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

⚖️ Compare🖨️ Print Report

Provider 1144693607

NPI: 1144693607Share
Active Billing Period:2020-04→2024-12(57 months)

Total Paid

$7.8M

$7,774,339

Total Claims

288K

Beneficiaries

197K

1.5 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2020
$8K
+4018%
2021
$320K
+414%
2022
$1.6M
+41%
2023
$2.3M
+50%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 26% of total spending.

99213Normal range

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

$2.0M

65K claims · 26.3%

Your Cost: $31.41/claim|Median: $37.81
0.8× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$635K

14K claims · 8.2%

Your Cost: $46.69/claim|Median: $121.16
0.4× median
99212Top 10%

Office/outpatient visit, low complexity

$569K

7,982 claims · 7.3%

Your Cost: $71.31/claim|Median: $25.06
2.8× median
90832Top 10%

Psychotherapy, 30 minutes

$545K

5,988 claims · 7.0%

Your Cost: $90.97/claim|Median: $41.28
2.2× median
99214Normal range

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

$512K

9,939 claims · 6.6%

Your Cost: $51.53/claim|Median: $53.41
1.0× median
99203Normal range

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

$262K

4,149 claims · 3.4%

Your Cost: $63.05/claim|Median: $57.85
1.1× median
99204Normal range

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

$220K

2,178 claims · 2.8%

Your Cost: $101.03/claim|Median: $84.03
1.2× median
G0445Top 1%

$195K

2,319 claims · 2.5%

Your Cost: $84.12/claim|Median: $10.60
7.9× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$193K

1,661 claims · 2.5%

Your Cost: $116.27/claim|Median: $13.30
8.7× median
20552Top 5%

$188K

1,068 claims · 2.4%

Your Cost: $176.40/claim|Median: $23.11
7.6× median
76856Top 1%

Ultrasound, pelvic, complete

$140K

262 claims · 1.8%

Your Cost: $532.82/claim|Median: $47.58
11.2× median
90791Top 25%

Psychiatric diagnostic evaluation

$121K

770 claims · 1.6%

Your Cost: $157.16/claim|Median: $99.21
1.6× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$120K

2,102 claims · 1.5%

Your Cost: $56.95/claim|Median: $40.11
1.4× median
99443Normal range

Telephone E/M by physician, 21-30 min

$119K

2,217 claims · 1.5%

Your Cost: $53.81/claim|Median: $32.55
1.7× median
G0101Top 5%

Cervical/vaginal cancer screening; pelvic exam

$112K

1,409 claims · 1.4%

Your Cost: $79.58/claim|Median: $21.28
3.7× median
99401Top 10%

$109K

3,365 claims · 1.4%

Your Cost: $32.50/claim|Median: $16.53
2.0× median
92004Top 25%

Ophthalmological exam, comprehensive, new patient

$93K

1,027 claims · 1.2%

Your Cost: $90.82/claim|Median: $59.72
1.5× median
93880Top 1%

Duplex ultrasound scan of carotid arteries, bilateral

$91K

238 claims · 1.2%

Your Cost: $383.97/claim|Median: $49.03
7.8× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$91K

509 claims · 1.2%

Your Cost: $178.61/claim|Median: $54.68
3.3× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$87K

528 claims · 1.1%

Your Cost: $165.21/claim|Median: $108.91
1.5× median
93970Top 1%

Duplex scan of extremity veins, complete, bilateral

$85K

198 claims · 1.1%

Your Cost: $427.02/claim|Median: $43.07
9.9× median
99454Normal range

$81K

8,767 claims · 1.0%

Your Cost: $9.27/claim|Median: $9.15
1.0× median
99000Top 10%

$75K

5,385 claims · 1.0%

Your Cost: $13.97/claim|Median: $2.30
6.1× median
G0447Top 1%

$66K

696 claims · 0.9%

Your Cost: $95.06/claim|Median: $5.19
18.3× median
76942Top 5%

$65K

389 claims · 0.8%

Your Cost: $167.87/claim|Median: $24.73
6.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$65K

882 claims · 0.8%

Your Cost: $73.55/claim|Median: $72.71
1.0× median
96160Top 5%

Patient-focused health risk assessment

$56K

1,471 claims · 0.7%

Your Cost: $38.25/claim|Median: $2.10
18.2× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$53K

665 claims · 0.7%

Your Cost: $79.53/claim|Median: $76.22
1.0× median
11900Top 5%

$44K

160 claims · 0.6%

Your Cost: $273.27/claim|Median: $31.25
8.7× median
11721Top 5%

$41K

1,165 claims · 0.5%

Your Cost: $35.03/claim|Median: $8.56
4.1× median
← All providersHow we detect fraud →