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

⚖️ Compare🖨️ Print Report

Provider 1083664221

NPI: 1083664221Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.1M

$13,091,864

Total Claims

352K

Beneficiaries

335K

1.0 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+36%
2019
$1.4M
-0%
2020
$1.4M
+58%
2021
$2.2M
+25%
2022
$2.8M
-8%
2023
$2.6M
-35%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 19% of total spending.

99214Normal range

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

$2.5M

50K claims · 19.3%

Your Cost: $50.72/claim|Median: $53.41
0.9× median
99213Normal range

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

$2.3M

63K claims · 17.9%

Your Cost: $37.21/claim|Median: $37.81
1.0× median
99284Normal range

Emergency dept visit, high complexity

$1.8M

29K claims · 13.7%

Your Cost: $61.37/claim|Median: $69.51
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$913K

10K claims · 7.0%

Your Cost: $87.74/claim|Median: $85.65
1.0× median
99283Normal range

Emergency dept visit, moderate complexity

$687K

21K claims · 5.2%

Your Cost: $32.76/claim|Median: $42.48
0.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$682K

13K claims · 5.2%

Your Cost: $52.97/claim|Median: $35.80
1.5× median
D1110Top 25%

Prophylaxis, adult cleaning

$406K

7,042 claims · 3.1%

Your Cost: $57.59/claim|Median: $43.38
1.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$303K

43K claims · 2.3%

Your Cost: $7.06/claim|Median: $5.60
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$255K

5,740 claims · 1.9%

Your Cost: $44.46/claim|Median: $75.18
0.6× median
D1120Top 25%

Prophylaxis, adult

$236K

5,555 claims · 1.8%

Your Cost: $42.54/claim|Median: $33.86
1.3× median
D0120Top 25%

Periodic oral evaluation, established patient

$197K

6,827 claims · 1.5%

Your Cost: $28.93/claim|Median: $24.34
1.2× median
99203Normal range

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

$195K

4,140 claims · 1.5%

Your Cost: $47.19/claim|Median: $57.85
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$183K

4,212 claims · 1.4%

Your Cost: $43.53/claim|Median: $74.82
0.6× median
77067Normal range

Screening mammography, bilateral, including CAD

$180K

5,304 claims · 1.4%

Your Cost: $33.90/claim|Median: $39.33
0.9× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$159K

3,082 claims · 1.2%

Your Cost: $51.59/claim|Median: $54.68
0.9× median
D1206Top 10%

Topical application of fluoride varnish

$158K

5,106 claims · 1.2%

Your Cost: $30.87/claim|Median: $18.12
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$154K

4,016 claims · 1.2%

Your Cost: $38.26/claim|Median: $69.35
0.6× median
D1351Top 5%

Sealant, per tooth

$150K

2,216 claims · 1.1%

Your Cost: $67.72/claim|Median: $26.10
2.6× median
99215Normal range

Office/outpatient visit, high complexity

$139K

1,953 claims · 1.1%

Your Cost: $71.20/claim|Median: $74.09
1.0× median
99204Normal range

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

$122K

1,507 claims · 0.9%

Your Cost: $80.72/claim|Median: $84.03
1.0× median
D1354Top 25%

$118K

4,511 claims · 0.9%

Your Cost: $26.25/claim|Median: $12.52
2.1× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$106K

4,433 claims · 0.8%

Your Cost: $23.80/claim|Median: $21.41
1.1× median
D0274Normal range

Bitewings, four radiographic images

$69K

2,355 claims · 0.5%

Your Cost: $29.31/claim|Median: $22.54
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$65K

1,263 claims · 0.5%

Your Cost: $51.58/claim|Median: $80.15
0.6× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$61K

603 claims · 0.5%

Your Cost: $100.51/claim|Median: $71.00
1.4× median
71046Normal range

Chest X-ray, 2 views

$60K

6,925 claims · 0.5%

Your Cost: $8.68/claim|Median: $8.92
1.0× median
74177Normal range

CT abdomen and pelvis with contrast

$54K

909 claims · 0.4%

Your Cost: $59.17/claim|Median: $65.76
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$44K

2,308 claims · 0.3%

Your Cost: $19.27/claim|Median: $25.06
0.8× median
88304Top 25%

$42K

1,875 claims · 0.3%

Your Cost: $22.22/claim|Median: $12.88
1.7× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$41K

983 claims · 0.3%

Your Cost: $41.61/claim|Median: $38.23
1.1× median
← All providersHow we detect fraud →