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

Provider 1831173467

NPI: 1831173467Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$13.2M

$13,223,862

Total Claims

216K

Beneficiaries

160K

1.4 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-12%
2019
$1.5M
+17%
2020
$1.7M
+36%
2021
$2.3M
+15%
2022
$2.7M
-7%
2023
$2.5M
-67%
2024
$829K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 22% of total spending.

99284Top 5%

Emergency dept visit, high complexity

$2.9M

11K claims · 21.8%

Your Cost: $269.06/claim|Median: $69.51
3.9× median
99285Top 5%

Emergency dept visit, high/urgent complexity

$2.1M

5,940 claims · 15.7%

Your Cost: $350.48/claim|Median: $85.65
4.1× median
74177Top 1%

CT abdomen and pelvis with contrast

$1.8M

1,735 claims · 13.6%

Your Cost: $1,038.91/claim|Median: $65.76
15.8× median
99283Top 10%

Emergency dept visit, moderate complexity

$1.2M

7,566 claims · 9.3%

Your Cost: $162.64/claim|Median: $42.48
3.8× median
70450Top 5%

CT head/brain without contrast

$630K

1,956 claims · 4.8%

Your Cost: $321.84/claim|Median: $45.53
7.1× median
74176Top 5%

CT abdomen and pelvis without contrast

$509K

1,108 claims · 3.8%

Your Cost: $459.25/claim|Median: $60.19
7.6× median
93005Top 5%

Electrocardiogram, tracing only, without interpretation

$308K

4,187 claims · 2.3%

Your Cost: $73.60/claim|Median: $7.50
9.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$307K

4,473 claims · 2.3%

Your Cost: $68.63/claim|Median: $65.64
1.0× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$303K

8,280 claims · 2.3%

Your Cost: $36.55/claim|Median: $21.76
1.7× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$216K

4,191 claims · 1.6%

Your Cost: $51.45/claim|Median: $14.92
3.4× median
36415Top 5%

Collection of venous blood by venipuncture

$211K

24K claims · 1.6%

Your Cost: $8.73/claim|Median: $1.57
5.6× median
71045Top 5%

Chest X-ray, single view

$205K

4,093 claims · 1.5%

Your Cost: $50.03/claim|Median: $4.93
10.1× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$178K

2,619 claims · 1.3%

Your Cost: $67.83/claim|Median: $54.77
1.2× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$165K

4,345 claims · 1.3%

Your Cost: $38.07/claim|Median: $9.56
4.0× median
97110Top 25%

Therapeutic exercises, each 15 min

$129K

2,490 claims · 1.0%

Your Cost: $51.95/claim|Median: $24.49
2.1× median
80053Normal range

Comprehensive metabolic panel

$129K

13K claims · 1.0%

Your Cost: $10.26/claim|Median: $7.24
1.4× median
71046Top 5%

Chest X-ray, 2 views

$120K

1,598 claims · 0.9%

Your Cost: $75.20/claim|Median: $8.92
8.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$106K

3,205 claims · 0.8%

Your Cost: $33.05/claim|Median: $39.70
0.8× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$100K

2,678 claims · 0.8%

Your Cost: $37.48/claim|Median: $3.42
11.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$96K

15K claims · 0.7%

Your Cost: $6.60/claim|Median: $4.71
1.4× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$94K

3,306 claims · 0.7%

Your Cost: $28.43/claim|Median: $28.46
1.0× median
V2632Top 25%

$78K

557 claims · 0.6%

Your Cost: $139.70/claim|Median: $22.85
6.1× median
J7050Top 10%

Normal saline solution infusion, 250 cc

$66K

4,903 claims · 0.5%

Your Cost: $13.48/claim|Median: $0.82
16.4× median
96361Normal range

IV infusion, hydration, each additional hour

$59K

2,620 claims · 0.4%

Your Cost: $22.46/claim|Median: $38.92
0.6× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$58K

3,893 claims · 0.4%

Your Cost: $14.94/claim|Median: $0.58
25.8× median
99282Top 25%

Emergency dept visit, low complexity

$53K

457 claims · 0.4%

Your Cost: $115.88/claim|Median: $37.72
3.1× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$44K

869 claims · 0.3%

Your Cost: $50.36/claim|Median: $38.79
1.3× median
84443Normal range

Thyroid stimulating hormone (TSH)

$43K

3,048 claims · 0.3%

Your Cost: $14.07/claim|Median: $9.87
1.4× median
84484Top 25%

Troponin, quantitative

$41K

4,005 claims · 0.3%

Your Cost: $10.26/claim|Median: $4.84
2.1× median
G0480Top 5%

Drug test, definitive, 1-7 drug classes

$41K

343 claims · 0.3%

Your Cost: $118.18/claim|Median: $37.56
3.1× median