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

⚖️ Compare🖨️ Print Report

Provider 1376528729

NPI: 1376528729Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.0M

$9,956,643

Total Claims

447K

Beneficiaries

266K

1.7 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$234K
+310%
2019
$959K
+130%
2020
$2.2M
+9%
2021
$2.4M
-10%
2022
$2.2M
-39%
2023
$1.3M
-51%
2024
$650K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59409 (Vaginal delivery only)) accounts for 29% of total spending.

59409Normal range

Vaginal delivery only

$2.8M

7,349 claims · 28.5%

Your Cost: $386.51/claim|Median: $619.91
0.6× median
99213Normal range

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

$1.6M

52K claims · 15.8%

Your Cost: $29.98/claim|Median: $37.81
0.8× median
59514Normal range

Cesarean delivery only

$1.5M

3,791 claims · 14.7%

Your Cost: $386.49/claim|Median: $452.80
0.9× median
99214Normal range

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

$834K

19K claims · 8.4%

Your Cost: $42.99/claim|Median: $53.41
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$640K

27K claims · 6.4%

Your Cost: $24.12/claim|Median: $42.48
0.6× median
59430Normal range

$370K

4,146 claims · 3.7%

Your Cost: $89.35/claim|Median: $80.32
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$226K

11K claims · 2.3%

Your Cost: $19.79/claim|Median: $25.06
0.8× median
S0612Normal range

$212K

6,077 claims · 2.1%

Your Cost: $34.93/claim|Median: $37.12
0.9× median
54150Normal range

$197K

3,905 claims · 2.0%

Your Cost: $50.45/claim|Median: $84.60
0.6× median
99204Normal range

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

$183K

2,821 claims · 1.8%

Your Cost: $64.79/claim|Median: $84.03
0.8× median
99284Normal range

Emergency dept visit, high complexity

$154K

3,697 claims · 1.5%

Your Cost: $41.54/claim|Median: $69.51
0.6× median
99203Normal range

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

$134K

2,706 claims · 1.3%

Your Cost: $49.63/claim|Median: $57.85
0.9× median
J7297Normal range

$74K

358 claims · 0.7%

Your Cost: $207.84/claim|Median: $569.39
0.4× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$74K

9,212 claims · 0.7%

Your Cost: $8.04/claim|Median: $9.56
0.8× median
58300Normal range

$74K

2,491 claims · 0.7%

Your Cost: $29.62/claim|Median: $74.77
0.4× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$73K

4,514 claims · 0.7%

Your Cost: $16.24/claim|Median: $21.28
0.8× median
59025Normal range

Fetal non-stress test

$66K

5,846 claims · 0.7%

Your Cost: $11.31/claim|Median: $26.45
0.4× median
90715Normal range

Tdap vaccine

$61K

5,018 claims · 0.6%

Your Cost: $12.08/claim|Median: $10.32
1.2× median
99282Normal range

Emergency dept visit, low complexity

$58K

3,771 claims · 0.6%

Your Cost: $15.33/claim|Median: $37.72
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$57K

1,282 claims · 0.6%

Your Cost: $44.21/claim|Median: $74.09
0.6× median
S0610Normal range

$56K

1,698 claims · 0.6%

Your Cost: $33.05/claim|Median: $33.05
1.0× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$53K

175 claims · 0.5%

Your Cost: $300.55/claim|Median: $786.43
0.4× median
T1001Normal range

Nursing assessment/evaluation, per visit

$52K

2,005 claims · 0.5%

Your Cost: $26.03/claim|Median: $49.05
0.5× median
11981Normal range

$51K

1,188 claims · 0.5%

Your Cost: $43.30/claim|Median: $117.16
0.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$49K

3,229 claims · 0.5%

Your Cost: $15.02/claim|Median: $16.77
0.9× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$42K

7,757 claims · 0.4%

Your Cost: $5.37/claim|Median: $9.80
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$38K

1,469 claims · 0.4%

Your Cost: $25.82/claim|Median: $37.22
0.7× median
99429Top 25%

$36K

1,088 claims · 0.4%

Your Cost: $33.21/claim|Median: $28.58
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$28K

1,568 claims · 0.3%

Your Cost: $17.95/claim|Median: $23.99
0.7× median
81025Normal range

Urine pregnancy test

$21K

6,207 claims · 0.2%

Your Cost: $3.38/claim|Median: $4.81
0.7× median
← All providersHow we detect fraud →