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

⚖️ Compare🖨️ Print Report

Provider 1427027416

NPI: 1427027416Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,896,823

Total Claims

222K

Beneficiaries

203K

1.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-14%
2019
$963K
+11%
2020
$1.1M
+35%
2021
$1.4M
-11%
2022
$1.3M
+6%
2023
$1.4M
+21%
2024
$1.6M

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 25% of total spending.

99214Normal range

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

$2.2M

37K claims · 24.6%

Your Cost: $58.52/claim|Median: $53.41
1.1× median
99204Normal range

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

$1.3M

13K claims · 14.4%

Your Cost: $96.34/claim|Median: $84.03
1.1× median
76770Normal range

Ultrasound, retroperitoneal, complete

$668K

14K claims · 7.5%

Your Cost: $49.45/claim|Median: $37.35
1.3× median
99213Normal range

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

$575K

14K claims · 6.5%

Your Cost: $42.20/claim|Median: $37.81
1.1× median
52000Normal range

$535K

4,956 claims · 6.0%

Your Cost: $107.92/claim|Median: $89.88
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$491K

6,668 claims · 5.5%

Your Cost: $73.57/claim|Median: $51.25
1.4× median
51728Normal range

$392K

3,194 claims · 4.4%

Your Cost: $122.73/claim|Median: $118.19
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$378K

9,364 claims · 4.3%

Your Cost: $40.40/claim|Median: $23.99
1.7× median
J9217Normal range

$358K

1,139 claims · 4.0%

Your Cost: $313.93/claim|Median: $211.50
1.5× median
99203Normal range

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

$227K

3,583 claims · 2.5%

Your Cost: $63.29/claim|Median: $57.85
1.1× median
52310Normal range

$210K

1,352 claims · 2.4%

Your Cost: $155.48/claim|Median: $165.52
0.9× median
52356Normal range

$163K

715 claims · 1.8%

Your Cost: $228.62/claim|Median: $1,212.29
0.2× median
99215Normal range

Office/outpatient visit, high complexity

$161K

2,043 claims · 1.8%

Your Cost: $79.00/claim|Median: $74.09
1.1× median
52332Normal range

$155K

2,192 claims · 1.7%

Your Cost: $70.66/claim|Median: $181.35
0.4× median
J0897Top 25%

Injection, denosumab, one milligram

$105K

111 claims · 1.2%

Your Cost: $947.80/claim|Median: $493.25
1.9× median
76775Normal range

$97K

3,054 claims · 1.1%

Your Cost: $31.92/claim|Median: $28.03
1.1× median
51798Normal range

$94K

15K claims · 1.1%

Your Cost: $6.33/claim|Median: $6.59
1.0× median
81003Normal range

Urinalysis, automated without microscopy

$85K

57K claims · 1.0%

Your Cost: $1.51/claim|Median: $1.48
1.0× median
76872Normal range

$66K

890 claims · 0.7%

Your Cost: $74.68/claim|Median: $53.54
1.4× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$63K

440 claims · 0.7%

Your Cost: $142.93/claim|Median: $79.28
1.8× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$61K

1,608 claims · 0.7%

Your Cost: $37.83/claim|Median: $22.44
1.7× median
50590Normal range

$58K

140 claims · 0.6%

Your Cost: $412.43/claim|Median: $655.10
0.6× median
76870Normal range

$45K

1,400 claims · 0.5%

Your Cost: $32.17/claim|Median: $34.90
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$39K

1,530 claims · 0.4%

Your Cost: $25.37/claim|Median: $25.06
1.0× median
74420Normal range

$37K

3,151 claims · 0.4%

Your Cost: $11.70/claim|Median: $13.56
0.9× median
54161Normal range

$35K

395 claims · 0.4%

Your Cost: $88.74/claim|Median: $252.63
0.4× median
U0003Normal range

Infectious disease detection (COVID-19)

$31K

478 claims · 0.3%

Your Cost: $64.69/claim|Median: $63.08
1.0× median
36415Top 25%

Collection of venous blood by venipuncture

$30K

8,921 claims · 0.3%

Your Cost: $3.38/claim|Median: $1.57
2.2× median
84153Normal range

Prostate specific antigen (PSA) blood test

$28K

1,720 claims · 0.3%

Your Cost: $16.20/claim|Median: $12.67
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$27K

4,320 claims · 0.3%

Your Cost: $6.29/claim|Median: $9.56
0.7× median
← All providersHow we detect fraud →