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

Provider 1912964768

NPI: 1912964768Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$18.3M

$18,296,528

Total Claims

1.0M

Beneficiaries

720K

1.4 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+91%
2019
$2.8M
-17%
2020
$2.3M
+51%
2021
$3.4M
+28%
2022
$4.4M
-38%
2023
$2.7M
-57%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 15% of total spending.

99284Normal range

Emergency dept visit, high complexity

$2.8M

47K claims · 15.4%

Your Cost: $59.94/claim|Median: $69.51
0.9× median
99283Top 25%

Emergency dept visit, moderate complexity

$2.5M

36K claims · 13.6%

Your Cost: $69.30/claim|Median: $42.48
1.6× median
96361Normal range

IV infusion, hydration, each additional hour

$1.5M

20K claims · 8.2%

Your Cost: $76.21/claim|Median: $38.92
2.0× median
99285Normal range

Emergency dept visit, high/urgent complexity

$1.5M

30K claims · 8.2%

Your Cost: $49.26/claim|Median: $85.65
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$680K

6,216 claims · 3.7%

Your Cost: $109.45/claim|Median: $65.76
1.7× median
99282Normal range

Emergency dept visit, low complexity

$640K

8,181 claims · 3.5%

Your Cost: $78.22/claim|Median: $37.72
2.1× median
74176Normal range

CT abdomen and pelvis without contrast

$445K

4,856 claims · 2.4%

Your Cost: $91.68/claim|Median: $60.19
1.5× median
96360Normal range

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

$405K

6,167 claims · 2.2%

Your Cost: $65.62/claim|Median: $61.57
1.1× median
Q9967Top 25%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$389K

12K claims · 2.1%

Your Cost: $32.45/claim|Median: $3.42
9.5× median
70450Normal range

CT head/brain without contrast

$358K

6,064 claims · 2.0%

Your Cost: $59.03/claim|Median: $45.53
1.3× median
80053Normal range

Comprehensive metabolic panel

$303K

38K claims · 1.7%

Your Cost: $7.97/claim|Median: $7.24
1.1× median
G0463Normal range

Hospital outpatient clinic visit

$264K

15K claims · 1.4%

Your Cost: $17.84/claim|Median: $26.41
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$230K

29K claims · 1.3%

Your Cost: $7.84/claim|Median: $39.70
0.2× median
99281Normal range

Emergency dept visit, minimal complexity

$214K

2,875 claims · 1.2%

Your Cost: $74.61/claim|Median: $52.03
1.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$211K

5,531 claims · 1.2%

Your Cost: $38.23/claim|Median: $75.28
0.5× median
85025Normal range

Complete blood count (CBC) with differential, automated

$209K

78K claims · 1.1%

Your Cost: $2.66/claim|Median: $4.71
0.6× median
43239Normal range

Upper GI endoscopy with biopsy

$204K

1,700 claims · 1.1%

Your Cost: $120.23/claim|Median: $151.68
0.8× median
80048Normal range

Basic metabolic panel

$196K

35K claims · 1.1%

Your Cost: $5.63/claim|Median: $5.78
1.0× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$189K

19K claims · 1.0%

Your Cost: $9.88/claim|Median: $14.92
0.7× median
G0378Normal range

Hospital observation service, per hour

$182K

11K claims · 1.0%

Your Cost: $15.83/claim|Median: $99.39
0.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$162K

27K claims · 0.9%

Your Cost: $6.02/claim|Median: $21.76
0.3× median
J2270Top 5%

Injection, morphine sulfate, up to ten milligrams

$159K

4,921 claims · 0.9%

Your Cost: $32.26/claim|Median: $1.00
32.3× median
J2405Top 10%

Injection, ondansetron HCl, per one milligram

$158K

17K claims · 0.9%

Your Cost: $9.35/claim|Median: $0.58
16.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$158K

14K claims · 0.9%

Your Cost: $11.59/claim|Median: $9.56
1.2× median
36415Top 10%

Collection of venous blood by venipuncture

$149K

20K claims · 0.8%

Your Cost: $7.37/claim|Median: $1.57
4.7× median
J7040Top 10%

Normal saline solution infusion, 500 cc

$145K

6,365 claims · 0.8%

Your Cost: $22.71/claim|Median: $1.11
20.5× median
45380Normal range

Colonoscopy with biopsy

$138K

648 claims · 0.8%

Your Cost: $212.95/claim|Median: $200.68
1.1× median
76700Normal range

Ultrasound, abdominal, complete

$133K

2,864 claims · 0.7%

Your Cost: $46.28/claim|Median: $50.69
0.9× median
71275Normal range

CT angiography, chest, with contrast

$125K

1,137 claims · 0.7%

Your Cost: $109.84/claim|Median: $92.96
1.2× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$117K

6,690 claims · 0.6%

Your Cost: $17.53/claim|Median: $65.45
0.3× median