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

⚖️ Compare🖨️ Print Report

Provider 1629637475

NPI: 1629637475Share
Active Billing Period:2020-01→2024-12(60 months)

Total Paid

$9.8M

$9,801,743

Total Claims

234K

Beneficiaries

179K

1.3 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2020
$1.7M
+7%
2021
$1.8M
+6%
2022
$1.9M
+12%
2023
$2.2M
-4%
2024
$2.1M

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 27% of total spending.

99214Normal range

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

$2.7M

44K claims · 27.2%

Your Cost: $61.18/claim|Median: $53.41
1.1× median
99213Normal range

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

$1.0M

23K claims · 10.6%

Your Cost: $45.44/claim|Median: $37.81
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.0M

34K claims · 10.6%

Your Cost: $30.48/claim|Median: $23.99
1.3× median
99204Normal range

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

$776K

8,502 claims · 7.9%

Your Cost: $91.22/claim|Median: $84.03
1.1× median
99203Normal range

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

$450K

7,589 claims · 4.6%

Your Cost: $59.30/claim|Median: $57.85
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$442K

6,479 claims · 4.5%

Your Cost: $68.18/claim|Median: $54.68
1.2× median
99291Normal range

Critical care, first 30-74 minutes

$414K

4,369 claims · 4.2%

Your Cost: $94.84/claim|Median: $101.24
0.9× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$373K

9,173 claims · 3.8%

Your Cost: $40.68/claim|Median: $29.03
1.4× median
20611Normal range

Aspiration or injection of intermediate joint or bursa

$215K

3,683 claims · 2.2%

Your Cost: $58.25/claim|Median: $42.51
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$163K

3,571 claims · 1.7%

Your Cost: $45.78/claim|Median: $43.85
1.0× median
95886Normal range

$163K

1,682 claims · 1.7%

Your Cost: $96.79/claim|Median: $67.70
1.4× median
J7323Normal range

$158K

1,576 claims · 1.6%

Your Cost: $100.31/claim|Median: $101.00
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$157K

1,881 claims · 1.6%

Your Cost: $83.33/claim|Median: $67.32
1.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$149K

1,227 claims · 1.5%

Your Cost: $121.33/claim|Median: $111.09
1.1× median
99222Normal range

Initial hospital care, per day, moderate complexity

$133K

1,976 claims · 1.4%

Your Cost: $67.38/claim|Median: $51.25
1.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$126K

23K claims · 1.3%

Your Cost: $5.56/claim|Median: $5.60
1.0× median
99233Normal range

Subsequent hospital care, per day, high complexity

$115K

2,824 claims · 1.2%

Your Cost: $40.87/claim|Median: $35.30
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$100K

1,036 claims · 1.0%

Your Cost: $96.50/claim|Median: $74.09
1.3× median
99231Normal range

Subsequent hospital care, per day, low complexity

$99K

4,848 claims · 1.0%

Your Cost: $20.38/claim|Median: $16.77
1.2× median
47379Top 25%

$95K

515 claims · 1.0%

Your Cost: $183.73/claim|Median: $86.78
2.1× median
98929Normal range

$90K

1,668 claims · 0.9%

Your Cost: $53.81/claim|Median: $37.08
1.5× median
43644Normal range

$70K

63 claims · 0.7%

Your Cost: $1,118.04/claim|Median: $819.04
1.4× median
93970Normal range

Duplex scan of extremity veins, complete, bilateral

$53K

2,092 claims · 0.5%

Your Cost: $25.19/claim|Median: $43.07
0.6× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$50K

5,780 claims · 0.5%

Your Cost: $8.69/claim|Median: $9.70
0.9× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$43K

1,153 claims · 0.4%

Your Cost: $37.20/claim|Median: $37.22
1.0× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$43K

2,334 claims · 0.4%

Your Cost: $18.35/claim|Median: $25.43
0.7× median
95911Normal range

$37K

249 claims · 0.4%

Your Cost: $149.14/claim|Median: $122.86
1.2× median
20526Normal range

$36K

535 claims · 0.4%

Your Cost: $66.45/claim|Median: $48.63
1.4× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$35K

1,710 claims · 0.4%

Your Cost: $20.71/claim|Median: $12.06
1.7× median
73562Top 25%

$34K

1,287 claims · 0.3%

Your Cost: $26.57/claim|Median: $12.28
2.2× median
← All providersHow we detect fraud →