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

⚖️ Compare🖨️ Print Report

Provider 1215096375

NPI: 1215096375Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,762,995

Total Claims

111K

Beneficiaries

96K

1.2 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$884K
+20%
2019
$1.1M
+14%
2020
$1.2M
+24%
2021
$1.5M
+8%
2022
$1.6M
-18%
2023
$1.3M
-12%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (10040) accounts for 23% of total spending.

10040Top 10%

$2.1M

17K claims · 23.5%

Your Cost: $122.29/claim|Median: $70.50
1.7× median
99213Top 10%

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

$1.9M

22K claims · 21.8%

Your Cost: $85.20/claim|Median: $37.81
2.3× median
10061Top 10%

$1.2M

5,528 claims · 14.2%

Your Cost: $224.34/claim|Median: $101.03
2.2× median
99214Top 5%

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

$786K

6,348 claims · 9.0%

Your Cost: $123.85/claim|Median: $53.41
2.3× median
11901Normal range

$677K

14K claims · 7.7%

Your Cost: $47.59/claim|Median: $36.91
1.3× median
17110Top 10%

Destruction of benign lesions, up to fourteen

$647K

5,451 claims · 7.4%

Your Cost: $118.69/claim|Median: $59.25
2.0× median
99203Top 10%

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

$357K

3,140 claims · 4.1%

Your Cost: $113.66/claim|Median: $57.85
2.0× median
11900Normal range

$255K

6,982 claims · 2.9%

Your Cost: $36.49/claim|Median: $31.25
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$187K

3,795 claims · 2.1%

Your Cost: $49.26/claim|Median: $25.06
2.0× median
10060Normal range

Incision and drainage of abscess, simple

$169K

1,312 claims · 1.9%

Your Cost: $128.50/claim|Median: $75.72
1.7× median
99204Top 5%

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

$159K

938 claims · 1.8%

Your Cost: $169.39/claim|Median: $84.03
2.0× median
17111Top 5%

$138K

986 claims · 1.6%

Your Cost: $140.27/claim|Median: $80.28
1.7× median
J3303Normal range

$66K

13K claims · 0.7%

Your Cost: $5.05/claim|Median: $4.53
1.1× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$40K

501 claims · 0.5%

Your Cost: $79.45/claim|Median: $40.11
2.0× median
11102Top 10%

$23K

229 claims · 0.3%

Your Cost: $101.41/claim|Median: $48.69
2.1× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$18K

9,033 claims · 0.2%

Your Cost: $2.04/claim|Median: $2.91
0.7× median
11100Top 10%

$15K

132 claims · 0.2%

Your Cost: $111.12/claim|Median: $44.58
2.5× median
J7308Top 1%

$14K

38 claims · 0.2%

Your Cost: $379.69/claim|Median: $135.46
2.8× median
96567Normal range

$2K

12 claims · 0.0%

Your Cost: $161.41/claim|Median: $129.78
1.2× median
11300Top 5%

$1K

13 claims · 0.0%

Your Cost: $91.82/claim|Median: $38.09
2.4× median
11103Top 25%

$1K

20 claims · 0.0%

Your Cost: $57.07/claim|Median: $37.08
1.5× median
99072Normal range

$73

29 claims · 0.0%

Your Cost: $2.52/claim|Median: $0.54
4.7× median
← All providersHow we detect fraud →