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

⚖️ Compare🖨️ Print Report

Provider 1851817308

NPI: 1851817308Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.1M

$15,100,832

Total Claims

477K

Beneficiaries

424K

1.1 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-1%
2019
$2.1M
-11%
2020
$1.8M
+46%
2021
$2.7M
-18%
2022
$2.2M
+1%
2023
$2.2M
-5%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99283 (Emergency dept visit, moderate complexity)) accounts for 28% of total spending.

99283Top 25%

Emergency dept visit, moderate complexity

$4.2M

36K claims · 27.6%

Your Cost: $116.40/claim|Median: $42.48
2.7× median
96361Top 10%

IV infusion, hydration, each additional hour

$2.7M

9,152 claims · 18.2%

Your Cost: $299.57/claim|Median: $38.92
7.7× median
99284Normal range

Emergency dept visit, high complexity

$2.1M

23K claims · 13.6%

Your Cost: $91.07/claim|Median: $69.51
1.3× median
99282Top 25%

Emergency dept visit, low complexity

$772K

7,292 claims · 5.1%

Your Cost: $105.92/claim|Median: $37.72
2.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$605K

3,381 claims · 4.0%

Your Cost: $178.96/claim|Median: $65.76
2.7× median
99285Normal range

Emergency dept visit, high/urgent complexity

$550K

7,839 claims · 3.6%

Your Cost: $70.10/claim|Median: $85.65
0.8× median
70450Top 25%

CT head/brain without contrast

$466K

3,063 claims · 3.1%

Your Cost: $152.12/claim|Median: $45.53
3.3× median
96365Normal range

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

$410K

4,872 claims · 2.7%

Your Cost: $84.11/claim|Median: $54.77
1.5× median
96360Top 25%

IV infusion, hydration, initial, 31 minutes to 1 hour

$336K

2,473 claims · 2.2%

Your Cost: $135.70/claim|Median: $61.57
2.2× median
45380Normal range

Colonoscopy with biopsy

$260K

1,336 claims · 1.7%

Your Cost: $194.88/claim|Median: $200.68
1.0× median
43239Normal range

Upper GI endoscopy with biopsy

$215K

1,698 claims · 1.4%

Your Cost: $126.64/claim|Median: $151.68
0.8× median
74176Top 25%

CT abdomen and pelvis without contrast

$199K

1,155 claims · 1.3%

Your Cost: $172.52/claim|Median: $60.19
2.9× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$182K

697 claims · 1.2%

Your Cost: $261.81/claim|Median: $255.17
1.0× median
96366Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$171K

1,141 claims · 1.1%

Your Cost: $149.55/claim|Median: $40.12
3.7× median
76705Top 25%

Ultrasound, abdominal, limited

$161K

1,871 claims · 1.1%

Your Cost: $86.22/claim|Median: $23.81
3.6× median
80053Normal range

Comprehensive metabolic panel

$122K

24K claims · 0.8%

Your Cost: $5.12/claim|Median: $7.24
0.7× median
76856Normal range

Ultrasound, pelvic, complete

$115K

1,664 claims · 0.8%

Your Cost: $69.14/claim|Median: $47.58
1.5× median
99281Top 25%

Emergency dept visit, minimal complexity

$109K

896 claims · 0.7%

Your Cost: $121.45/claim|Median: $52.03
2.3× median
59025Top 10%

Fetal non-stress test

$108K

780 claims · 0.7%

Your Cost: $138.15/claim|Median: $26.45
5.2× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$94K

3,589 claims · 0.6%

Your Cost: $26.28/claim|Median: $35.43
0.7× median
99211Top 5%

Office/outpatient visit, minimal complexity

$92K

1,187 claims · 0.6%

Your Cost: $77.80/claim|Median: $12.93
6.0× median
12001Top 25%

$68K

354 claims · 0.4%

Your Cost: $191.15/claim|Median: $64.99
2.9× median
76830Normal range

Ultrasound, transvaginal

$67K

901 claims · 0.4%

Your Cost: $74.69/claim|Median: $57.47
1.3× median
76700Top 25%

Ultrasound, abdominal, complete

$55K

526 claims · 0.4%

Your Cost: $104.20/claim|Median: $50.69
2.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$50K

2,054 claims · 0.3%

Your Cost: $24.16/claim|Median: $39.33
0.6× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$49K

1,370 claims · 0.3%

Your Cost: $35.77/claim|Median: $21.41
1.7× median
97110Normal range

Therapeutic exercises, each 15 min

$49K

1,444 claims · 0.3%

Your Cost: $33.80/claim|Median: $24.49
1.4× median
36415Normal range

Collection of venous blood by venipuncture

$34K

26K claims · 0.2%

Your Cost: $1.29/claim|Median: $1.57
0.8× median
71046Normal range

Chest X-ray, 2 views

$29K

4,903 claims · 0.2%

Your Cost: $5.83/claim|Median: $8.92
0.7× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$26K

1,256 claims · 0.2%

Your Cost: $20.85/claim|Median: $12.06
1.7× median
← All providersHow we detect fraud →