
1.5× median
C9803Normal range

$163K

11K claims · 0.9%

Your Cost: $14.43/claim|Median: $13.20
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$159K

3,307 claims · 0.9%

Your Cost: $48.10/claim|Median: $58.55
0.8× median
80053Top 25%

Comprehensive metabolic panel

$154K

13K claims · 0.8%

Your Cost: $11.72/claim|Median: $7.24
1.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$141K

2,426 claims · 0.8%

Your Cost: $58.07/claim|Median: $49.45
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$134K

4,904 claims · 0.7%

Your Cost: $27.31/claim|Median: $24.95
1.1× median
88175Top 10%

Cytopathology, cervical or vaginal, ThinPrep

$131K

3,643 claims · 0.7%

Your Cost: $35.99/claim|Median: $19.06
1.9× median
99213Normal range

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

$126K

2,927 claims · 0.7%

Your Cost: $43.04/claim|Median: $37.81
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$118K

4,610 claims · 0.6%

Your Cost: $25.56/claim|Median: $23.39
1.1× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$115K

1,123 claims · 0.6%

Your Cost: $102.24/claim|Median: $111.02
0.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$114K

3,023 claims · 0.6%

Your Cost: $37.70/claim|Median: $91.47
0.4× median
← All providersHow we detect fraud →