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

⚖️ Compare🖨️ Print Report

Provider 1508014895

NPI: 1508014895Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,027,534

Total Claims

229K

Beneficiaries

216K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$741K
-16%
2019
$625K
+26%
2020
$787K
+90%
2021
$1.5M
+20%
2022
$1.8M
+9%
2023
$2.0M
-16%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99460 (Initial hospital or birthing center care, newborn, per day)) accounts for 28% of total spending.

99460Normal range

Initial hospital or birthing center care, newborn, per day

$2.6M

35K claims · 28.3%

Your Cost: $73.23/claim|Median: $62.48
1.2× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$1.9M

35K claims · 21.2%

Your Cost: $55.50/claim|Median: $37.22
1.5× median
99462Top 25%

$970K

28K claims · 10.7%

Your Cost: $35.18/claim|Median: $27.49
1.3× median
99464Top 25%

$787K

9,543 claims · 8.7%

Your Cost: $82.51/claim|Median: $59.94
1.4× median
99213Normal range

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

$649K

24K claims · 7.2%

Your Cost: $26.64/claim|Median: $37.81
0.7× median
99214Normal range

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

$639K

20K claims · 7.1%

Your Cost: $32.15/claim|Median: $53.41
0.6× median
99282Normal range

Emergency dept visit, low complexity

$532K

23K claims · 5.9%

Your Cost: $22.97/claim|Median: $37.72
0.6× median
99283Normal range

Emergency dept visit, moderate complexity

$481K

14K claims · 5.3%

Your Cost: $33.79/claim|Median: $42.48
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$184K

3,275 claims · 2.0%

Your Cost: $56.26/claim|Median: $74.09
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$72K

4,124 claims · 0.8%

Your Cost: $17.51/claim|Median: $25.06
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$48K

1,584 claims · 0.5%

Your Cost: $30.14/claim|Median: $40.11
0.8× median
99284Normal range

Emergency dept visit, high complexity

$35K

470 claims · 0.4%

Your Cost: $74.87/claim|Median: $69.51
1.1× median
54150Normal range

$32K

460 claims · 0.4%

Your Cost: $70.53/claim|Median: $84.60
0.8× median
99203Normal range

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

$31K

857 claims · 0.3%

Your Cost: $35.87/claim|Median: $57.85
0.6× median
99441Normal range

Telephone E/M by physician, 5-10 min

$25K

1,721 claims · 0.3%

Your Cost: $14.30/claim|Median: $13.30
1.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$21K

1,018 claims · 0.2%

Your Cost: $21.06/claim|Median: $22.44
0.9× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$20K

615 claims · 0.2%

Your Cost: $31.79/claim|Median: $16.77
1.9× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$11K

152 claims · 0.1%

Your Cost: $74.97/claim|Median: $43.85
1.7× median
99204Normal range

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

$10K

221 claims · 0.1%

Your Cost: $43.52/claim|Median: $84.03
0.5× median
99221Top 25%

Initial hospital care, straightforward/low

$9K

146 claims · 0.1%

Your Cost: $59.62/claim|Median: $39.96
1.5× median
99281Normal range

Emergency dept visit, minimal complexity

$1K

166 claims · 0.0%

Your Cost: $8.98/claim|Median: $52.03
0.2× median
99417Normal range

$1K

80 claims · 0.0%

Your Cost: $13.63/claim|Median: $34.90
0.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$724

68 claims · 0.0%

Your Cost: $10.64/claim|Median: $12.93
0.8× median
99443Normal range

Telephone E/M by physician, 21-30 min

$693

34 claims · 0.0%

Your Cost: $20.37/claim|Median: $32.55
0.6× median
3074FNormal range

$25

11K claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
0.0× median
3075FNormal range

$0

428 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15
0.0× median
3044FNormal range

$0

1,056 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.16
3077FNormal range

$0

51 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
0502FNormal range

$0

2,174 claims · 0.0%

Your Cost: $0.00/claim|Median: $44.10
3079FNormal range

$0

530 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.12
← All providersHow we detect fraud →