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

Provider 1568758266

NPI: 1568758266Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.3M

$15,259,629

Total Claims

267K

Beneficiaries

137K

2.0 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+17%
2019
$2.6M
+13%
2020
$2.9M
-8%
2021
$2.7M
-12%
2022
$2.3M
-25%
2023
$1.8M
-55%
2024
$785K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 60% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$9.2M

181K claims · 60.3%

Your Cost: $50.90/claim|Median: $35.30
1.4× median
99223Top 25%

Initial hospital care, per day, high complexity

$3.2M

30K claims · 20.6%

Your Cost: $105.45/claim|Median: $67.32
1.6× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$1.7M

32K claims · 11.1%

Your Cost: $53.37/claim|Median: $43.85
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$592K

16K claims · 3.9%

Your Cost: $38.04/claim|Median: $23.99
1.6× median
99220Normal range

$422K

5,183 claims · 2.8%

Your Cost: $81.36/claim|Median: $73.56
1.1× median
99217Normal range

$48K

1,422 claims · 0.3%

Your Cost: $33.80/claim|Median: $31.89
1.1× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$44K

516 claims · 0.3%

Your Cost: $84.52/claim|Median: $51.25
1.6× median
99291Normal range

Critical care, first 30-74 minutes

$41K

307 claims · 0.3%

Your Cost: $134.30/claim|Median: $101.24
1.3× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$32K

828 claims · 0.2%

Your Cost: $39.25/claim|Median: $37.22
1.1× median
99219Normal range

$15K

232 claims · 0.1%

Your Cost: $64.84/claim|Median: $63.35
1.0× median
99497Normal range

$6K

728 claims · 0.0%

Your Cost: $8.63/claim|Median: $10.99
0.8× median
99226Normal range

$3K

85 claims · 0.0%

Your Cost: $34.78/claim|Median: $34.09
1.0× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$2K

61 claims · 0.0%

Your Cost: $29.60/claim|Median: $16.77
1.8× median
99221Top 25%

Initial hospital care, straightforward/low

$795

13 claims · 0.0%

Your Cost: $61.14/claim|Median: $39.96
1.5× median
99225Normal range

$742

23 claims · 0.0%

Your Cost: $32.28/claim|Median: $20.96
1.5× median