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

Provider 1912303579

NPI: 1912303579Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.5M

$10,513,145

Total Claims

82K

Beneficiaries

69K

1.2 claims/patient

Avg Cost/Claim

$128

Monthly Spending Trend

Yearly Spending

2018
$2.5M
-4%
2019
$2.4M
-19%
2020
$1.9M
-86%
2021
$266K
+289%
2022
$1.0M
+59%
2023
$1.6M
-50%
2024
$816K

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 18% of total spending.

99283Top 10%

Emergency dept visit, moderate complexity

$1.9M

12K claims · 17.7%

Your Cost: $152.71/claim|Median: $42.48
3.6× median
99284Top 5%

Emergency dept visit, high complexity

$1.8M

6,210 claims · 16.8%

Your Cost: $284.16/claim|Median: $69.51
4.1× median
99285Top 10%

Emergency dept visit, high/urgent complexity

$1.5M

4,880 claims · 14.1%

Your Cost: $304.51/claim|Median: $85.65
3.6× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$1.1M

9,779 claims · 10.1%

Your Cost: $108.75/claim|Median: $4.71
23.1× median
80053Top 1%

Comprehensive metabolic panel

$978K

8,615 claims · 9.3%

Your Cost: $113.49/claim|Median: $7.24
15.7× median
X4014Normal range

$748K

2,240 claims · 7.1%

Your Cost: $334.15/claim|Median: $424.85
0.8× median
X4011Top 25%

Healthcare procedure, code X4011

$611K

1,618 claims · 5.8%

Your Cost: $377.87/claim|Median: $268.66
1.4× median
87804Top 1%

Influenza virus detection, rapid test

$521K

3,554 claims · 5.0%

Your Cost: $146.52/claim|Median: $12.59
11.6× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$198K

3,230 claims · 1.9%

Your Cost: $61.30/claim|Median: $7.50
8.2× median
71045Top 5%

Chest X-ray, single view

$190K

2,525 claims · 1.8%

Your Cost: $75.37/claim|Median: $4.93
15.3× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$145K

1,624 claims · 1.4%

Your Cost: $89.33/claim|Median: $21.76
4.1× median
81025Top 1%

Urine pregnancy test

$142K

2,040 claims · 1.3%

Your Cost: $69.55/claim|Median: $4.81
14.5× median
83690Top 5%

$106K

2,351 claims · 1.0%

Your Cost: $45.24/claim|Median: $3.35
13.5× median
36415Top 5%

Collection of venous blood by venipuncture

$95K

4,201 claims · 0.9%

Your Cost: $22.68/claim|Median: $1.57
14.4× median
81001Top 5%

Urinalysis, automated, with microscopy

$77K

1,846 claims · 0.7%

Your Cost: $41.77/claim|Median: $2.03
20.6× median
81003Top 1%

Urinalysis, automated without microscopy

$76K

1,345 claims · 0.7%

Your Cost: $56.34/claim|Median: $1.48
38.1× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$72K

352 claims · 0.7%

Your Cost: $205.48/claim|Median: $11.48
17.9× median
87081Top 1%

Culture screening for pathogenic organisms

$54K

158 claims · 0.5%

Your Cost: $339.69/claim|Median: $5.09
66.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$53K

1,921 claims · 0.5%

Your Cost: $27.70/claim|Median: $39.70
0.7× median
84484Top 5%

Troponin, quantitative

$44K

1,592 claims · 0.4%

Your Cost: $27.90/claim|Median: $4.84
5.8× median
96361Normal range

IV infusion, hydration, each additional hour

$37K

887 claims · 0.4%

Your Cost: $41.66/claim|Median: $38.92
1.1× median
C9803Normal range

$34K

2,817 claims · 0.3%

Your Cost: $12.10/claim|Median: $13.20
0.9× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$26K

728 claims · 0.2%

Your Cost: $35.90/claim|Median: $9.56
3.8× median
80305Top 1%

$22K

340 claims · 0.2%

Your Cost: $66.16/claim|Median: $7.44
8.9× median
74176Normal range

CT abdomen and pelvis without contrast

$17K

159 claims · 0.2%

Your Cost: $109.10/claim|Median: $60.19
1.8× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$17K

1,551 claims · 0.2%

Your Cost: $11.10/claim|Median: $30.04
0.4× median
87086Top 5%

Urine culture, colony count, with identification

$13K

282 claims · 0.1%

Your Cost: $46.08/claim|Median: $5.31
8.7× median
82550Top 1%

Creatine kinase (CK) total blood test

$10K

135 claims · 0.1%

Your Cost: $72.87/claim|Median: $2.97
24.5× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$9K

295 claims · 0.1%

Your Cost: $30.07/claim|Median: $14.92
2.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$7K

186 claims · 0.1%

Your Cost: $36.91/claim|Median: $35.43
1.0× median