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

⚖️ Compare🖨️ Print Report

Provider 1013998830

NPI: 1013998830Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.9M

$9,943,526

Total Claims

58K

Beneficiaries

36K

1.6 claims/patient

Avg Cost/Claim

$172

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-18%
2019
$899K
-44%
2020
$504K
+191%
2021
$1.5M
+12%
2022
$1.6M
+44%
2023
$2.4M
-17%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (95720) accounts for 36% of total spending.

95720Top 25%

$3.6M

22K claims · 35.9%

Your Cost: $164.46/claim|Median: $120.95
1.4× median
95715Top 25%

$2.1M

2,263 claims · 21.1%

Your Cost: $928.34/claim|Median: $615.45
1.5× median
95951Normal range

$1.3M

5,507 claims · 13.4%

Your Cost: $241.22/claim|Median: $183.28
1.3× median
95816Top 10%

$1.2M

3,896 claims · 12.2%

Your Cost: $310.55/claim|Median: $56.87
5.5× median
99213Top 10%

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

$461K

6,095 claims · 4.6%

Your Cost: $75.67/claim|Median: $37.81
2.0× median
99214Top 10%

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

$376K

3,529 claims · 3.8%

Your Cost: $106.63/claim|Median: $53.41
2.0× median
99212Top 25%

Office/outpatient visit, low complexity

$230K

5,225 claims · 2.3%

Your Cost: $44.05/claim|Median: $25.06
1.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$189K

3,988 claims · 1.9%

Your Cost: $47.36/claim|Median: $23.99
2.0× median
95700Top 25%

$170K

673 claims · 1.7%

Your Cost: $252.19/claim|Median: $154.31
1.6× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$75K

884 claims · 0.8%

Your Cost: $85.01/claim|Median: $51.25
1.7× median
95812Normal range

$53K

921 claims · 0.5%

Your Cost: $57.86/claim|Median: $104.99
0.6× median
99231Normal range

Subsequent hospital care, per day, low complexity

$33K

1,369 claims · 0.3%

Your Cost: $24.24/claim|Median: $16.77
1.4× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$30K

151 claims · 0.3%

Your Cost: $195.89/claim|Median: $111.09
1.8× median
99204Top 10%

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

$28K

190 claims · 0.3%

Your Cost: $147.47/claim|Median: $84.03
1.8× median
95718Normal range

$25K

294 claims · 0.3%

Your Cost: $85.37/claim|Median: $78.85
1.1× median
96118Normal range

$17K

54 claims · 0.2%

Your Cost: $314.24/claim|Median: $196.66
1.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$13K

592 claims · 0.1%

Your Cost: $21.14/claim|Median: $12.93
1.6× median
95819Top 25%

Electroencephalogram with sleep recording

$12K

46 claims · 0.1%

Your Cost: $257.96/claim|Median: $62.75
4.1× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$6K

188 claims · 0.1%

Your Cost: $32.91/claim|Median: $13.30
2.5× median
99215Normal range

Office/outpatient visit, high complexity

$5K

52 claims · 0.1%

Your Cost: $98.89/claim|Median: $74.09
1.3× median
99203Top 25%

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

$3K

33 claims · 0.0%

Your Cost: $97.32/claim|Median: $57.85
1.7× median
99223Top 5%

Initial hospital care, per day, high complexity

$2K

13 claims · 0.0%

Your Cost: $158.96/claim|Median: $67.32
2.4× median
96137Normal range

Psychological/neuropsychological testing, each additional 30 min

$1K

12 claims · 0.0%

Your Cost: $111.44/claim|Median: $92.96
1.2× median
G2211Normal range

$383

87 claims · 0.0%

Your Cost: $4.40/claim|Median: $2.40
1.8× median
96136Normal range

Psychological/neuropsychological testing, first 30 min

$231

12 claims · 0.0%

Your Cost: $19.29/claim|Median: $30.49
0.6× median
← All providersHow we detect fraud →