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

⚖️ Compare🖨️ Print Report

Provider 1184625733

NPI: 1184625733Share
Active Billing Period:2019-03→2024-12(70 months)

Total Paid

$10.5M

$10,458,027

Total Claims

161K

Beneficiaries

111K

1.4 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2019
$436K
+105%
2020
$892K
+32%
2021
$1.2M
+58%
2022
$1.9M
+106%
2023
$3.8M
-40%
2024
$2.3M

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 28% of total spending.

99214Normal range

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

$3.0M

41K claims · 28.4%

Your Cost: $73.26/claim|Median: $53.41
1.4× median
99204Top 25%

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

$2.8M

21K claims · 26.4%

Your Cost: $132.53/claim|Median: $84.03
1.6× median
99213Top 25%

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

$1.7M

31K claims · 16.7%

Your Cost: $55.51/claim|Median: $37.81
1.5× median
99203Top 25%

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

$1.1M

11K claims · 10.3%

Your Cost: $94.93/claim|Median: $57.85
1.6× median
31231Top 25%

Nasal endoscopy, diagnostic

$1.0M

5,447 claims · 9.6%

Your Cost: $184.01/claim|Median: $98.77
1.9× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$231K

1,210 claims · 2.2%

Your Cost: $191.10/claim|Median: $144.04
1.3× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$140K

8,082 claims · 1.3%

Your Cost: $17.32/claim|Median: $27.28
0.6× median
92567Normal range

$81K

14K claims · 0.8%

Your Cost: $5.82/claim|Median: $11.50
0.5× median
31575Normal range

$67K

1,454 claims · 0.6%

Your Cost: $46.10/claim|Median: $68.78
0.7× median
69210Normal range

$67K

8,075 claims · 0.6%

Your Cost: $8.26/claim|Median: $21.74
0.4× median
95004Top 25%

Percutaneous allergy skin tests, each

$37K

159 claims · 0.4%

Your Cost: $233.47/claim|Median: $134.97
1.7× median
95115Top 25%

$32K

3,633 claims · 0.3%

Your Cost: $8.92/claim|Median: $6.96
1.3× median
31579Normal range

$32K

327 claims · 0.3%

Your Cost: $98.24/claim|Median: $120.24
0.8× median
92504Normal range

$29K

4,701 claims · 0.3%

Your Cost: $6.09/claim|Median: $16.07
0.4× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$27K

300 claims · 0.3%

Your Cost: $90.74/claim|Median: $40.11
2.3× median
95117Normal range

$27K

2,865 claims · 0.3%

Your Cost: $9.45/claim|Median: $8.34
1.1× median
92588Normal range

Vestibular evoked myogenic potential testing, each side

$24K

2,631 claims · 0.2%

Your Cost: $9.28/claim|Median: $31.08
0.3× median
95024Top 1%

$18K

41 claims · 0.2%

Your Cost: $439.21/claim|Median: $60.31
7.3× median
99223Top 25%

Initial hospital care, per day, high complexity

$17K

147 claims · 0.2%

Your Cost: $115.14/claim|Median: $67.32
1.7× median
69436Normal range

Tympanostomy, general anesthesia

$11K

38 claims · 0.1%

Your Cost: $286.76/claim|Median: $205.50
1.4× median
92582Top 25%

$10K

128 claims · 0.1%

Your Cost: $75.63/claim|Median: $46.66
1.6× median
99243Top 5%

Office or other outpatient consultation, low complexity

$9K

50 claims · 0.1%

Your Cost: $177.43/claim|Median: $82.43
2.2× median
92550Normal range

$9K

2,626 claims · 0.1%

Your Cost: $3.27/claim|Median: $14.15
0.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$7K

222 claims · 0.1%

Your Cost: $32.75/claim|Median: $35.30
0.9× median
92540Top 5%

$7K

47 claims · 0.1%

Your Cost: $149.36/claim|Median: $59.84
2.5× median
99212Top 25%

Office/outpatient visit, low complexity

$7K

178 claims · 0.1%

Your Cost: $38.30/claim|Median: $25.06
1.5× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$5K

14 claims · 0.0%

Your Cost: $352.03/claim|Median: $331.68
1.1× median
92511Top 5%

$3K

13 claims · 0.0%

Your Cost: $223.32/claim|Median: $80.41
2.8× median
92579Normal range

$1K

39 claims · 0.0%

Your Cost: $32.35/claim|Median: $30.58
1.1× median
69220Normal range

$834

22 claims · 0.0%

Your Cost: $37.91/claim|Median: $37.91
1.0× median
← All providersHow we detect fraud →