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

⚖️ Compare🖨️ Print Report

Provider 1649265679

NPI: 1649265679Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,603,252

Total Claims

287K

Beneficiaries

209K

1.4 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$709K
+24%
2019
$880K
+26%
2020
$1.1M
+13%
2021
$1.2M
+4%
2022
$1.3M
+1%
2023
$1.3M
-21%
2024
$1.0M

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 45% of total spending.

99214Normal range

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

$3.4M

95K claims · 44.6%

Your Cost: $35.50/claim|Median: $53.41
0.7× median
99213Normal range

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

$1.6M

60K claims · 20.4%

Your Cost: $26.07/claim|Median: $37.81
0.7× median
99233Normal range

Subsequent hospital care, per day, high complexity

$342K

16K claims · 4.5%

Your Cost: $21.25/claim|Median: $35.30
0.6× median
99204Normal range

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

$311K

5,504 claims · 4.1%

Your Cost: $56.43/claim|Median: $84.03
0.7× median
99203Normal range

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

$279K

7,116 claims · 3.7%

Your Cost: $39.20/claim|Median: $57.85
0.7× median
88305Normal range

Surgical pathology, gross and microscopic examination

$147K

5,152 claims · 1.9%

Your Cost: $28.44/claim|Median: $35.80
0.8× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$140K

22K claims · 1.8%

Your Cost: $6.41/claim|Median: $9.70
0.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$122K

4,000 claims · 1.6%

Your Cost: $30.59/claim|Median: $54.68
0.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$121K

1,633 claims · 1.6%

Your Cost: $74.02/claim|Median: $76.06
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$100K

2,362 claims · 1.3%

Your Cost: $42.47/claim|Median: $67.32
0.6× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$96K

3,365 claims · 1.3%

Your Cost: $28.51/claim|Median: $39.70
0.7× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$90K

1,268 claims · 1.2%

Your Cost: $71.03/claim|Median: $97.61
0.7× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$84K

3,447 claims · 1.1%

Your Cost: $24.46/claim|Median: $43.85
0.6× median
95886Normal range

$68K

1,558 claims · 0.9%

Your Cost: $43.80/claim|Median: $67.70
0.6× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$65K

625 claims · 0.9%

Your Cost: $104.18/claim|Median: $121.58
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$56K

2,089 claims · 0.7%

Your Cost: $26.82/claim|Median: $74.09
0.4× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$52K

737 claims · 0.7%

Your Cost: $70.84/claim|Median: $470.36
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$45K

2,036 claims · 0.6%

Your Cost: $22.17/claim|Median: $25.06
0.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$42K

1,454 claims · 0.5%

Your Cost: $28.57/claim|Median: $40.11
0.7× median
88342Normal range

$36K

1,906 claims · 0.5%

Your Cost: $18.94/claim|Median: $23.66
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$32K

508 claims · 0.4%

Your Cost: $62.40/claim|Median: $72.71
0.9× median
94004Normal range

$28K

4,430 claims · 0.4%

Your Cost: $6.29/claim|Median: $22.42
0.3× median
95800Normal range

$27K

340 claims · 0.3%

Your Cost: $77.95/claim|Median: $86.65
0.9× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$24K

1,260 claims · 0.3%

Your Cost: $19.22/claim|Median: $29.03
0.7× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$24K

2,001 claims · 0.3%

Your Cost: $12.00/claim|Median: $12.06
1.0× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$22K

560 claims · 0.3%

Your Cost: $38.85/claim|Median: $59.38
0.7× median
99245Normal range

Office consultation, high complexity

$20K

142 claims · 0.3%

Your Cost: $139.54/claim|Median: $143.30
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$17K

1,982 claims · 0.2%

Your Cost: $8.36/claim|Median: $23.99
0.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$16K

228 claims · 0.2%

Your Cost: $69.59/claim|Median: $111.09
0.6× median
51798Normal range

$15K

3,279 claims · 0.2%

Your Cost: $4.63/claim|Median: $6.59
0.7× median
← All providersHow we detect fraud →