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

Provider 1336552140

NPI: 1336552140Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$14.1M

$14,106,338

Total Claims

164K

Beneficiaries

146K

1.1 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$2.3M
-6%
2019
$2.2M
-14%
2020
$1.9M
+21%
2021
$2.3M
-22%
2022
$1.8M
-1%
2023
$1.8M
+11%
2024
$2.0M

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 43% of total spending.

99214Normal range

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

$6.1M

115K claims · 43.5%

Your Cost: $53.10/claim|Median: $53.41
1.0× median
L0650Top 25%

$4.1M

5,819 claims · 29.3%

Your Cost: $711.06/claim|Median: $339.16
2.1× median
64483Normal range

$707K

6,978 claims · 5.0%

Your Cost: $101.35/claim|Median: $124.24
0.8× median
L0180Top 5%

$702K

2,340 claims · 5.0%

Your Cost: $299.84/claim|Median: $139.63
2.1× median
99204Normal range

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

$674K

7,731 claims · 4.8%

Your Cost: $87.19/claim|Median: $84.03
1.0× median
L0637Top 5%

$447K

440 claims · 3.2%

Your Cost: $1,014.95/claim|Median: $387.20
2.6× median
L1843Top 25%

$164K

374 claims · 1.2%

Your Cost: $439.43/claim|Median: $203.99
2.2× median
L2397Top 1%

$101K

893 claims · 0.7%

Your Cost: $113.15/claim|Median: $9.37
12.1× median
L2395Top 1%

$87K

871 claims · 0.6%

Your Cost: $99.89/claim|Median: $58.92
1.7× median
62321Normal range

$86K

1,120 claims · 0.6%

Your Cost: $76.49/claim|Median: $132.67
0.6× median
98942Top 5%

$81K

1,591 claims · 0.6%

Your Cost: $51.17/claim|Median: $28.40
1.8× median
L2385Normal range

$81K

873 claims · 0.6%

Your Cost: $92.62/claim|Median: $108.37
0.9× median
L1686Top 25%

$79K

129 claims · 0.6%

Your Cost: $615.35/claim|Median: $189.37
3.2× median
L1851Top 10%

$79K

152 claims · 0.6%

Your Cost: $517.82/claim|Median: $40.53
12.8× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$69K

1,062 claims · 0.5%

Your Cost: $64.82/claim|Median: $42.51
1.5× median
64493Normal range

$68K

761 claims · 0.5%

Your Cost: $89.62/claim|Median: $103.44
0.9× median
64635Normal range

$62K

330 claims · 0.4%

Your Cost: $188.04/claim|Median: $207.78
0.9× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$50K

3,392 claims · 0.4%

Your Cost: $14.85/claim|Median: $20.83
0.7× median
99213Normal range

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

$49K

1,307 claims · 0.3%

Your Cost: $37.50/claim|Median: $37.81
1.0× median
64494Normal range

$37K

716 claims · 0.3%

Your Cost: $51.65/claim|Median: $34.70
1.5× median
98943Top 1%

$30K

1,084 claims · 0.2%

Your Cost: $27.85/claim|Median: $14.25
2.0× median
64636Normal range

$22K

431 claims · 0.2%

Your Cost: $51.24/claim|Median: $63.60
0.8× median
64484Normal range

$17K

469 claims · 0.1%

Your Cost: $37.03/claim|Median: $47.83
0.8× median
99484Normal range

$16K

815 claims · 0.1%

Your Cost: $19.69/claim|Median: $7.13
2.8× median
97110Normal range

Therapeutic exercises, each 15 min

$16K

1,533 claims · 0.1%

Your Cost: $10.14/claim|Median: $24.49
0.4× median
97012Normal range

Mechanical traction therapy

$13K

1,543 claims · 0.1%

Your Cost: $8.52/claim|Median: $8.34
1.0× median
64490Normal range

$12K

143 claims · 0.1%

Your Cost: $84.71/claim|Median: $111.43
0.8× median
64633Normal range

$10K

57 claims · 0.1%

Your Cost: $168.09/claim|Median: $223.58
0.8× median
L0457Top 10%

$8K

13 claims · 0.1%

Your Cost: $651.96/claim|Median: $280.65
2.3× median
95913Normal range

$7K

42 claims · 0.1%

Your Cost: $177.75/claim|Median: $166.25
1.1× median