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

⚖️ Compare🖨️ Print Report

Provider 1972575157

NPI: 1972575157Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$13,027,908

Total Claims

1.9M

Beneficiaries

1.4M

1.4 claims/patient

Avg Cost/Claim

$7

Monthly Spending Trend

Yearly Spending

2018
$974K
+41%
2019
$1.4M
+9%
2020
$1.5M
+79%
2021
$2.7M
+0%
2022
$2.7M
-21%
2023
$2.1M
-19%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (87635 (COVID-19 SARS-CoV-2 amplified probe detection)) accounts for 11% of total spending.

87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.4M

38K claims · 10.7%

Your Cost: $36.97/claim|Median: $39.70
0.9× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$963K

37K claims · 7.4%

Your Cost: $26.10/claim|Median: $35.43
0.7× median
80053Normal range

Comprehensive metabolic panel

$875K

170K claims · 6.7%

Your Cost: $5.16/claim|Median: $7.24
0.7× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$617K

28K claims · 4.7%

Your Cost: $22.32/claim|Median: $24.95
0.9× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$616K

28K claims · 4.7%

Your Cost: $22.32/claim|Median: $23.39
1.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$508K

176K claims · 3.9%

Your Cost: $2.89/claim|Median: $4.71
0.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$455K

5,746 claims · 3.5%

Your Cost: $79.17/claim|Median: $91.47
0.9× median
87632Normal range

$433K

4,953 claims · 3.3%

Your Cost: $87.52/claim|Median: $88.01
1.0× median
84443Normal range

Thyroid stimulating hormone (TSH)

$382K

47K claims · 2.9%

Your Cost: $8.20/claim|Median: $9.87
0.8× median
82805Normal range

$313K

13K claims · 2.4%

Your Cost: $24.35/claim|Median: $17.63
1.4× median
80048Normal range

Basic metabolic panel

$253K

61K claims · 1.9%

Your Cost: $4.13/claim|Median: $5.78
0.7× median
83735Normal range

Magnesium blood level test

$237K

69K claims · 1.8%

Your Cost: $3.42/claim|Median: $2.77
1.2× median
87086Normal range

Urine culture, colony count, with identification

$231K

45K claims · 1.8%

Your Cost: $5.12/claim|Median: $5.31
1.0× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$222K

8,410 claims · 1.7%

Your Cost: $26.39/claim|Median: $37.56
0.7× median
85027Normal range

Complete blood count (CBC), automated

$221K

77K claims · 1.7%

Your Cost: $2.88/claim|Median: $3.72
0.8× median
87641Normal range

$199K

9,167 claims · 1.5%

Your Cost: $21.76/claim|Median: $12.38
1.8× median
84484Normal range

Troponin, quantitative

$198K

43K claims · 1.5%

Your Cost: $4.58/claim|Median: $4.84
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$188K

9,495 claims · 1.4%

Your Cost: $19.83/claim|Median: $28.46
0.7× median
83880Normal range

$178K

16K claims · 1.4%

Your Cost: $11.25/claim|Median: $11.81
1.0× median
87040Top 25%

$174K

16K claims · 1.3%

Your Cost: $11.18/claim|Median: $5.54
2.0× median
83605Normal range

$165K

28K claims · 1.3%

Your Cost: $6.00/claim|Median: $4.66
1.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$131K

3,742 claims · 1.0%

Your Cost: $34.92/claim|Median: $65.64
0.5× median
82962Normal range

Blood glucose test by monitoring device

$130K

64K claims · 1.0%

Your Cost: $2.04/claim|Median: $1.40
1.5× median
80061Normal range

Lipid panel

$117K

34K claims · 0.9%

Your Cost: $3.47/claim|Median: $8.41
0.4× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$115K

37K claims · 0.9%

Your Cost: $3.13/claim|Median: $5.50
0.6× median
83690Normal range

$108K

32K claims · 0.8%

Your Cost: $3.38/claim|Median: $3.35
1.0× median
82306Normal range

Vitamin D, 25 hydroxy

$105K

15K claims · 0.8%

Your Cost: $6.85/claim|Median: $18.18
0.4× median
86703Normal range

$105K

11K claims · 0.8%

Your Cost: $9.74/claim|Median: $10.37
0.9× median
87804Normal range

Influenza virus detection, rapid test

$105K

7,896 claims · 0.8%

Your Cost: $13.25/claim|Median: $12.59
1.1× median
87186Normal range

Antimicrobial susceptibility testing, microdilution, per agent

$93K

15K claims · 0.7%

Your Cost: $6.28/claim|Median: $4.65
1.4× median
← All providersHow we detect fraud →