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

⚖️ Compare🖨️ Print Report

Provider 1588691828

NPI: 1588691828Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.1M

$12,127,701

Total Claims

213K

Beneficiaries

119K

1.8 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+26%
2019
$2.5M
-22%
2020
$1.9M
+0%
2021
$2.0M
-55%
2022
$871K
+70%
2023
$1.5M
-7%
2024
$1.4M

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 54% of total spending.

99213Top 10%

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

$6.5M

90K claims · 53.7%

Your Cost: $72.04/claim|Median: $37.81
1.9× median
99212Top 10%

Office/outpatient visit, low complexity

$741K

9,858 claims · 6.1%

Your Cost: $75.16/claim|Median: $25.06
3.0× median
90834Top 10%

Psychotherapy, 45 minutes

$463K

3,679 claims · 3.8%

Your Cost: $125.77/claim|Median: $63.65
2.0× median
90832Top 5%

Psychotherapy, 30 minutes

$426K

3,238 claims · 3.5%

Your Cost: $131.60/claim|Median: $41.28
3.2× median
D1110Normal range

Prophylaxis, adult cleaning

$423K

12K claims · 3.5%

Your Cost: $35.32/claim|Median: $43.38
0.8× median
99214Top 25%

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

$394K

4,773 claims · 3.2%

Your Cost: $82.52/claim|Median: $53.41
1.5× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$289K

4,153 claims · 2.4%

Your Cost: $69.61/claim|Median: $47.08
1.5× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$287K

4,334 claims · 2.4%

Your Cost: $66.20/claim|Median: $38.23
1.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$241K

2,829 claims · 2.0%

Your Cost: $85.14/claim|Median: $72.71
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$220K

9,075 claims · 1.8%

Your Cost: $24.19/claim|Median: $24.34
1.0× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$197K

2,025 claims · 1.6%

Your Cost: $97.21/claim|Median: $76.06
1.3× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$180K

1,490 claims · 1.5%

Your Cost: $121.09/claim|Median: $32.55
3.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$175K

6,261 claims · 1.4%

Your Cost: $28.02/claim|Median: $74.82
0.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$157K

5,183 claims · 1.3%

Your Cost: $30.24/claim|Median: $75.18
0.4× median
G0511Top 5%

RHC/FQHC visit, psychiatric collaborative care model

$149K

2,173 claims · 1.2%

Your Cost: $68.62/claim|Median: $11.35
6.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$114K

4,359 claims · 0.9%

Your Cost: $26.14/claim|Median: $80.15
0.3× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$103K

1,245 claims · 0.8%

Your Cost: $82.48/claim|Median: $22.44
3.7× median
D0140Top 25%

Limited oral evaluation, problem focused

$99K

2,322 claims · 0.8%

Your Cost: $42.43/claim|Median: $27.07
1.6× median
82948Top 5%

$91K

4,819 claims · 0.7%

Your Cost: $18.86/claim|Median: $1.78
10.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$76K

2,249 claims · 0.6%

Your Cost: $33.83/claim|Median: $69.35
0.5× median
92002Top 10%

Intermediate eye exam, new patient

$74K

1,068 claims · 0.6%

Your Cost: $69.39/claim|Median: $41.61
1.7× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$64K

1,043 claims · 0.5%

Your Cost: $61.66/claim|Median: $59.72
1.0× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$62K

3,080 claims · 0.5%

Your Cost: $20.27/claim|Median: $14.36
1.4× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$58K

626 claims · 0.5%

Your Cost: $91.91/claim|Median: $13.30
6.9× median
D1120Normal range

Prophylaxis, adult

$43K

1,520 claims · 0.4%

Your Cost: $28.28/claim|Median: $33.86
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$42K

991 claims · 0.3%

Your Cost: $41.91/claim|Median: $46.33
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$39K

569 claims · 0.3%

Your Cost: $68.68/claim|Median: $54.60
1.3× median
81003Top 5%

Urinalysis, automated without microscopy

$37K

2,011 claims · 0.3%

Your Cost: $18.34/claim|Median: $1.48
12.4× median
99204Normal range

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

$36K

347 claims · 0.3%

Your Cost: $102.91/claim|Median: $84.03
1.2× median
81025Top 5%

Urine pregnancy test

$31K

1,729 claims · 0.3%

Your Cost: $18.03/claim|Median: $4.81
3.7× median
← All providersHow we detect fraud →