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

Provider 1407898299

NPI: 1407898299Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$16.3M

$16,257,685

Total Claims

289K

Beneficiaries

233K

1.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+24%
2019
$2.1M
-24%
2020
$1.6M
+52%
2021
$2.4M
+5%
2022
$2.5M
+22%
2023
$3.0M
+1%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (97110 (Therapeutic exercises, each 15 min)) accounts for 17% of total spending.

97110Top 25%

Therapeutic exercises, each 15 min

$2.8M

55K claims · 17.3%

Your Cost: $51.03/claim|Median: $24.49
2.1× median
99213Top 25%

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

$2.6M

45K claims · 16.0%

Your Cost: $57.85/claim|Median: $37.81
1.5× median
99203Top 25%

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

$2.4M

26K claims · 14.5%

Your Cost: $90.22/claim|Median: $57.85
1.6× median
99204Top 25%

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

$1.5M

10K claims · 9.1%

Your Cost: $141.77/claim|Median: $84.03
1.7× median
97530Normal range

Therapeutic activities, each 15 min

$1.1M

19K claims · 6.8%

Your Cost: $58.46/claim|Median: $33.11
1.8× median
99214Top 25%

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

$978K

12K claims · 6.0%

Your Cost: $84.15/claim|Median: $53.41
1.6× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$723K

15K claims · 4.4%

Your Cost: $47.83/claim|Median: $29.03
1.6× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$367K

8,368 claims · 2.3%

Your Cost: $43.80/claim|Median: $20.04
2.2× median
73721Normal range

MRI joint of lower extremity without contrast

$293K

1,399 claims · 1.8%

Your Cost: $209.13/claim|Median: $127.34
1.6× median
L4360Top 25%

$256K

1,243 claims · 1.6%

Your Cost: $206.06/claim|Median: $149.34
1.4× median
73564Top 25%

$238K

8,169 claims · 1.5%

Your Cost: $29.08/claim|Median: $15.00
1.9× median
25600Normal range

$232K

899 claims · 1.4%

Your Cost: $257.56/claim|Median: $193.19
1.3× median
97140Top 25%

Manual therapy techniques, per 15 minutes

$231K

6,961 claims · 1.4%

Your Cost: $33.15/claim|Median: $16.79
2.0× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$173K

7,056 claims · 1.1%

Your Cost: $24.52/claim|Median: $12.06
2.0× median
73110Top 25%

X-ray of wrist, complete, minimum three views

$173K

6,360 claims · 1.1%

Your Cost: $27.13/claim|Median: $12.64
2.1× median
73130Top 25%

$146K

5,740 claims · 0.9%

Your Cost: $25.45/claim|Median: $10.69
2.4× median
97161Normal range

Physical therapy evaluation, low complexity

$141K

4,198 claims · 0.9%

Your Cost: $33.66/claim|Median: $47.89
0.7× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$122K

4,648 claims · 0.8%

Your Cost: $26.25/claim|Median: $13.55
1.9× median
97162Normal range

PT evaluation, moderate complexity

$107K

1,738 claims · 0.7%

Your Cost: $61.59/claim|Median: $46.10
1.3× median
72148Normal range

MRI lumbar spine without contrast

$99K

609 claims · 0.6%

Your Cost: $162.42/claim|Median: $101.03
1.6× median
L4361Top 1%

$98K

313 claims · 0.6%

Your Cost: $313.96/claim|Median: $161.24
1.9× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$87K

450 claims · 0.5%

Your Cost: $194.29/claim|Median: $111.02
1.8× median
73030Top 25%

$84K

3,734 claims · 0.5%

Your Cost: $22.62/claim|Median: $10.94
2.1× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$84K

20K claims · 0.5%

Your Cost: $4.23/claim|Median: $2.91
1.5× median
64493Normal range

$84K

467 claims · 0.5%

Your Cost: $179.09/claim|Median: $103.44
1.7× median
L1902Top 5%

$77K

885 claims · 0.5%

Your Cost: $87.45/claim|Median: $46.30
1.9× median
72110Top 25%

$74K

2,050 claims · 0.5%

Your Cost: $36.29/claim|Median: $21.02
1.7× median
20526Top 25%

$64K

748 claims · 0.4%

Your Cost: $85.97/claim|Median: $48.63
1.8× median
99215Top 10%

Office/outpatient visit, high complexity

$64K

397 claims · 0.4%

Your Cost: $160.96/claim|Median: $74.09
2.2× median
20611Top 25%

Aspiration or injection of intermediate joint or bursa

$64K

813 claims · 0.4%

Your Cost: $78.19/claim|Median: $42.51
1.8× median