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

Provider 1598924458

NPI: 1598924458Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.0M

$8,012,032

Total Claims

222K

Beneficiaries

216K

1.0 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$86K
+46%
2019
$125K
+333%
2020
$540K
+359%
2021
$2.5M
+34%
2022
$3.3M
-73%
2023
$912K
-40%
2024
$550K

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 18% of total spending.

99213Top 10%

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

$1.5M

20K claims · 18.3%

Your Cost: $74.46/claim|Median: $37.81
2.0× median
76830Top 25%

Ultrasound, transvaginal

$1.2M

12K claims · 15.2%

Your Cost: $101.36/claim|Median: $57.47
1.8× median
81514Top 25%

$576K

2,636 claims · 7.2%

Your Cost: $218.63/claim|Median: $143.67
1.5× median
99212Top 25%

Office/outpatient visit, low complexity

$523K

11K claims · 6.5%

Your Cost: $46.48/claim|Median: $25.06
1.9× median
93976Top 25%

$512K

3,994 claims · 6.4%

Your Cost: $128.27/claim|Median: $42.06
3.0× median
76856Top 25%

Ultrasound, pelvic, complete

$433K

4,970 claims · 5.4%

Your Cost: $87.19/claim|Median: $47.58
1.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$249K

9,303 claims · 3.1%

Your Cost: $26.73/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$249K

9,302 claims · 3.1%

Your Cost: $26.73/claim|Median: $23.39
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$205K

2,415 claims · 2.6%

Your Cost: $84.97/claim|Median: $72.71
1.2× median
59840Normal range

$172K

910 claims · 2.1%

Your Cost: $188.89/claim|Median: $190.09
1.0× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$167K

2,291 claims · 2.1%

Your Cost: $72.99/claim|Median: $47.65
1.5× median
99203Top 25%

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

$161K

1,662 claims · 2.0%

Your Cost: $96.96/claim|Median: $57.85
1.7× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$139K

5,180 claims · 1.7%

Your Cost: $26.88/claim|Median: $21.08
1.3× median
84410Top 25%

$138K

3,466 claims · 1.7%

Your Cost: $39.80/claim|Median: $30.08
1.3× median
81025Normal range

Urine pregnancy test

$90K

16K claims · 1.1%

Your Cost: $5.51/claim|Median: $4.81
1.1× median
58558Normal range

$88K

74 claims · 1.1%

Your Cost: $1,189.85/claim|Median: $942.89
1.3× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$76K

879 claims · 1.0%

Your Cost: $86.92/claim|Median: $76.22
1.1× median
82157Normal range

$76K

3,352 claims · 1.0%

Your Cost: $22.71/claim|Median: $18.30
1.2× median
82670Normal range

Estradiol hormone blood level test

$74K

3,399 claims · 0.9%

Your Cost: $21.80/claim|Median: $19.27
1.1× median
84403Normal range

Testosterone, total blood test

$69K

3,464 claims · 0.9%

Your Cost: $20.00/claim|Median: $17.03
1.2× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$68K

693 claims · 0.8%

Your Cost: $98.21/claim|Median: $76.06
1.3× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$61K

3,264 claims · 0.8%

Your Cost: $18.58/claim|Median: $18.03
1.0× median
82627Normal range

$60K

3,466 claims · 0.7%

Your Cost: $17.26/claim|Median: $15.81
1.1× median
84144Normal range

$58K

3,558 claims · 0.7%

Your Cost: $16.34/claim|Median: $14.29
1.1× median
84146Normal range

$52K

3,474 claims · 0.7%

Your Cost: $15.05/claim|Median: $13.66
1.1× median
83001Normal range

$50K

3,484 claims · 0.6%

Your Cost: $14.41/claim|Median: $13.94
1.0× median
83002Normal range

$50K

3,482 claims · 0.6%

Your Cost: $14.36/claim|Median: $12.75
1.1× median
86696Normal range

$50K

3,333 claims · 0.6%

Your Cost: $14.90/claim|Median: $13.89
1.1× median
84270Normal range

$49K

3,470 claims · 0.6%

Your Cost: $14.11/claim|Median: $13.06
1.1× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$43K

298 claims · 0.5%

Your Cost: $145.30/claim|Median: $96.39
1.5× median