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

⚖️ Compare🖨️ Print Report

Provider 1619230802

NPI: 1619230802Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.7M

$15,698,556

Total Claims

573K

Beneficiaries

523K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+0%
2019
$2.4M
-21%
2020
$1.9M
+28%
2021
$2.4M
+0%
2022
$2.4M
+1%
2023
$2.4M
-22%
2024
$1.9M

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 29% of total spending.

99214Normal range

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

$4.5M

91K claims · 28.9%

Your Cost: $49.80/claim|Median: $53.41
0.9× median
99213Normal range

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

$4.4M

124K claims · 27.8%

Your Cost: $35.11/claim|Median: $37.81
0.9× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$924K

28K claims · 5.9%

Your Cost: $32.62/claim|Median: $17.85
1.8× median
99203Normal range

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

$760K

17K claims · 4.8%

Your Cost: $44.90/claim|Median: $57.85
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$688K

12K claims · 4.4%

Your Cost: $59.73/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$585K

11K claims · 3.7%

Your Cost: $51.68/claim|Median: $69.35
0.7× median
99204Normal range

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

$421K

5,892 claims · 2.7%

Your Cost: $71.50/claim|Median: $84.03
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$306K

5,185 claims · 1.9%

Your Cost: $59.01/claim|Median: $74.82
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$230K

32K claims · 1.5%

Your Cost: $7.19/claim|Median: $5.60
1.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$189K

5,793 claims · 1.2%

Your Cost: $32.57/claim|Median: $54.68
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$166K

3,266 claims · 1.1%

Your Cost: $50.76/claim|Median: $74.09
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$158K

7,805 claims · 1.0%

Your Cost: $20.28/claim|Median: $25.06
0.8× median
90670Top 25%

$156K

8,044 claims · 1.0%

Your Cost: $19.41/claim|Median: $5.94
3.3× median
99243Normal range

Office or other outpatient consultation, low complexity

$151K

2,869 claims · 1.0%

Your Cost: $52.52/claim|Median: $82.43
0.6× median
17110Normal range

Destruction of benign lesions, up to fourteen

$132K

2,459 claims · 0.8%

Your Cost: $53.86/claim|Median: $59.25
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$132K

2,025 claims · 0.8%

Your Cost: $65.17/claim|Median: $80.15
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$132K

6,488 claims · 0.8%

Your Cost: $20.31/claim|Median: $23.99
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$112K

1,905 claims · 0.7%

Your Cost: $58.76/claim|Median: $85.66
0.7× median
95004Normal range

Percutaneous allergy skin tests, each

$104K

918 claims · 0.7%

Your Cost: $113.34/claim|Median: $134.97
0.8× median
J1050Top 5%

Injection, medroxyprogesterone acetate, one milligram

$89K

992 claims · 0.6%

Your Cost: $89.60/claim|Median: $41.92
2.1× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$74K

2,145 claims · 0.5%

Your Cost: $34.45/claim|Median: $29.03
1.2× median
99223Normal range

Initial hospital care, per day, high complexity

$73K

1,223 claims · 0.5%

Your Cost: $59.32/claim|Median: $67.32
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$70K

1,034 claims · 0.4%

Your Cost: $67.75/claim|Median: $121.58
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$70K

2,078 claims · 0.4%

Your Cost: $33.46/claim|Median: $40.11
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$65K

1,057 claims · 0.4%

Your Cost: $61.91/claim|Median: $72.71
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$53K

1,529 claims · 0.3%

Your Cost: $34.76/claim|Median: $43.85
0.8× median
99233Normal range

Subsequent hospital care, per day, high complexity

$52K

1,666 claims · 0.3%

Your Cost: $31.41/claim|Median: $35.30
0.9× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$47K

159 claims · 0.3%

Your Cost: $296.14/claim|Median: $283.78
1.0× median
90633Top 25%

$38K

3,435 claims · 0.2%

Your Cost: $11.16/claim|Median: $3.56
3.1× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$34K

1,431 claims · 0.2%

Your Cost: $23.83/claim|Median: $27.28
0.9× median
← All providersHow we detect fraud →