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

⚖️ Compare🖨️ Print Report

Provider 1689799579

NPI: 1689799579Share
Active Billing Period:2018-01→2023-06(66 months)
Billing appears to have stoppedLast active: 2023-06

Total Paid

$17.7M

$17,671,021

Total Claims

364K

Beneficiaries

134K

2.7 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+15%
2019
$1.6M
+102%
2020
$3.1M
+116%
2021
$6.8M
-39%
2022
$4.1M
-83%
2023
$718K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99215 (Office/outpatient visit, high complexity)) accounts for 35% of total spending.

99215Top 5%

Office/outpatient visit, high complexity

$6.2M

35K claims · 35.2%

Your Cost: $176.80/claim|Median: $74.09
2.4× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$4.2M

117K claims · 23.8%

Your Cost: $35.90/claim|Median: $14.00
2.6× median
99310Top 25%

$2.4M

40K claims · 13.5%

Your Cost: $59.80/claim|Median: $21.82
2.7× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$1.5M

27K claims · 8.6%

Your Cost: $56.46/claim|Median: $35.30
1.6× median
99205Top 5%

Office/outpatient visit, new patient, high complexity

$813K

3,496 claims · 4.6%

Your Cost: $232.62/claim|Median: $111.09
2.1× median
99337Normal range

$344K

8,298 claims · 1.9%

Your Cost: $41.42/claim|Median: $29.39
1.4× median
99223Top 25%

Initial hospital care, per day, high complexity

$287K

2,623 claims · 1.6%

Your Cost: $109.32/claim|Median: $67.32
1.6× median
99306Top 25%

$246K

3,333 claims · 1.4%

Your Cost: $73.77/claim|Median: $29.97
2.5× median
99220Normal range

$170K

1,806 claims · 1.0%

Your Cost: $94.32/claim|Median: $73.56
1.3× median
99417Normal range

$170K

3,591 claims · 1.0%

Your Cost: $47.28/claim|Median: $34.90
1.4× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$166K

2,800 claims · 0.9%

Your Cost: $59.46/claim|Median: $43.85
1.4× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$144K

4,413 claims · 0.8%

Your Cost: $32.62/claim|Median: $9.79
3.3× median
99454Top 25%

$129K

4,091 claims · 0.7%

Your Cost: $31.62/claim|Median: $9.15
3.5× median
99354Normal range

$114K

2,286 claims · 0.6%

Your Cost: $50.07/claim|Median: $54.96
0.9× median
99350Normal range

$113K

3,067 claims · 0.6%

Your Cost: $36.99/claim|Median: $35.62
1.0× median
99214Normal range

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

$113K

2,070 claims · 0.6%

Your Cost: $54.63/claim|Median: $53.41
1.0× median
99336Normal range

$97K

3,619 claims · 0.5%

Your Cost: $26.67/claim|Median: $20.35
1.3× median
99457Top 25%

$94K

3,736 claims · 0.5%

Your Cost: $25.28/claim|Median: $6.05
4.2× median
99497Top 25%

$63K

2,424 claims · 0.4%

Your Cost: $25.86/claim|Median: $10.99
2.4× median
99226Top 25%

$57K

1,081 claims · 0.3%

Your Cost: $52.40/claim|Median: $34.09
1.5× median
99349Normal range

$43K

1,200 claims · 0.2%

Your Cost: $36.24/claim|Median: $24.29
1.5× median
99217Top 25%

$37K

835 claims · 0.2%

Your Cost: $44.79/claim|Median: $31.89
1.4× median
99204Normal range

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

$17K

163 claims · 0.1%

Your Cost: $101.34/claim|Median: $84.03
1.2× median
G0108Normal range

Diabetes self-management training, individual

$15K

1,838 claims · 0.1%

Your Cost: $8.17/claim|Median: $35.89
0.2× median
99219Normal range

$15K

191 claims · 0.1%

Your Cost: $78.04/claim|Median: $63.35
1.2× median
99347Top 25%

$13K

412 claims · 0.1%

Your Cost: $31.41/claim|Median: $11.74
2.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$10K

106 claims · 0.1%

Your Cost: $98.95/claim|Median: $108.91
0.9× median
99348Top 25%

$9K

271 claims · 0.1%

Your Cost: $33.74/claim|Median: $17.17
2.0× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$9K

165 claims · 0.0%

Your Cost: $53.01/claim|Median: $23.99
2.2× median
99213Normal range

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

$9K

219 claims · 0.0%

Your Cost: $39.18/claim|Median: $37.81
1.0× median
← All providersHow we detect fraud →