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

Provider 1861413023

NPI: 1861413023Share
Active Billing Period:2018-012024-12(77 months)

Total Paid

$7.7M

$7,692,154

Total Claims

400K

Beneficiaries

350K

1.1 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$25K
-94%
2019
$1K
+59097%
2020
$817K
+214%
2021
$2.6M
+5%
2022
$2.7M
-90%
2023
$281K
+360%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0003 (Infectious disease detection (COVID-19))) accounts for 45% of total spending.

U0003Normal range

Infectious disease detection (COVID-19)

$3.4M

57K claims · 44.8%

Your Cost: $60.10/claim|Median: $63.08
1.0× median
87798Top 5%

Infectious agent detection, nucleic acid, not otherwise specified

$824K

3,935 claims · 10.7%

Your Cost: $209.43/claim|Median: $26.72
7.8× median
G2023Normal range

Specimen collection for COVID-19 testing

$558K

30K claims · 7.2%

Your Cost: $18.71/claim|Median: $17.15
1.1× median
G0483Normal range

Drug test, definitive, 22+ drug classes

$463K

5,444 claims · 6.0%

Your Cost: $85.08/claim|Median: $90.89
0.9× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$127K

1,450 claims · 1.7%

Your Cost: $87.92/claim|Median: $97.61
0.9× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$123K

2,926 claims · 1.6%

Your Cost: $42.16/claim|Median: $65.45
0.6× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$121K

4,643 claims · 1.6%

Your Cost: $26.16/claim|Median: $35.43
0.7× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$109K

2,439 claims · 1.4%

Your Cost: $44.83/claim|Median: $65.64
0.7× median
82306Normal range

Vitamin D, 25 hydroxy

$92K

9,973 claims · 1.2%

Your Cost: $9.23/claim|Median: $18.18
0.5× median
87634Normal range

$79K

2,093 claims · 1.0%

Your Cost: $37.68/claim|Median: $48.78
0.8× median
87486Normal range

$75K

3,241 claims · 1.0%

Your Cost: $23.11/claim|Median: $19.16
1.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$74K

4,128 claims · 1.0%

Your Cost: $17.89/claim|Median: $24.95
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$73K

4,163 claims · 0.9%

Your Cost: $17.45/claim|Median: $23.39
0.7× median
87581Normal range

$65K

3,111 claims · 0.8%

Your Cost: $21.01/claim|Median: $17.13
1.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$59K

11K claims · 0.8%

Your Cost: $5.41/claim|Median: $9.87
0.5× median
80061Normal range

Lipid panel

$57K

9,271 claims · 0.7%

Your Cost: $6.17/claim|Median: $8.41
0.7× median
87541Top 25%

$57K

2,731 claims · 0.7%

Your Cost: $20.74/claim|Median: $7.29
2.8× median
86235Normal range

Nuclear antigen antibody (ENA) blood test

$53K

1,302 claims · 0.7%

Your Cost: $40.95/claim|Median: $28.79
1.4× median
80053Normal range

Comprehensive metabolic panel

$50K

13K claims · 0.7%

Your Cost: $3.92/claim|Median: $7.24
0.5× median
U0005Normal range

Infectious disease detection, COVID-19, antigen

$47K

3,887 claims · 0.6%

Your Cost: $12.17/claim|Median: $15.76
0.8× median
87505Normal range

$45K

716 claims · 0.6%

Your Cost: $62.89/claim|Median: $62.35
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$42K

14K claims · 0.6%

Your Cost: $2.95/claim|Median: $4.71
0.6× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$41K

11K claims · 0.5%

Your Cost: $3.70/claim|Median: $5.50
0.7× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$40K

169 claims · 0.5%

Your Cost: $234.73/claim|Median: $169.17
1.4× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$36K

2,864 claims · 0.5%

Your Cost: $12.66/claim|Median: $18.03
0.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$33K

1,155 claims · 0.4%

Your Cost: $28.72/claim|Median: $35.80
0.8× median
86003Top 25%

Allergen specific IgE blood test, each allergen

$32K

274 claims · 0.4%

Your Cost: $115.67/claim|Median: $40.67
2.8× median
80074Normal range

$26K

1,315 claims · 0.3%

Your Cost: $19.98/claim|Median: $27.54
0.7× median
84481Normal range

$26K

4,401 claims · 0.3%

Your Cost: $5.96/claim|Median: $9.37
0.6× median
82172Top 10%

$23K

1,014 claims · 0.3%

Your Cost: $22.79/claim|Median: $10.86
2.1× median