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

⚖️ Compare🖨️ Print Report

Provider 1326373697

NPI: 1326373697Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.9M

$16,940,614

Total Claims

295K

Beneficiaries

270K

1.1 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+22%
2019
$2.2M
+10%
2020
$2.4M
+25%
2021
$3.0M
-3%
2022
$3.0M
-13%
2023
$2.6M
-25%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 23% of total spending.

99213Normal range

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

$3.9M

97K claims · 23.3%

Your Cost: $40.51/claim|Median: $37.81
1.1× median
99214Normal range

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

$3.1M

55K claims · 18.4%

Your Cost: $56.54/claim|Median: $53.41
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.7M

31K claims · 10.3%

Your Cost: $57.12/claim|Median: $69.35
0.8× median
59409Top 5%

Vaginal delivery only

$1.6M

1,465 claims · 9.7%

Your Cost: $1,118.94/claim|Median: $619.91
1.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.4M

21K claims · 8.1%

Your Cost: $65.72/claim|Median: $75.18
0.9× median
H1001Top 5%

$1.2M

7,048 claims · 7.2%

Your Cost: $171.97/claim|Median: $60.48
2.8× median
T1001Top 10%

Nursing assessment/evaluation, per visit

$944K

5,380 claims · 5.6%

Your Cost: $175.41/claim|Median: $49.05
3.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$594K

8,984 claims · 3.5%

Your Cost: $66.08/claim|Median: $74.82
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$342K

4,535 claims · 2.0%

Your Cost: $75.38/claim|Median: $62.48
1.2× median
99283Normal range

Emergency dept visit, moderate complexity

$303K

6,337 claims · 1.8%

Your Cost: $47.79/claim|Median: $42.48
1.1× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$299K

4,919 claims · 1.8%

Your Cost: $60.78/claim|Median: $37.22
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$204K

3,915 claims · 1.2%

Your Cost: $52.08/claim|Median: $74.09
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$201K

2,632 claims · 1.2%

Your Cost: $76.37/claim|Median: $80.15
1.0× median
59025Normal range

Fetal non-stress test

$176K

8,780 claims · 1.0%

Your Cost: $20.09/claim|Median: $26.45
0.8× median
99188Normal range

$113K

7,279 claims · 0.7%

Your Cost: $15.54/claim|Median: $12.80
1.2× median
99282Normal range

Emergency dept visit, low complexity

$105K

3,752 claims · 0.6%

Your Cost: $27.93/claim|Median: $37.72
0.7× median
59430Normal range

$88K

879 claims · 0.5%

Your Cost: $99.95/claim|Median: $80.32
1.2× median
99502Top 25%

$84K

549 claims · 0.5%

Your Cost: $152.87/claim|Median: $59.00
2.6× median
H0002Normal range

Behavioral health screening

$77K

3,110 claims · 0.5%

Your Cost: $24.67/claim|Median: $38.77
0.6× median
99284Top 25%

Emergency dept visit, high complexity

$51K

499 claims · 0.3%

Your Cost: $103.13/claim|Median: $69.51
1.5× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$44K

908 claims · 0.3%

Your Cost: $48.05/claim|Median: $58.16
0.8× median
99291Normal range

Critical care, first 30-74 minutes

$42K

365 claims · 0.2%

Your Cost: $115.86/claim|Median: $101.24
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$32K

809 claims · 0.2%

Your Cost: $40.06/claim|Median: $23.99
1.7× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$29K

265 claims · 0.2%

Your Cost: $110.38/claim|Median: $51.25
2.2× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$29K

3,680 claims · 0.2%

Your Cost: $7.77/claim|Median: $3.67
2.1× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$28K

485 claims · 0.2%

Your Cost: $57.03/claim|Median: $35.30
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$22K

1,029 claims · 0.1%

Your Cost: $21.58/claim|Median: $25.06
0.9× median
99231Normal range

Subsequent hospital care, per day, low complexity

$17K

793 claims · 0.1%

Your Cost: $21.60/claim|Median: $16.77
1.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$14K

105 claims · 0.1%

Your Cost: $134.04/claim|Median: $121.58
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$9K

189 claims · 0.1%

Your Cost: $46.67/claim|Median: $74.78
0.6× median
← All providersHow we detect fraud →