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

⚖️ Compare🖨️ Print Report

Provider 1225292865

NPI: 1225292865Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,165,596

Total Claims

722K

Beneficiaries

601K

1.2 claims/patient

Avg Cost/Claim

$13

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+14%
2019
$1.9M
-7%
2020
$1.7M
-44%
2021
$977K
+23%
2022
$1.2M
-19%
2023
$974K
-26%
2024
$723K

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 41% of total spending.

99214Normal range

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

$3.8M

76K claims · 41.4%

Your Cost: $49.97/claim|Median: $53.41
0.9× median
99213Normal range

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

$3.1M

97K claims · 34.1%

Your Cost: $32.36/claim|Median: $37.81
0.9× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$356K

25K claims · 3.9%

Your Cost: $13.99/claim|Median: $23.99
0.6× median
80305Normal range

$254K

29K claims · 2.8%

Your Cost: $8.79/claim|Median: $7.44
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$146K

2,347 claims · 1.6%

Your Cost: $62.04/claim|Median: $108.91
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$145K

3,448 claims · 1.6%

Your Cost: $42.19/claim|Median: $67.32
0.6× median
93010Normal range

Electrocardiogram, interpretation and report only

$130K

24K claims · 1.4%

Your Cost: $5.43/claim|Median: $5.60
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$117K

5,748 claims · 1.3%

Your Cost: $20.39/claim|Median: $35.30
0.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$101K

3,762 claims · 1.1%

Your Cost: $26.84/claim|Median: $43.85
0.6× median
99204Normal range

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

$99K

1,499 claims · 1.1%

Your Cost: $66.09/claim|Median: $84.03
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$88K

3,128 claims · 1.0%

Your Cost: $28.01/claim|Median: $54.68
0.5× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$60K

3,097 claims · 0.7%

Your Cost: $19.33/claim|Median: $38.83
0.5× median
99203Normal range

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

$53K

1,372 claims · 0.6%

Your Cost: $38.38/claim|Median: $57.85
0.7× median
G0108Top 25%

Diabetes self-management training, individual

$52K

954 claims · 0.6%

Your Cost: $54.89/claim|Median: $35.89
1.5× median
99309Normal range

Nursing facility care, subsequent, low complexity

$43K

5,032 claims · 0.5%

Your Cost: $8.47/claim|Median: $14.00
0.6× median
90960Normal range

End-stage renal disease services, per month, age 20+

$34K

1,347 claims · 0.4%

Your Cost: $25.34/claim|Median: $52.76
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$29K

1,252 claims · 0.3%

Your Cost: $23.08/claim|Median: $40.11
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$28K

1,252 claims · 0.3%

Your Cost: $22.71/claim|Median: $25.06
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$28K

833 claims · 0.3%

Your Cost: $33.70/claim|Median: $51.25
0.7× median
64635Normal range

$27K

625 claims · 0.3%

Your Cost: $42.88/claim|Median: $207.78
0.2× median
95886Normal range

$26K

681 claims · 0.3%

Your Cost: $38.58/claim|Median: $67.70
0.6× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$23K

31 claims · 0.3%

Your Cost: $749.33/claim|Median: $470.36
1.6× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$22K

641 claims · 0.2%

Your Cost: $33.96/claim|Median: $106.14
0.3× median
99291Normal range

Critical care, first 30-74 minutes

$22K

856 claims · 0.2%

Your Cost: $25.21/claim|Median: $101.24
0.2× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$21K

2,024 claims · 0.2%

Your Cost: $10.26/claim|Median: $9.70
1.1× median
J0574Top 25%

$17K

656 claims · 0.2%

Your Cost: $26.15/claim|Median: $15.76
1.7× median
99308Normal range

Nursing facility care, subsequent, straightforward

$17K

2,475 claims · 0.2%

Your Cost: $6.83/claim|Median: $9.79
0.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$17K

302 claims · 0.2%

Your Cost: $55.45/claim|Median: $233.73
0.2× median
99231Normal range

Subsequent hospital care, per day, low complexity

$16K

1,506 claims · 0.2%

Your Cost: $10.74/claim|Median: $16.77
0.6× median
93295Top 25%

$14K

421 claims · 0.1%

Your Cost: $32.53/claim|Median: $21.14
1.5× median
← All providersHow we detect fraud →