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

Provider 1326485285

NPI: 1326485285Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$7.9M

$7,941,567

Total Claims

256K

Beneficiaries

103K

2.5 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$234K
+193%
2019
$685K
+154%
2020
$1.7M
+3%
2021
$1.8M
-9%
2022
$1.6M
-25%
2023
$1.2M
-48%
2024
$637K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (99232 (Subsequent hospital care, per day, moderate complexity)) accounts for 30% of total spending.

99232Normal range

Subsequent hospital care, per day, moderate complexity

$2.4M

113K claims · 30.0%

Your Cost: $21.14/claim|Median: $23.99
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$1.6M

40K claims · 20.7%

Your Cost: $40.81/claim|Median: $35.30
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$1.4M

20K claims · 17.6%

Your Cost: $69.41/claim|Median: $67.32
1.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$440K

16K claims · 5.5%

Your Cost: $28.13/claim|Median: $43.85
0.6× median
99220Normal range

$412K

6,488 claims · 5.2%

Your Cost: $63.55/claim|Median: $73.56
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$399K

13K claims · 5.0%

Your Cost: $29.76/claim|Median: $37.22
0.8× median
99222Normal range

Initial hospital care, per day, moderate complexity

$354K

9,262 claims · 4.5%

Your Cost: $38.22/claim|Median: $51.25
0.7× median
99291Normal range

Critical care, first 30-74 minutes

$323K

3,817 claims · 4.1%

Your Cost: $84.56/claim|Median: $101.24
0.8× median
99231Normal range

Subsequent hospital care, per day, low complexity

$234K

20K claims · 2.9%

Your Cost: $11.46/claim|Median: $16.77
0.7× median
99217Normal range

$108K

4,465 claims · 1.4%

Your Cost: $24.25/claim|Median: $31.89
0.8× median
99225Normal range

$105K

5,252 claims · 1.3%

Your Cost: $19.93/claim|Median: $20.96
1.0× median
99219Normal range

$71K

2,106 claims · 0.9%

Your Cost: $33.71/claim|Median: $63.35
0.5× median
99226Normal range

$70K

1,880 claims · 0.9%

Your Cost: $37.22/claim|Median: $34.09
1.1× median
99221Normal range

Initial hospital care, straightforward/low

$1K

98 claims · 0.0%

Your Cost: $14.78/claim|Median: $39.96
0.4× median
99224Normal range

$881

351 claims · 0.0%

Your Cost: $2.51/claim|Median: $17.79
0.1× median