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

Provider 1700251626

NPI: 1700251626Share
Active Billing Period:2018-012023-04(64 months)
Billing appears to have stoppedLast active: 2023-04

Total Paid

$9.9M

$9,905,015

Total Claims

368K

Beneficiaries

136K

2.7 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$583K
+241%
2019
$2.0M
+35%
2020
$2.7M
+2%
2021
$2.7M
-43%
2022
$1.6M
-76%
2023
$377K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (80307 (Drug test, presumptive, by chemistry analyzers)) accounts for 39% of total spending.

80307Normal range

Drug test, presumptive, by chemistry analyzers

$3.8M

100K claims · 38.8%

Your Cost: $38.52/claim|Median: $35.43
1.1× median
99213Normal range

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

$3.8M

105K claims · 38.6%

Your Cost: $36.50/claim|Median: $37.81
1.0× median
82075Normal range

Alcohol (ethanol) breath test

$1.3M

72K claims · 12.8%

Your Cost: $17.61/claim|Median: $16.59
1.1× median
99406Normal range

$434K

72K claims · 4.4%

Your Cost: $6.04/claim|Median: $6.53
0.9× median
99401Top 5%

$259K

5,153 claims · 2.6%

Your Cost: $50.26/claim|Median: $16.53
3.0× median
99214Normal range

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

$141K

5,527 claims · 1.4%

Your Cost: $25.45/claim|Median: $53.41
0.5× median
80305Top 5%

$61K

3,187 claims · 0.6%

Your Cost: $19.12/claim|Median: $7.44
2.6× median
99204Normal range

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

$41K

608 claims · 0.4%

Your Cost: $67.40/claim|Median: $84.03
0.8× median
H0002Top 25%

Behavioral health screening

$5K

40 claims · 0.1%

Your Cost: $135.63/claim|Median: $38.77
3.5× median
90832Normal range

Psychotherapy, 30 minutes

$5K

324 claims · 0.0%

Your Cost: $15.03/claim|Median: $41.28
0.4× median
81025Normal range

Urine pregnancy test

$5K

894 claims · 0.0%

Your Cost: $5.35/claim|Median: $4.81
1.1× median
90838Normal range

Psychotherapy, 60 min, add-on to E/M

$5K

772 claims · 0.0%

Your Cost: $5.96/claim|Median: $67.05
0.1× median
90836Normal range

Psychotherapy, 45 min, add-on to E/M

$4K

815 claims · 0.0%

Your Cost: $5.07/claim|Median: $56.18
0.1× median
90853Normal range

Group psychotherapy

$4K

1,219 claims · 0.0%

Your Cost: $3.32/claim|Median: $25.02
0.1× median
90837Normal range

Psychotherapy, 60 minutes

$3K

96 claims · 0.0%

Your Cost: $35.44/claim|Median: $85.66
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$2K

98 claims · 0.0%

Your Cost: $23.12/claim|Median: $25.06
0.9× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$1K

259 claims · 0.0%

Your Cost: $5.10/claim|Median: $38.83
0.1× median
G2087Normal range

$1K

65 claims · 0.0%

Your Cost: $15.62/claim|Median: $48.10
0.3× median
H0038Normal range

Self-help/peer services, per 15 minutes

$989

275 claims · 0.0%

Your Cost: $3.60/claim|Median: $55.04
0.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$905

69 claims · 0.0%

Your Cost: $13.12/claim|Median: $9.56
1.4× median
Q9992Normal range

$642

69 claims · 0.0%

Your Cost: $9.30/claim|Median: $1,537.34
0.0× median