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

⚖️ Compare🖨️ Print Report

Provider 1285660704

NPI: 1285660704Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$17.5M

$17,514,670

Total Claims

115K

Beneficiaries

105K

1.1 claims/patient

Avg Cost/Claim

$153

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+9%
2019
$2.7M
-17%
2020
$2.3M
+0%
2021
$2.3M
+32%
2022
$3.0M
-6%
2023
$2.8M
-31%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (01967 (Anesthesia, neuraxial labor analgesia/delivery)) accounts for 64% of total spending.

01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$11.2M

26K claims · 64.2%

Your Cost: $428.14/claim|Median: $283.78
1.5× median
99214Normal range

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

$2.2M

45K claims · 12.5%

Your Cost: $48.95/claim|Median: $53.41
0.9× median
01922Top 25%

$1.6M

5,065 claims · 9.2%

Your Cost: $317.32/claim|Median: $166.77
1.9× median
01961Top 10%

$587K

1,811 claims · 3.4%

Your Cost: $324.13/claim|Median: $156.02
2.1× median
00170Top 25%

Anesthesia for intraoral procedures

$443K

1,965 claims · 2.5%

Your Cost: $225.29/claim|Median: $132.89
1.7× median
00731Top 25%

$401K

3,144 claims · 2.3%

Your Cost: $127.39/claim|Median: $64.75
2.0× median
00104Normal range

$293K

3,342 claims · 1.7%

Your Cost: $87.73/claim|Median: $51.82
1.7× median
99213Normal range

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

$172K

4,996 claims · 1.0%

Your Cost: $34.35/claim|Median: $37.81
0.9× median
99204Normal range

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

$112K

1,307 claims · 0.6%

Your Cost: $85.62/claim|Median: $84.03
1.0× median
01936Normal range

$106K

1,740 claims · 0.6%

Your Cost: $61.19/claim|Median: $55.01
1.1× median
00920Top 25%

$63K

333 claims · 0.4%

Your Cost: $188.76/claim|Median: $88.17
2.1× median
00635Top 25%

$58K

338 claims · 0.3%

Your Cost: $171.32/claim|Median: $109.11
1.6× median
00126Top 10%

$36K

243 claims · 0.2%

Your Cost: $149.71/claim|Median: $58.80
2.5× median
00140Top 10%

$26K

108 claims · 0.1%

Your Cost: $242.95/claim|Median: $69.43
3.5× median
64488Normal range

$23K

466 claims · 0.1%

Your Cost: $48.61/claim|Median: $50.96
1.0× median
76942Normal range

$21K

1,045 claims · 0.1%

Your Cost: $20.17/claim|Median: $24.73
0.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$19K

411 claims · 0.1%

Your Cost: $47.08/claim|Median: $23.99
2.0× median
00142Top 25%

$18K

210 claims · 0.1%

Your Cost: $87.52/claim|Median: $43.11
2.0× median
00790Normal range

$17K

93 claims · 0.1%

Your Cost: $182.19/claim|Median: $115.06
1.6× median
64483Normal range

$12K

88 claims · 0.1%

Your Cost: $133.26/claim|Median: $124.24
1.1× median
62322Normal range

$8K

117 claims · 0.0%

Your Cost: $67.74/claim|Median: $72.87
0.9× median
64415Normal range

$8K

216 claims · 0.0%

Your Cost: $34.96/claim|Median: $41.73
0.8× median
99441Normal range

Telephone E/M by physician, 5-10 min

$7K

592 claims · 0.0%

Your Cost: $11.76/claim|Median: $13.30
0.9× median
99203Normal range

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

$6K

110 claims · 0.0%

Your Cost: $56.35/claim|Median: $57.85
1.0× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$6K

44 claims · 0.0%

Your Cost: $134.63/claim|Median: $111.02
1.2× median
64447Normal range

$5K

167 claims · 0.0%

Your Cost: $31.99/claim|Median: $30.68
1.0× median
99231Normal range

Subsequent hospital care, per day, low complexity

$4K

215 claims · 0.0%

Your Cost: $20.35/claim|Median: $16.77
1.2× median
01920Normal range

$4K

14 claims · 0.0%

Your Cost: $263.35/claim|Median: $172.45
1.5× median
99253Normal range

$3K

49 claims · 0.0%

Your Cost: $71.27/claim|Median: $55.16
1.3× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$3K

169 claims · 0.0%

Your Cost: $18.83/claim|Median: $22.44
0.8× median
← All providersHow we detect fraud →