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

⚖️ Compare🖨️ Print Report

Provider 1275581894

NPI: 1275581894Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,851,676

Total Claims

641K

Beneficiaries

590K

1.1 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$966K
+15%
2019
$1.1M
-13%
2020
$959K
+55%
2021
$1.5M
-10%
2022
$1.3M
+34%
2023
$1.8M
+24%
2024
$2.2M

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 21% of total spending.

99214Normal range

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

$2.1M

102K claims · 21.0%

Your Cost: $20.16/claim|Median: $53.41
0.4× median
99213Normal range

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

$1.1M

80K claims · 11.0%

Your Cost: $13.49/claim|Median: $37.81
0.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$1.1M

17K claims · 10.8%

Your Cost: $64.37/claim|Median: $54.68
1.2× median
96110Top 5%

Developmental screening, per standardized instrument

$447K

4,930 claims · 4.5%

Your Cost: $90.75/claim|Median: $9.10
10.0× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$316K

2,355 claims · 3.2%

Your Cost: $134.27/claim|Median: $106.14
1.3× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$310K

1,540 claims · 3.1%

Your Cost: $201.01/claim|Median: $233.73
0.9× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$253K

1,236 claims · 2.6%

Your Cost: $205.03/claim|Median: $255.03
0.8× median
93015Top 10%

$200K

2,351 claims · 2.0%

Your Cost: $84.88/claim|Median: $41.12
2.1× median
45378Normal range

Colonoscopy, diagnostic

$194K

1,226 claims · 2.0%

Your Cost: $157.97/claim|Median: $225.49
0.7× median
43239Normal range

Upper GI endoscopy with biopsy

$183K

2,380 claims · 1.9%

Your Cost: $77.00/claim|Median: $151.68
0.5× median
99457Normal range

$162K

15K claims · 1.6%

Your Cost: $11.14/claim|Median: $6.05
1.8× median
99490Normal range

Chronic care management services, 20 minutes per month

$161K

61K claims · 1.6%

Your Cost: $2.66/claim|Median: $6.31
0.4× median
99204Normal range

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

$157K

3,009 claims · 1.6%

Your Cost: $52.27/claim|Median: $84.03
0.6× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$143K

1,018 claims · 1.5%

Your Cost: $140.36/claim|Median: $255.17
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$129K

3,747 claims · 1.3%

Your Cost: $34.56/claim|Median: $69.35
0.5× median
93224Top 25%

ECG monitoring, continuous, up to forty-eight hours, with analysis

$123K

1,312 claims · 1.3%

Your Cost: $94.07/claim|Median: $67.14
1.4× median
A9500Normal range

Technetium-99m radiopharmaceutical diagnostic imaging agent

$121K

2,551 claims · 1.2%

Your Cost: $47.59/claim|Median: $64.30
0.7× median
J2785Normal range

$119K

1,379 claims · 1.2%

Your Cost: $85.98/claim|Median: $61.83
1.4× median
99497Normal range

$113K

6,319 claims · 1.1%

Your Cost: $17.90/claim|Median: $10.99
1.6× median
10005Normal range

$111K

3,529 claims · 1.1%

Your Cost: $31.59/claim|Median: $97.92
0.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$105K

2,461 claims · 1.1%

Your Cost: $42.71/claim|Median: $39.70
1.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$104K

3,667 claims · 1.1%

Your Cost: $28.30/claim|Median: $24.33
1.2× median
99454Normal range

$104K

9,320 claims · 1.1%

Your Cost: $11.13/claim|Median: $9.15
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$96K

18K claims · 1.0%

Your Cost: $5.33/claim|Median: $9.56
0.6× median
93000Top 5%

Electrocardiogram, complete, with interpretation and report

$93K

3,793 claims · 0.9%

Your Cost: $24.62/claim|Median: $9.70
2.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$92K

1,516 claims · 0.9%

Your Cost: $60.95/claim|Median: $121.58
0.5× median
99381Top 25%

Preventive visit, new patient, infant (<1 yr)

$89K

883 claims · 0.9%

Your Cost: $100.57/claim|Median: $73.46
1.4× median
G0500Normal range

$85K

4,618 claims · 0.9%

Your Cost: $18.30/claim|Median: $5.04
3.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$75K

6,702 claims · 0.8%

Your Cost: $11.23/claim|Median: $7.18
1.6× median
90960Normal range

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

$74K

3,527 claims · 0.8%

Your Cost: $20.99/claim|Median: $52.76
0.4× median
← All providersHow we detect fraud →