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

Provider 1851392617

NPI: 1851392617Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.1M

$8,095,791

Total Claims

224K

Beneficiaries

151K

1.5 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$107K
+566%
2019
$714K
+188%
2020
$2.1M
-35%
2021
$1.3M
+84%
2022
$2.5M
-48%
2023
$1.3M
-90%
2024
$128K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0004 (COVID-19 test, nucleic acid detection, CDC lab only)) accounts for 36% of total spending.

U0004Normal range

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

$2.9M

41K claims · 35.8%

Your Cost: $70.67/claim|Median: $60.05
1.2× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$1.7M

16K claims · 21.6%

Your Cost: $109.64/claim|Median: $90.89
1.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1000K

25K claims · 12.3%

Your Cost: $39.93/claim|Median: $35.43
1.1× median
G2023Normal range

Specimen collection for COVID-19 testing

$485K

27K claims · 6.0%

Your Cost: $18.09/claim|Median: $17.15
1.1× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$438K

22K claims · 5.4%

Your Cost: $19.50/claim|Median: $15.76
1.2× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$405K

11K claims · 5.0%

Your Cost: $36.11/claim|Median: $30.53
1.2× median
G0481Normal range

Drug test, definitive, 8-14 drug classes

$265K

3,643 claims · 3.3%

Your Cost: $72.62/claim|Median: $64.72
1.1× median
80299Top 5%

$167K

2,065 claims · 2.1%

Your Cost: $80.88/claim|Median: $9.91
8.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$78K

686 claims · 1.0%

Your Cost: $113.51/claim|Median: $100.62
1.1× median
87798Top 25%

Infectious agent detection, nucleic acid, not otherwise specified

$77K

828 claims · 1.0%

Your Cost: $92.99/claim|Median: $26.72
3.5× median
G2024Top 25%

$74K

3,385 claims · 0.9%

Your Cost: $21.74/claim|Median: $11.59
1.9× median
80053Normal range

Comprehensive metabolic panel

$68K

9,443 claims · 0.8%

Your Cost: $7.23/claim|Median: $7.24
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$47K

10K claims · 0.6%

Your Cost: $4.52/claim|Median: $4.71
1.0× median
86141Top 10%

C-reactive protein, high sensitivity blood test

$35K

2,586 claims · 0.4%

Your Cost: $13.58/claim|Median: $6.50
2.1× median
84443Normal range

Thyroid stimulating hormone (TSH)

$33K

3,286 claims · 0.4%

Your Cost: $10.10/claim|Median: $9.87
1.0× median
87505Normal range

$22K

263 claims · 0.3%

Your Cost: $81.76/claim|Median: $62.35
1.3× median
P9604Top 25%

$18K

4,452 claims · 0.2%

Your Cost: $3.94/claim|Median: $0.81
4.9× median
82306Normal range

Vitamin D, 25 hydroxy

$15K

2,285 claims · 0.2%

Your Cost: $6.75/claim|Median: $18.18
0.4× median
87482Top 25%

$13K

362 claims · 0.2%

Your Cost: $37.12/claim|Median: $11.99
3.1× median
80061Normal range

Lipid panel

$12K

3,382 claims · 0.1%

Your Cost: $3.53/claim|Median: $8.41
0.4× median
82533Normal range

$12K

1,111 claims · 0.1%

Your Cost: $10.55/claim|Median: $10.19
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$11K

364 claims · 0.1%

Your Cost: $30.70/claim|Median: $23.39
1.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$11K

353 claims · 0.1%

Your Cost: $30.29/claim|Median: $24.95
1.2× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$11K

2,708 claims · 0.1%

Your Cost: $3.91/claim|Median: $5.50
0.7× median
82607Normal range

Cyanocobalamin (vitamin B-12)

$10K

1,470 claims · 0.1%

Your Cost: $7.07/claim|Median: $8.72
0.8× median
87640Top 10%

$10K

334 claims · 0.1%

Your Cost: $30.65/claim|Median: $8.39
3.7× median
85651Top 25%

$9K

2,489 claims · 0.1%

Your Cost: $3.79/claim|Median: $2.42
1.6× median
86592Normal range

$9K

2,696 claims · 0.1%

Your Cost: $3.47/claim|Median: $3.35
1.0× median
87652Top 25%

$9K

358 claims · 0.1%

Your Cost: $24.81/claim|Median: $10.60
2.3× median
83735Top 25%

Magnesium blood level test

$9K

1,753 claims · 0.1%

Your Cost: $4.97/claim|Median: $2.77
1.8× median