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

⚖️ Compare🖨️ Print Report

Provider 1972728822

NPI: 1972728822Share
Active Billing Period:2018-07→2024-11(77 months)

Total Paid

$17.5M

$17,519,747

Total Claims

156K

Beneficiaries

8,027

19.4 claims/patient

Avg Cost/Claim

$112

Monthly Spending Trend

Yearly Spending

2018
$89K
+78%
2019
$160K
+230%
2020
$527K
+132%
2021
$1.2M
+105%
2022
$2.5M
+131%
2023
$5.8M
+25%
2024
$7.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T1004 (Services of a qualified nursing aide, per 15 minutes)) accounts for 40% of total spending.

T1004Top 5%

Services of a qualified nursing aide, per 15 minutes

$7.0M

58K claims · 40.1%

Your Cost: $121.30/claim|Median: $50.30
2.4× median
99509Top 10%

Home visit, assistance w/ ADLs

$4.8M

28K claims · 27.1%

Your Cost: $168.68/claim|Median: $51.71
3.3× median
G0156Top 25%

Home health aide services, per visit

$3.2M

32K claims · 18.4%

Your Cost: $101.84/claim|Median: $39.42
2.6× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$1.3M

18K claims · 7.3%

Your Cost: $71.66/claim|Median: $51.67
1.4× median
T1502Top 10%

Administration of oral, intramuscular, or subcutaneous medication

$1.1M

19K claims · 6.5%

Your Cost: $61.27/claim|Median: $7.86
7.8× median
T1002Normal range

RN services, per 15 minutes

$68K

1,298 claims · 0.4%

Your Cost: $52.28/claim|Median: $37.42
1.4× median
G0493Normal range

$35K

655 claims · 0.2%

Your Cost: $53.70/claim|Median: $40.89
1.3× median
← All providersHow we detect fraud →