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

⚖️ Compare🖨️ Print Report

Provider 1427165596

NPI: 1427165596Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.3M

$11,319,937

Total Claims

198K

Beneficiaries

184K

1.1 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-49%
2019
$1.3M
+93%
2020
$2.5M
-49%
2021
$1.3M
+3%
2022
$1.3M
-1%
2023
$1.3M
-17%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 17% of total spending.

99213Normal range

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

$1.9M

36K claims · 16.7%

Your Cost: $52.30/claim|Median: $37.81
1.4× median
99214Normal range

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

$1.3M

18K claims · 11.3%

Your Cost: $69.76/claim|Median: $53.41
1.3× median
95816Top 25%

$1.1M

6,484 claims · 9.4%

Your Cost: $163.69/claim|Median: $56.87
2.9× median
95886Top 25%

$919K

6,684 claims · 8.1%

Your Cost: $137.53/claim|Median: $67.70
2.0× median
95911Normal range

$759K

5,396 claims · 6.7%

Your Cost: $140.65/claim|Median: $122.86
1.1× median
95819Top 25%

Electroencephalogram with sleep recording

$498K

2,359 claims · 4.4%

Your Cost: $211.31/claim|Median: $62.75
3.4× median
76881Top 10%

$432K

4,111 claims · 3.8%

Your Cost: $104.99/claim|Median: $45.18
2.3× median
95810Top 25%

Polysomnography, sleep study, 6+ hours

$418K

764 claims · 3.7%

Your Cost: $547.55/claim|Median: $233.73
2.3× median
93880Normal range

Duplex ultrasound scan of carotid arteries, bilateral

$367K

3,821 claims · 3.2%

Your Cost: $96.04/claim|Median: $49.03
2.0× median
82306Top 25%

Vitamin D, 25 hydroxy

$334K

11K claims · 3.0%

Your Cost: $30.33/claim|Median: $18.18
1.7× median
99204Normal range

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

$331K

2,962 claims · 2.9%

Your Cost: $111.83/claim|Median: $84.03
1.3× median
95811Top 25%

Sleep study with CPAP titration, polysomnography

$331K

624 claims · 2.9%

Your Cost: $529.88/claim|Median: $255.03
2.1× median
76942Top 10%

$253K

3,452 claims · 2.2%

Your Cost: $73.38/claim|Median: $24.73
3.0× median
80050Top 25%

General health panel

$209K

4,018 claims · 1.8%

Your Cost: $52.03/claim|Median: $25.59
2.0× median
82607Top 10%

Cyanocobalamin (vitamin B-12)

$197K

10K claims · 1.7%

Your Cost: $18.82/claim|Median: $8.72
2.2× median
82746Top 10%

$194K

10K claims · 1.7%

Your Cost: $18.66/claim|Median: $6.83
2.7× median
99203Top 25%

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

$183K

2,263 claims · 1.6%

Your Cost: $80.99/claim|Median: $57.85
1.4× median
95912Normal range

$182K

1,063 claims · 1.6%

Your Cost: $170.80/claim|Median: $141.23
1.2× median
36415Top 5%

Collection of venous blood by venipuncture

$149K

13K claims · 1.3%

Your Cost: $11.11/claim|Median: $1.57
7.1× median
83540Top 25%

Iron blood level test

$119K

10K claims · 1.1%

Your Cost: $11.84/claim|Median: $2.93
4.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$97K

610 claims · 0.9%

Your Cost: $159.43/claim|Median: $54.68
2.9× median
80053Top 25%

Comprehensive metabolic panel

$77K

5,875 claims · 0.7%

Your Cost: $13.02/claim|Median: $7.24
1.8× median
84439Normal range

Free thyroxine level blood test

$71K

8,352 claims · 0.6%

Your Cost: $8.53/claim|Median: $6.31
1.4× median
20551Top 25%

$68K

1,386 claims · 0.6%

Your Cost: $48.92/claim|Median: $22.83
2.1× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$65K

663 claims · 0.6%

Your Cost: $97.62/claim|Median: $35.30
2.8× median
99223Top 25%

Initial hospital care, per day, high complexity

$62K

591 claims · 0.6%

Your Cost: $105.47/claim|Median: $67.32
1.6× median
J1030Top 5%

Injection, methylprednisolone acetate, forty milligrams

$60K

2,156 claims · 0.5%

Your Cost: $28.01/claim|Median: $4.38
6.4× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$55K

3,744 claims · 0.5%

Your Cost: $14.56/claim|Median: $9.56
1.5× median
95812Normal range

$54K

269 claims · 0.5%

Your Cost: $200.71/claim|Median: $104.99
1.9× median
J1040Top 1%

$47K

972 claims · 0.4%

Your Cost: $48.54/claim|Median: $6.87
7.1× median
← All providersHow we detect fraud →