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

⚖️ Compare🖨️ Print Report

Provider 1891796710

NPI: 1891796710Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.7M

$13,716,384

Total Claims

302K

Beneficiaries

232K

1.3 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+3%
2019
$1.4M
+2%
2020
$1.5M
+53%
2021
$2.3M
+14%
2022
$2.6M
+1%
2023
$2.6M
-25%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96361 (IV infusion, hydration, each additional hour)) accounts for 15% of total spending.

96361Top 5%

IV infusion, hydration, each additional hour

$2.0M

4,305 claims · 14.9%

Your Cost: $476.18/claim|Median: $38.92
12.2× median
99283Top 5%

Emergency dept visit, moderate complexity

$1.8M

9,381 claims · 13.1%

Your Cost: $191.26/claim|Median: $42.48
4.5× median
99282Top 5%

Emergency dept visit, low complexity

$1.5M

7,497 claims · 10.7%

Your Cost: $195.90/claim|Median: $37.72
5.2× median
99284Top 10%

Emergency dept visit, high complexity

$1.3M

7,225 claims · 9.2%

Your Cost: $175.42/claim|Median: $69.51
2.5× median
96365Top 5%

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

$762K

3,647 claims · 5.6%

Your Cost: $208.91/claim|Median: $54.77
3.8× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$641K

3,739 claims · 4.7%

Your Cost: $171.45/claim|Median: $85.65
2.0× median
99211Top 5%

Office/outpatient visit, minimal complexity

$520K

4,340 claims · 3.8%

Your Cost: $119.88/claim|Median: $12.93
9.3× median
74177Top 10%

CT abdomen and pelvis with contrast

$497K

1,666 claims · 3.6%

Your Cost: $298.50/claim|Median: $65.76
4.5× median
70450Top 5%

CT head/brain without contrast

$474K

1,700 claims · 3.5%

Your Cost: $278.78/claim|Median: $45.53
6.1× median
U0003Top 25%

Infectious disease detection (COVID-19)

$275K

3,278 claims · 2.0%

Your Cost: $83.81/claim|Median: $63.08
1.3× median
99213Normal range

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

$231K

7,634 claims · 1.7%

Your Cost: $30.30/claim|Median: $37.81
0.8× median
96360Top 5%

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

$217K

765 claims · 1.6%

Your Cost: $283.23/claim|Median: $61.57
4.6× median
99212Top 10%

Office/outpatient visit, low complexity

$215K

2,634 claims · 1.6%

Your Cost: $81.79/claim|Median: $25.06
3.3× median
97110Normal range

Therapeutic exercises, each 15 min

$210K

8,914 claims · 1.5%

Your Cost: $23.56/claim|Median: $24.49
1.0× median
92507Normal range

Speech/hearing/language treatment

$161K

3,960 claims · 1.2%

Your Cost: $40.64/claim|Median: $49.45
0.8× median
94640Top 5%

Pressurized or nonpressurized inhalation treatment

$140K

1,202 claims · 1.0%

Your Cost: $116.53/claim|Median: $10.88
10.7× median
80053Normal range

Comprehensive metabolic panel

$136K

14K claims · 1.0%

Your Cost: $9.64/claim|Median: $7.24
1.3× median
93306Top 5%

Echocardiography, transthoracic, complete, with Doppler

$135K

348 claims · 1.0%

Your Cost: $388.94/claim|Median: $54.68
7.1× median
99281Top 10%

Emergency dept visit, minimal complexity

$128K

733 claims · 0.9%

Your Cost: $174.71/claim|Median: $52.03
3.4× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$119K

1,356 claims · 0.9%

Your Cost: $87.46/claim|Median: $97.61
0.9× median
87632Top 25%

$117K

733 claims · 0.9%

Your Cost: $159.28/claim|Median: $88.01
1.8× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$113K

1,442 claims · 0.8%

Your Cost: $78.51/claim|Median: $65.64
1.2× median
76856Top 5%

Ultrasound, pelvic, complete

$93K

467 claims · 0.7%

Your Cost: $198.28/claim|Median: $47.58
4.2× median
73630Top 10%

X-ray, foot, complete, minimum 3 views

$81K

2,111 claims · 0.6%

Your Cost: $38.39/claim|Median: $12.06
3.2× median
84443Normal range

Thyroid stimulating hormone (TSH)

$75K

5,072 claims · 0.5%

Your Cost: $14.75/claim|Median: $9.87
1.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$72K

14K claims · 0.5%

Your Cost: $5.25/claim|Median: $4.71
1.1× median
59025Top 5%

Fetal non-stress test

$71K

276 claims · 0.5%

Your Cost: $255.71/claim|Median: $26.45
9.7× median
96366Top 1%

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

$68K

182 claims · 0.5%

Your Cost: $375.61/claim|Median: $40.12
9.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$61K

1,836 claims · 0.4%

Your Cost: $33.12/claim|Median: $39.70
0.8× median
74176Top 10%

CT abdomen and pelvis without contrast

$56K

172 claims · 0.4%

Your Cost: $325.83/claim|Median: $60.19
5.4× median
← All providersHow we detect fraud →