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

⚖️ Compare🖨️ Print Report

Provider 1689618407

NPI: 1689618407Share
Active Billing Period:2018-01→2024-06(78 months)

Total Paid

$17.6M

$17,564,965

Total Claims

469K

Beneficiaries

425K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+19%
2019
$1.7M
+4%
2020
$1.7M
+45%
2021
$2.5M
+33%
2022
$3.4M
+48%
2023
$5.0M
-61%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 26% of total spending.

99284Normal range

Emergency dept visit, high complexity

$4.7M

50K claims · 26.5%

Your Cost: $92.81/claim|Median: $69.51
1.3× median
99283Normal range

Emergency dept visit, moderate complexity

$3.8M

76K claims · 21.5%

Your Cost: $49.69/claim|Median: $42.48
1.2× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.1M

26K claims · 6.4%

Your Cost: $42.81/claim|Median: $23.99
1.8× median
99214Normal range

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

$1.0M

23K claims · 5.9%

Your Cost: $46.11/claim|Median: $53.41
0.9× median
99213Normal range

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

$1.0M

29K claims · 5.9%

Your Cost: $35.27/claim|Median: $37.81
0.9× median
99285Normal range

Emergency dept visit, high/urgent complexity

$730K

6,171 claims · 4.2%

Your Cost: $118.22/claim|Median: $85.65
1.4× median
99282Normal range

Emergency dept visit, low complexity

$537K

18K claims · 3.1%

Your Cost: $29.89/claim|Median: $37.72
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$466K

71K claims · 2.7%

Your Cost: $6.52/claim|Median: $5.60
1.2× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$415K

5,172 claims · 2.4%

Your Cost: $80.16/claim|Median: $51.25
1.6× median
70450Normal range

CT head/brain without contrast

$316K

11K claims · 1.8%

Your Cost: $27.82/claim|Median: $45.53
0.6× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$261K

6,015 claims · 1.5%

Your Cost: $43.41/claim|Median: $37.22
1.2× median
71045Normal range

Chest X-ray, single view

$246K

39K claims · 1.4%

Your Cost: $6.34/claim|Median: $4.93
1.3× median
74177Normal range

CT abdomen and pelvis with contrast

$236K

3,807 claims · 1.3%

Your Cost: $62.12/claim|Median: $65.76
0.9× median
99291Top 25%

Critical care, first 30-74 minutes

$226K

1,537 claims · 1.3%

Your Cost: $146.98/claim|Median: $101.24
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$172K

3,225 claims · 1.0%

Your Cost: $53.25/claim|Median: $75.18
0.7× median
71046Normal range

Chest X-ray, 2 views

$169K

21K claims · 1.0%

Your Cost: $8.16/claim|Median: $8.92
0.9× median
76818Normal range

$152K

3,410 claims · 0.9%

Your Cost: $44.48/claim|Median: $68.15
0.7× median
99203Normal range

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

$147K

2,738 claims · 0.8%

Your Cost: $53.65/claim|Median: $57.85
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$146K

3,475 claims · 0.8%

Your Cost: $41.92/claim|Median: $69.35
0.6× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$129K

3,585 claims · 0.7%

Your Cost: $36.08/claim|Median: $58.55
0.6× median
99281Normal range

Emergency dept visit, minimal complexity

$115K

6,998 claims · 0.7%

Your Cost: $16.43/claim|Median: $52.03
0.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$110K

1,371 claims · 0.6%

Your Cost: $80.36/claim|Median: $106.79
0.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$90K

3,122 claims · 0.5%

Your Cost: $28.99/claim|Median: $35.80
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$90K

1,006 claims · 0.5%

Your Cost: $89.55/claim|Median: $74.09
1.2× median
59425Normal range

Antepartum care only, 4-6 visits

$90K

1,415 claims · 0.5%

Your Cost: $63.56/claim|Median: $63.63
1.0× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$81K

1,944 claims · 0.5%

Your Cost: $41.91/claim|Median: $54.68
0.8× median
72125Normal range

CT cervical spine without contrast

$72K

2,105 claims · 0.4%

Your Cost: $34.20/claim|Median: $32.30
1.1× median
77067Normal range

Screening mammography, bilateral, including CAD

$70K

3,198 claims · 0.4%

Your Cost: $22.00/claim|Median: $39.33
0.6× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$68K

1,035 claims · 0.4%

Your Cost: $65.59/claim|Median: $43.85
1.5× median
76641Normal range

Ultrasound imaging of one breast, complete

$56K

1,832 claims · 0.3%

Your Cost: $30.46/claim|Median: $49.03
0.6× median
← All providersHow we detect fraud →