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

Provider 1023015245

NPI: 1023015245Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$7.7M

$7,727,585

Total Claims

141K

Beneficiaries

121K

1.2 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$544K
+30%
2019
$705K
-1%
2020
$700K
+83%
2021
$1.3M
+20%
2022
$1.5M
+6%
2023
$1.6M
-19%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 39% of total spending.

99213Top 25%

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

$3.0M

50K claims · 38.6%

Your Cost: $59.29/claim|Median: $37.81
1.6× median
99203Top 25%

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

$934K

10K claims · 12.1%

Your Cost: $92.28/claim|Median: $57.85
1.6× median
17110Normal range

Destruction of benign lesions, up to fourteen

$715K

9,117 claims · 9.3%

Your Cost: $78.41/claim|Median: $59.25
1.3× median
11901Normal range

$608K

13K claims · 7.9%

Your Cost: $47.00/claim|Median: $36.91
1.3× median
99214Top 25%

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

$487K

4,915 claims · 6.3%

Your Cost: $99.11/claim|Median: $53.41
1.9× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$345K

5,520 claims · 4.5%

Your Cost: $62.44/claim|Median: $40.11
1.6× median
17111Normal range

$338K

4,060 claims · 4.4%

Your Cost: $83.14/claim|Median: $80.28
1.0× median
11102Normal range

$290K

5,677 claims · 3.8%

Your Cost: $51.05/claim|Median: $48.69
1.0× median
10040Top 25%

$250K

2,573 claims · 3.2%

Your Cost: $97.06/claim|Median: $70.50
1.4× median
99204Top 10%

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

$201K

1,354 claims · 2.6%

Your Cost: $148.78/claim|Median: $84.03
1.8× median
11900Normal range

$187K

4,367 claims · 2.4%

Your Cost: $42.80/claim|Median: $31.25
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$138K

4,023 claims · 1.8%

Your Cost: $34.20/claim|Median: $25.06
1.4× median
10060Normal range

Incision and drainage of abscess, simple

$74K

1,019 claims · 1.0%

Your Cost: $72.38/claim|Median: $75.72
1.0× median
11103Normal range

$56K

1,966 claims · 0.7%

Your Cost: $28.49/claim|Median: $37.08
0.8× median
11100Normal range

$37K

891 claims · 0.5%

Your Cost: $41.29/claim|Median: $44.58
0.9× median
17000Normal range

$27K

2,003 claims · 0.4%

Your Cost: $13.51/claim|Median: $21.35
0.6× median
11755Top 25%

$17K

191 claims · 0.2%

Your Cost: $88.87/claim|Median: $42.60
2.1× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$17K

17K claims · 0.2%

Your Cost: $0.98/claim|Median: $2.91
0.3× median
17003Normal range

$12K

1,472 claims · 0.2%

Your Cost: $8.08/claim|Median: $8.67
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$10K

1,018 claims · 0.1%

Your Cost: $10.17/claim|Median: $9.56
1.1× median
11101Normal range

$6K

517 claims · 0.1%

Your Cost: $12.34/claim|Median: $23.72
0.5× median
11104Normal range

$1K

12 claims · 0.0%

Your Cost: $87.21/claim|Median: $76.74
1.1× median
J3590Normal range

Unclassified biologic drug injection

$0

440 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.77
0.0× median