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

⚖️ Compare🖨️ Print Report

Provider 1588862130

NPI: 1588862130Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.9M

$16,926,269

Total Claims

214K

Beneficiaries

157K

1.4 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+6%
2019
$2.4M
+10%
2020
$2.6M
+13%
2021
$2.9M
-40%
2022
$1.8M
+40%
2023
$2.5M
+3%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (99215 (Office/outpatient visit, high complexity)) accounts for 24% of total spending.

99215Top 25%

Office/outpatient visit, high complexity

$4.1M

28K claims · 23.9%

Your Cost: $142.85/claim|Median: $74.09
1.9× median
Z4305Normal range

$3.1M

31K claims · 18.3%

Your Cost: $99.33/claim|Median: $99.36
1.0× median
Z4306Normal range

$2.6M

53K claims · 15.4%

Your Cost: $49.66/claim|Median: $49.73
1.0× median
99214Top 10%

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

$2.2M

22K claims · 13.2%

Your Cost: $100.18/claim|Median: $53.41
1.9× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2.2M

33K claims · 13.0%

Your Cost: $67.15/claim|Median: $35.30
1.9× median
96450Normal range

$823K

4,588 claims · 4.9%

Your Cost: $179.32/claim|Median: $174.39
1.0× median
Z4304Normal range

$701K

13K claims · 4.1%

Your Cost: $53.38/claim|Median: $53.44
1.0× median
Z4303Normal range

$400K

13K claims · 2.4%

Your Cost: $29.76/claim|Median: $29.71
1.0× median
99213Top 25%

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

$219K

3,168 claims · 1.3%

Your Cost: $69.17/claim|Median: $37.81
1.8× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$164K

2,088 claims · 1.0%

Your Cost: $78.75/claim|Median: $43.85
1.8× median
99223Top 25%

Initial hospital care, per day, high complexity

$135K

1,166 claims · 0.8%

Your Cost: $116.10/claim|Median: $67.32
1.7× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$73K

1,319 claims · 0.4%

Your Cost: $55.50/claim|Median: $23.99
2.3× median
38222Normal range

$54K

275 claims · 0.3%

Your Cost: $194.76/claim|Median: $262.21
0.7× median
Z4302Normal range

$50K

6,386 claims · 0.3%

Your Cost: $7.81/claim|Median: $12.05
0.6× median
99291Top 10%

Critical care, first 30-74 minutes

$39K

133 claims · 0.2%

Your Cost: $294.53/claim|Median: $101.24
2.9× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$26K

244 claims · 0.2%

Your Cost: $106.95/claim|Median: $51.25
2.1× median
99212Top 25%

Office/outpatient visit, low complexity

$25K

600 claims · 0.1%

Your Cost: $41.84/claim|Median: $25.06
1.7× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$5K

118 claims · 0.0%

Your Cost: $40.71/claim|Median: $16.77
2.4× median
99254Normal range

$4K

52 claims · 0.0%

Your Cost: $84.82/claim|Median: $81.43
1.0× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$4K

79 claims · 0.0%

Your Cost: $55.49/claim|Median: $37.22
1.5× median
38220Normal range

$3K

13 claims · 0.0%

Your Cost: $253.85/claim|Median: $302.84
0.8× median
99356Top 10%

$2K

32 claims · 0.0%

Your Cost: $61.98/claim|Median: $22.76
2.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$677

12 claims · 0.0%

Your Cost: $56.44/claim|Median: $121.58
0.5× median
T1014Normal range

$109

13 claims · 0.0%

Your Cost: $8.38/claim|Median: $12.88
0.7× median
← All providersHow we detect fraud →