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

Provider 1124141163

NPI: 1124141163Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.4M

$8,392,953

Total Claims

95K

Beneficiaries

94K

1.0 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$1.0M
-1%
2019
$1.0M
-15%
2020
$859K
+26%
2021
$1.1M
+28%
2022
$1.4M
+12%
2023
$1.6M
-4%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 23% of total spending.

99214Top 25%

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

$2.0M

26K claims · 23.4%

Your Cost: $76.98/claim|Median: $53.41
1.4× median
99213Normal range

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

$1.9M

38K claims · 23.0%

Your Cost: $50.24/claim|Median: $37.81
1.3× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$1.2M

7,117 claims · 14.7%

Your Cost: $173.60/claim|Median: $121.58
1.4× median
43775Normal range

$881K

1,105 claims · 10.5%

Your Cost: $797.46/claim|Median: $619.12
1.3× median
97802Top 5%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$667K

5,487 claims · 7.9%

Your Cost: $121.49/claim|Median: $12.70
9.6× median
90791Normal range

Psychiatric diagnostic evaluation

$646K

5,661 claims · 7.7%

Your Cost: $114.07/claim|Median: $99.21
1.1× median
96130Normal range

Psychological testing evaluation by professional, first hour

$397K

4,018 claims · 4.7%

Your Cost: $98.71/claim|Median: $79.21
1.2× median
43845Top 1%

$146K

129 claims · 1.7%

Your Cost: $1,133.86/claim|Median: $1,133.86
1.0× median
43644Top 25%

$134K

111 claims · 1.6%

Your Cost: $1,210.21/claim|Median: $819.04
1.5× median
97804Top 25%

$128K

2,210 claims · 1.5%

Your Cost: $58.03/claim|Median: $17.97
3.2× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$121K

3,299 claims · 1.4%

Your Cost: $36.78/claim|Median: $24.33
1.5× median
44850Normal range

$36K

126 claims · 0.4%

Your Cost: $287.88/claim|Median: $287.88
1.0× median
90889Top 25%

$34K

184 claims · 0.4%

Your Cost: $183.70/claim|Median: $56.63
3.2× median
99204Normal range

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

$19K

378 claims · 0.2%

Your Cost: $50.55/claim|Median: $84.03
0.6× median
96101Normal range

$14K

430 claims · 0.2%

Your Cost: $33.39/claim|Median: $196.08
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$10K

382 claims · 0.1%

Your Cost: $27.17/claim|Median: $25.06
1.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$9K

557 claims · 0.1%

Your Cost: $16.28/claim|Median: $12.93
1.3× median
43281Normal range

$8K

12 claims · 0.1%

Your Cost: $672.74/claim|Median: $558.72
1.2× median
44130Top 1%

$6K

20 claims · 0.1%

Your Cost: $276.56/claim|Median: $276.56
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$1K

12 claims · 0.0%

Your Cost: $94.01/claim|Median: $74.09
1.3× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$1K

63 claims · 0.0%

Your Cost: $17.15/claim|Median: $9.56
1.8× median
J3430Top 1%

$94

12 claims · 0.0%

Your Cost: $7.80/claim|Median: $3.83
2.0× median