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

⚖️ Compare🖨️ Print Report

Provider 1013994839

NPI: 1013994839Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.4M

$8,433,139

Total Claims

148K

Beneficiaries

119K

1.2 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+6%
2019
$1.7M
-36%
2020
$1.1M
+9%
2021
$1.2M
-16%
2022
$991K
+4%
2023
$1.0M
-13%
2024
$899K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 29% of total spending.

99213Normal range

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

$2.5M

55K claims · 29.5%

Your Cost: $45.11/claim|Median: $37.81
1.2× median
10040Normal range

$957K

13K claims · 11.4%

Your Cost: $71.93/claim|Median: $70.50
1.0× median
17360Normal range

$894K

12K claims · 10.6%

Your Cost: $76.67/claim|Median: $98.65
0.8× median
96922Normal range

$839K

5,378 claims · 9.9%

Your Cost: $155.95/claim|Median: $194.79
0.8× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$705K

9,459 claims · 8.4%

Your Cost: $74.53/claim|Median: $57.85
1.3× median
96920Normal range

$612K

5,522 claims · 7.3%

Your Cost: $110.76/claim|Median: $118.58
0.9× median
17110Normal range

Destruction of benign lesions, up to fourteen

$378K

5,248 claims · 4.5%

Your Cost: $71.94/claim|Median: $59.25
1.2× median
10061Normal range

$360K

3,243 claims · 4.3%

Your Cost: $110.87/claim|Median: $101.03
1.1× median
99214Top 25%

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

$265K

2,918 claims · 3.1%

Your Cost: $90.94/claim|Median: $53.41
1.7× median
11901Normal range

$218K

5,222 claims · 2.6%

Your Cost: $41.72/claim|Median: $36.91
1.1× median
11900Normal range

$208K

7,631 claims · 2.5%

Your Cost: $27.19/claim|Median: $31.25
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$126K

4,168 claims · 1.5%

Your Cost: $30.23/claim|Median: $25.06
1.2× median
10060Normal range

Incision and drainage of abscess, simple

$115K

1,578 claims · 1.4%

Your Cost: $72.63/claim|Median: $75.72
1.0× median
99243Top 25%

Office or other outpatient consultation, low complexity

$97K

991 claims · 1.2%

Your Cost: $98.13/claim|Median: $82.43
1.2× median
11402Top 25%

$28K

289 claims · 0.3%

Your Cost: $96.42/claim|Median: $68.11
1.4× median
96921Normal range

$27K

233 claims · 0.3%

Your Cost: $117.17/claim|Median: $106.73
1.1× median
17111Normal range

$23K

253 claims · 0.3%

Your Cost: $89.00/claim|Median: $80.28
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$22K

2,102 claims · 0.3%

Your Cost: $10.65/claim|Median: $9.56
1.1× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$18K

11K claims · 0.2%

Your Cost: $1.54/claim|Median: $2.91
0.5× median
99242Top 25%

Office consultation, low complexity

$15K

196 claims · 0.2%

Your Cost: $77.08/claim|Median: $57.97
1.3× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$10K

78 claims · 0.1%

Your Cost: $130.24/claim|Median: $84.03
1.5× median
96900Normal range

$8K

403 claims · 0.1%

Your Cost: $19.45/claim|Median: $15.84
1.2× median
11401Top 1%

$7K

51 claims · 0.1%

Your Cost: $138.71/claim|Median: $71.34
1.9× median
11100Top 25%

$4K

56 claims · 0.0%

Your Cost: $69.37/claim|Median: $44.58
1.6× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$4K

62 claims · 0.0%

Your Cost: $59.96/claim|Median: $40.11
1.5× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$2K

63 claims · 0.0%

Your Cost: $38.55/claim|Median: $22.44
1.7× median
17000Normal range

$2K

102 claims · 0.0%

Your Cost: $22.78/claim|Median: $21.35
1.1× median
11102Normal range

$2K

49 claims · 0.0%

Your Cost: $35.80/claim|Median: $48.69
0.7× median
99441Normal range

Telephone E/M by physician, 5-10 min

$1K

49 claims · 0.0%

Your Cost: $23.92/claim|Median: $13.30
1.8× median
11106Normal range

$923

12 claims · 0.0%

Your Cost: $76.92/claim|Median: $98.47
0.8× median
← All providersHow we detect fraud →