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

⚖️ Compare🖨️ Print Report

Provider 1154407013

NPI: 1154407013Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,811,810

Total Claims

382K

Beneficiaries

373K

1.0 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$407K
+75%
2019
$710K
+16%
2020
$825K
+87%
2021
$1.5M
+57%
2022
$2.4M
+7%
2023
$2.6M
-49%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (93976) accounts for 22% of total spending.

93976Top 25%

$2.1M

19K claims · 21.8%

Your Cost: $109.94/claim|Median: $42.06
2.6× median
76830Normal range

Ultrasound, transvaginal

$1.3M

20K claims · 13.3%

Your Cost: $65.21/claim|Median: $57.47
1.1× median
99213Top 25%

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

$1.3M

18K claims · 12.8%

Your Cost: $67.90/claim|Median: $37.81
1.8× median
99203Top 25%

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

$365K

4,040 claims · 3.7%

Your Cost: $90.43/claim|Median: $57.85
1.6× median
59426Top 10%

Antepartum care only, high risk, additional visits

$298K

337 claims · 3.0%

Your Cost: $885.43/claim|Median: $122.30
7.2× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$254K

16K claims · 2.6%

Your Cost: $16.30/claim|Median: $24.95
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$249K

15K claims · 2.5%

Your Cost: $16.12/claim|Median: $23.39
0.7× median
76818Normal range

$244K

2,758 claims · 2.5%

Your Cost: $88.49/claim|Median: $68.15
1.3× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$228K

3,437 claims · 2.3%

Your Cost: $66.29/claim|Median: $36.79
1.8× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$180K

1,869 claims · 1.8%

Your Cost: $96.18/claim|Median: $72.71
1.3× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$160K

1,523 claims · 1.6%

Your Cost: $105.14/claim|Median: $76.22
1.4× median
82670Normal range

Estradiol hormone blood level test

$147K

8,016 claims · 1.5%

Your Cost: $18.33/claim|Median: $19.27
1.0× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$129K

3,980 claims · 1.3%

Your Cost: $32.43/claim|Median: $38.79
0.8× median
82306Normal range

Vitamin D, 25 hydroxy

$122K

6,267 claims · 1.2%

Your Cost: $19.54/claim|Median: $18.18
1.1× median
76856Normal range

Ultrasound, pelvic, complete

$120K

1,920 claims · 1.2%

Your Cost: $62.41/claim|Median: $47.58
1.3× median
87480Normal range

$117K

12K claims · 1.2%

Your Cost: $10.01/claim|Median: $14.31
0.7× median
87660Normal range

$116K

12K claims · 1.2%

Your Cost: $9.98/claim|Median: $13.84
0.7× median
84144Normal range

$115K

8,660 claims · 1.2%

Your Cost: $13.29/claim|Median: $14.29
0.9× median
84403Normal range

Testosterone, total blood test

$112K

6,695 claims · 1.1%

Your Cost: $16.75/claim|Median: $17.03
1.0× median
83001Normal range

$96K

7,895 claims · 1.0%

Your Cost: $12.10/claim|Median: $13.94
0.9× median
82627Normal range

$95K

6,745 claims · 1.0%

Your Cost: $14.07/claim|Median: $15.81
0.9× median
87510Normal range

$93K

9,619 claims · 0.9%

Your Cost: $9.67/claim|Median: $13.48
0.7× median
84146Normal range

$87K

6,930 claims · 0.9%

Your Cost: $12.58/claim|Median: $13.66
0.9× median
83002Normal range

$87K

7,339 claims · 0.9%

Your Cost: $11.83/claim|Median: $12.75
0.9× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$82K

5,846 claims · 0.8%

Your Cost: $14.03/claim|Median: $21.08
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$80K

1,051 claims · 0.8%

Your Cost: $76.25/claim|Median: $58.55
1.3× median
84702Normal range

$74K

8,524 claims · 0.8%

Your Cost: $8.65/claim|Median: $8.25
1.0× median
86703Normal range

$73K

8,215 claims · 0.7%

Your Cost: $8.86/claim|Median: $10.37
0.9× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$68K

657 claims · 0.7%

Your Cost: $103.20/claim|Median: $76.06
1.4× median
82728Normal range

Ferritin

$66K

7,581 claims · 0.7%

Your Cost: $8.73/claim|Median: $6.00
1.5× median
← All providersHow we detect fraud →