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

Provider 1457640245

NPI: 1457640245Share
Active Billing Period:2018-012024-11(83 months)

Total Paid

$10.8M

$10,824,106

Total Claims

275K

Beneficiaries

192K

1.4 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$406K
+17%
2019
$474K
+30%
2020
$617K
+219%
2021
$2.0M
+74%
2022
$3.4M
-37%
2023
$2.2M
-17%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 38% of total spending.

99214Normal range

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

$4.1M

89K claims · 37.8%

Your Cost: $45.79/claim|Median: $53.41
0.9× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$1.9M

14K claims · 17.6%

Your Cost: $136.54/claim|Median: $97.61
1.4× median
87635Top 10%

COVID-19 SARS-CoV-2 amplified probe detection

$1.1M

19K claims · 10.3%

Your Cost: $58.06/claim|Median: $39.70
1.5× median
99204Normal range

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

$1.0M

12K claims · 9.4%

Your Cost: $84.64/claim|Median: $84.03
1.0× median
99401Normal range

$802K

35K claims · 7.4%

Your Cost: $22.64/claim|Median: $16.53
1.4× median
G2012Top 25%

Brief communication technology-based service

$769K

55K claims · 7.1%

Your Cost: $13.99/claim|Median: $8.79
1.6× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$380K

12K claims · 3.5%

Your Cost: $32.47/claim|Median: $9.56
3.4× median
99213Normal range

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

$219K

9,391 claims · 2.0%

Your Cost: $23.29/claim|Median: $37.81
0.6× median
Q3014Top 25%

Telehealth originating site facility fee

$179K

7,964 claims · 1.7%

Your Cost: $22.53/claim|Median: $15.37
1.5× median
J1100Top 5%

$89K

4,772 claims · 0.8%

Your Cost: $18.60/claim|Median: $0.52
35.8× median
97597Top 25%

$79K

1,666 claims · 0.7%

Your Cost: $47.27/claim|Median: $21.22
2.2× median
J2920Top 5%

$61K

3,508 claims · 0.6%

Your Cost: $17.41/claim|Median: $2.93
5.9× median
J1885Top 5%

Injection, ketorolac tromethamine, fifteen milligrams

$42K

3,970 claims · 0.4%

Your Cost: $10.66/claim|Median: $0.91
11.7× median
J0690Top 25%

$18K

3,473 claims · 0.2%

Your Cost: $5.24/claim|Median: $0.94
5.6× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$13K

1,105 claims · 0.1%

Your Cost: $11.77/claim|Median: $10.88
1.1× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$11K

603 claims · 0.1%

Your Cost: $18.82/claim|Median: $0.58
32.4× median
99203Normal range

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

$11K

168 claims · 0.1%

Your Cost: $67.08/claim|Median: $57.85
1.2× median
99243Normal range

Office or other outpatient consultation, low complexity

$8K

111 claims · 0.1%

Your Cost: $75.54/claim|Median: $82.43
0.9× median
J2930Top 25%

$7K

633 claims · 0.1%

Your Cost: $11.75/claim|Median: $3.03
3.9× median
69210Top 10%

$7K

166 claims · 0.1%

Your Cost: $42.82/claim|Median: $21.74
2.0× median
J3301Top 5%

Injection, triamcinolone acetonide, per ten milligrams

$3K

154 claims · 0.0%

Your Cost: $21.49/claim|Median: $2.91
7.4× median
81003Top 25%

Urinalysis, automated without microscopy

$1K

566 claims · 0.0%

Your Cost: $2.43/claim|Median: $1.48
1.6× median
J0696Top 25%

$1K

115 claims · 0.0%

Your Cost: $11.66/claim|Median: $1.34
8.7× median
J2919Normal range

$41

15 claims · 0.0%

Your Cost: $2.76/claim|Median: $1.77
1.6× median
J3420Normal range

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$10

28 claims · 0.0%

Your Cost: $0.34/claim|Median: $1.04
0.3× median