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

⚖️ Compare🖨️ Print Report

Provider 1699704809

NPI: 1699704809Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.1M

$12,050,872

Total Claims

375K

Beneficiaries

294K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$353K
+32%
2019
$467K
+135%
2020
$1.1M
+61%
2021
$1.8M
+21%
2022
$2.1M
+50%
2023
$3.2M
-4%
2024
$3.0M

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 52% of total spending.

99214Normal range

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

$6.3M

138K claims · 52.4%

Your Cost: $45.88/claim|Median: $53.41
0.9× median
99213Normal range

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

$1.4M

46K claims · 11.5%

Your Cost: $29.78/claim|Median: $37.81
0.8× median
H0006Normal range

Alcohol and/or drug services, case management

$1.4M

20K claims · 11.3%

Your Cost: $67.37/claim|Median: $43.10
1.6× median
99490Top 25%

Chronic care management services, 20 minutes per month

$552K

36K claims · 4.6%

Your Cost: $15.32/claim|Median: $6.31
2.4× median
90792Top 10%

Psychiatric diagnostic evaluation with medical services

$452K

1,456 claims · 3.8%

Your Cost: $310.72/claim|Median: $108.91
2.9× median
90834Normal range

Psychotherapy, 45 minutes

$314K

4,957 claims · 2.6%

Your Cost: $63.37/claim|Median: $63.65
1.0× median
99457Top 25%

$243K

15K claims · 2.0%

Your Cost: $16.01/claim|Median: $6.05
2.6× median
99439Normal range

$200K

17K claims · 1.7%

Your Cost: $11.94/claim|Median: $5.83
2.0× median
99204Normal range

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

$181K

3,062 claims · 1.5%

Your Cost: $58.99/claim|Median: $84.03
0.7× median
99426Normal range

$176K

8,168 claims · 1.5%

Your Cost: $21.56/claim|Median: $10.06
2.1× median
99484Normal range

$159K

8,890 claims · 1.3%

Your Cost: $17.87/claim|Median: $7.13
2.5× median
99493Normal range

$100K

2,336 claims · 0.8%

Your Cost: $42.99/claim|Median: $73.13
0.6× median
99309Normal range

Nursing facility care, subsequent, low complexity

$87K

4,742 claims · 0.7%

Your Cost: $18.31/claim|Median: $14.00
1.3× median
94060Normal range

$62K

2,099 claims · 0.5%

Your Cost: $29.40/claim|Median: $25.18
1.2× median
99454Normal range

$52K

2,924 claims · 0.4%

Your Cost: $17.65/claim|Median: $9.15
1.9× median
99215Normal range

Office/outpatient visit, high complexity

$42K

733 claims · 0.3%

Your Cost: $57.05/claim|Median: $74.09
0.8× median
96156Normal range

$39K

1,020 claims · 0.3%

Your Cost: $38.58/claim|Median: $22.36
1.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$34K

415 claims · 0.3%

Your Cost: $81.72/claim|Median: $111.09
0.7× median
93923Normal range

$33K

1,020 claims · 0.3%

Your Cost: $32.54/claim|Median: $38.08
0.9× median
94729Normal range

$32K

1,937 claims · 0.3%

Your Cost: $16.32/claim|Median: $12.24
1.3× median
99308Normal range

Nursing facility care, subsequent, straightforward

$26K

2,397 claims · 0.2%

Your Cost: $11.00/claim|Median: $9.79
1.1× median
98980Normal range

$26K

1,876 claims · 0.2%

Your Cost: $14.05/claim|Median: $8.81
1.6× median
94727Normal range

$25K

1,985 claims · 0.2%

Your Cost: $12.76/claim|Median: $14.31
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$23K

549 claims · 0.2%

Your Cost: $41.31/claim|Median: $41.28
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$18K

713 claims · 0.1%

Your Cost: $24.79/claim|Median: $25.06
1.0× median
99458Normal range

$18K

1,566 claims · 0.1%

Your Cost: $11.24/claim|Median: $6.87
1.6× median
99492Normal range

$17K

359 claims · 0.1%

Your Cost: $46.20/claim|Median: $68.72
0.7× median
99491Top 25%

$14K

572 claims · 0.1%

Your Cost: $24.09/claim|Median: $9.86
2.4× median
99487Normal range

$12K

399 claims · 0.1%

Your Cost: $30.36/claim|Median: $14.74
2.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$7K

172 claims · 0.1%

Your Cost: $42.15/claim|Median: $76.06
0.6× median
← All providersHow we detect fraud →