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

⚖️ Compare🖨️ Print Report

Provider 1558586438

NPI: 1558586438Share
Active Billing Period:2018-01→2023-12(72 months)
Billing appears to have stoppedLast active: 2023-12

Total Paid

$11.1M

$11,131,413

Total Claims

68K

Beneficiaries

64K

1.1 claims/patient

Avg Cost/Claim

$163

Monthly Spending Trend

Yearly Spending

2018
$560K
+31%
2019
$731K
-48%
2020
$380K
+997%
2021
$4.2M
-14%
2022
$3.6M
-52%
2023
$1.7M

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 36% of total spending.

99214Top 1%

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

$4.0M

18K claims · 35.5%

Your Cost: $223.02/claim|Median: $53.41
4.2× median
99204Top 1%

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

$2.5M

9,127 claims · 22.5%

Your Cost: $274.86/claim|Median: $84.03
3.3× median
99213Top 1%

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

$916K

4,924 claims · 8.2%

Your Cost: $186.04/claim|Median: $37.81
4.9× median
20610Top 5%

Arthrocentesis, aspiration/injection, major joint

$708K

4,903 claims · 6.4%

Your Cost: $144.36/claim|Median: $29.03
5.0× median
99203Top 1%

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

$703K

2,389 claims · 6.3%

Your Cost: $294.11/claim|Median: $57.85
5.1× median
73564Top 5%

$368K

3,738 claims · 3.3%

Your Cost: $98.53/claim|Median: $15.00
6.6× median
73110Top 5%

X-ray of wrist, complete, minimum three views

$215K

2,528 claims · 1.9%

Your Cost: $85.18/claim|Median: $12.64
6.7× median
72110Top 5%

$205K

2,127 claims · 1.8%

Your Cost: $96.35/claim|Median: $21.02
4.6× median
29075Top 10%

$205K

939 claims · 1.8%

Your Cost: $217.92/claim|Median: $64.43
3.4× median
73130Top 5%

$179K

2,300 claims · 1.6%

Your Cost: $77.97/claim|Median: $10.69
7.3× median
73610Top 5%

X-ray of ankle, complete, minimum three views

$158K

2,263 claims · 1.4%

Your Cost: $69.63/claim|Median: $13.55
5.1× median
73030Top 5%

$147K

2,100 claims · 1.3%

Your Cost: $69.96/claim|Median: $10.94
6.4× median
99215Normal range

Office/outpatient visit, high complexity

$134K

2,700 claims · 1.2%

Your Cost: $49.77/claim|Median: $74.09
0.7× median
72050Top 5%

$130K

1,348 claims · 1.2%

Your Cost: $96.56/claim|Median: $23.33
4.1× median
73630Top 5%

X-ray, foot, complete, minimum 3 views

$119K

1,700 claims · 1.1%

Your Cost: $70.10/claim|Median: $12.06
5.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$98K

1,399 claims · 0.9%

Your Cost: $70.30/claim|Median: $111.09
0.6× median
73562Top 5%

$73K

814 claims · 0.7%

Your Cost: $90.05/claim|Median: $12.28
7.3× median
73502Top 5%

$51K

605 claims · 0.5%

Your Cost: $84.71/claim|Median: $10.79
7.9× median
29125Top 25%

$46K

304 claims · 0.4%

Your Cost: $151.79/claim|Median: $28.04
5.4× median
20550Top 5%

$42K

226 claims · 0.4%

Your Cost: $186.28/claim|Median: $29.96
6.2× median
73080Top 10%

$37K

621 claims · 0.3%

Your Cost: $59.71/claim|Median: $10.78
5.5× median
72100Top 1%

$29K

238 claims · 0.3%

Your Cost: $122.58/claim|Median: $15.14
8.1× median
72170Top 10%

$21K

465 claims · 0.2%

Your Cost: $46.23/claim|Median: $7.99
5.8× median
99070Top 10%

$17K

258 claims · 0.2%

Your Cost: $66.64/claim|Median: $8.08
8.2× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$15K

277 claims · 0.1%

Your Cost: $53.99/claim|Median: $42.51
1.3× median
A4550Top 1%

$8K

12 claims · 0.1%

Your Cost: $700.00/claim|Median: $4.85
144.3× median
20605Top 25%

$5K

42 claims · 0.0%

Your Cost: $127.47/claim|Median: $26.39
4.8× median
A4590Top 10%

$5K

106 claims · 0.0%

Your Cost: $46.89/claim|Median: $18.45
2.5× median
73140Top 1%

$5K

34 claims · 0.0%

Your Cost: $135.00/claim|Median: $11.18
12.1× median
73000Top 5%

$3K

31 claims · 0.0%

Your Cost: $112.29/claim|Median: $12.19
9.2× median
← All providersHow we detect fraud →