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

⚖️ Compare🖨️ Print Report

Provider 1093208266

NPI: 1093208266Share
Active Billing Period:2019-02→2024-12(71 months)

Total Paid

$18.5M

$18,467,083

Total Claims

340K

Beneficiaries

161K

2.1 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2019
$1.8M
+90%
2020
$3.5M
+31%
2021
$4.5M
-19%
2022
$3.7M
-26%
2023
$2.7M
-15%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90834 (Psychotherapy, 45 minutes)) accounts for 62% of total spending.

90834Top 25%

Psychotherapy, 45 minutes

$11.5M

139K claims · 62.3%

Your Cost: $82.90/claim|Median: $63.65
1.3× median
99213Normal range

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

$3.3M

97K claims · 17.8%

Your Cost: $33.98/claim|Median: $37.81
0.9× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$1.5M

24K claims · 8.3%

Your Cost: $64.32/claim|Median: $38.83
1.7× median
90792Top 5%

Psychiatric diagnostic evaluation with medical services

$713K

1,806 claims · 3.9%

Your Cost: $394.62/claim|Median: $108.91
3.6× median
90791Top 10%

Psychiatric diagnostic evaluation

$399K

2,415 claims · 2.2%

Your Cost: $165.26/claim|Median: $99.21
1.7× median
80305Normal range

$241K

36K claims · 1.3%

Your Cost: $6.60/claim|Median: $7.44
0.9× median
G0434Normal range

$235K

15K claims · 1.3%

Your Cost: $15.83/claim|Median: $15.83
1.0× median
99203Normal range

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

$99K

1,883 claims · 0.5%

Your Cost: $52.82/claim|Median: $57.85
0.9× median
98925Normal range

$76K

8,650 claims · 0.4%

Your Cost: $8.82/claim|Median: $13.42
0.7× median
93892Normal range

$71K

621 claims · 0.4%

Your Cost: $114.52/claim|Median: $87.42
1.3× median
99354Normal range

$69K

1,191 claims · 0.4%

Your Cost: $58.11/claim|Median: $54.96
1.1× median
93890Normal range

$63K

622 claims · 0.3%

Your Cost: $100.74/claim|Median: $94.81
1.1× median
20552Normal range

$61K

5,678 claims · 0.3%

Your Cost: $10.71/claim|Median: $23.11
0.5× median
93886Normal range

$22K

359 claims · 0.1%

Your Cost: $60.11/claim|Median: $83.25
0.7× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$21K

2,033 claims · 0.1%

Your Cost: $10.39/claim|Median: $9.70
1.1× median
94010Normal range

$18K

1,048 claims · 0.1%

Your Cost: $17.62/claim|Median: $18.11
1.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$12K

183 claims · 0.1%

Your Cost: $65.65/claim|Median: $76.06
0.9× median
94060Normal range

$10K

515 claims · 0.1%

Your Cost: $19.80/claim|Median: $25.18
0.8× median
93882Normal range

$10K

373 claims · 0.1%

Your Cost: $26.76/claim|Median: $54.52
0.5× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$6K

83 claims · 0.0%

Your Cost: $75.54/claim|Median: $49.03
1.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$4K

59 claims · 0.0%

Your Cost: $63.08/claim|Median: $72.71
0.9× median
69210Normal range

$3K

182 claims · 0.0%

Your Cost: $18.73/claim|Median: $21.74
0.9× median
99214Normal range

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

$2K

61 claims · 0.0%

Your Cost: $28.69/claim|Median: $53.41
0.5× median
36415Normal range

Collection of venous blood by venipuncture

$2K

1,063 claims · 0.0%

Your Cost: $1.55/claim|Median: $1.57
1.0× median
99355Normal range

$1K

42 claims · 0.0%

Your Cost: $29.40/claim|Median: $55.81
0.5× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$940

121 claims · 0.0%

Your Cost: $7.77/claim|Median: $10.88
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$920

31 claims · 0.0%

Your Cost: $29.68/claim|Median: $25.06
1.2× median
11721Top 25%

$832

38 claims · 0.0%

Your Cost: $21.88/claim|Median: $8.56
2.6× median
95004Normal range

Percutaneous allergy skin tests, each

$720

21 claims · 0.0%

Your Cost: $34.29/claim|Median: $134.97
0.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$307

34 claims · 0.0%

Your Cost: $9.04/claim|Median: $22.44
0.4× median
← All providersHow we detect fraud →