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

⚖️ Compare🖨️ Print Report

Provider 1730185232

NPI: 1730185232Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.7M

$7,738,781

Total Claims

114K

Beneficiaries

53K

2.1 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-4%
2019
$2.1M
-52%
2020
$1.0M
-62%
2021
$383K
+56%
2022
$596K
+48%
2023
$883K
-29%
2024
$628K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99232 (Subsequent hospital care, per day, moderate complexity)) accounts for 19% of total spending.

99232Top 25%

Subsequent hospital care, per day, moderate complexity

$1.5M

33K claims · 19.3%

Your Cost: $44.67/claim|Median: $23.99
1.9× median
H0020Top 5%

Alcohol/drug services; methadone administration

$1.5M

3,667 claims · 18.8%

Your Cost: $397.14/claim|Median: $18.95
21.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$917K

15K claims · 11.9%

Your Cost: $59.85/claim|Median: $35.30
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$857K

21K claims · 11.1%

Your Cost: $41.25/claim|Median: $63.65
0.6× median
H0019Normal range

Behavioral health; residential, per diem

$651K

3,665 claims · 8.4%

Your Cost: $177.52/claim|Median: $357.16
0.5× median
J0574Top 5%

$380K

2,326 claims · 4.9%

Your Cost: $163.35/claim|Median: $15.76
10.4× median
J0575Top 5%

$325K

1,360 claims · 4.2%

Your Cost: $238.72/claim|Median: $14.96
16.0× median
H0005Top 5%

Alcohol and/or drug services, group counseling

$285K

3,131 claims · 3.7%

Your Cost: $90.92/claim|Median: $47.35
1.9× median
99223Top 25%

Initial hospital care, per day, high complexity

$176K

1,596 claims · 2.3%

Your Cost: $110.47/claim|Median: $67.32
1.6× median
99231Normal range

Subsequent hospital care, per day, low complexity

$174K

8,690 claims · 2.3%

Your Cost: $20.04/claim|Median: $16.77
1.2× median
99214Normal range

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

$140K

2,317 claims · 1.8%

Your Cost: $60.57/claim|Median: $53.41
1.1× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$121K

967 claims · 1.6%

Your Cost: $125.49/claim|Median: $129.75
1.0× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$110K

1,211 claims · 1.4%

Your Cost: $91.15/claim|Median: $108.91
0.8× median
99213Normal range

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

$100K

3,224 claims · 1.3%

Your Cost: $31.00/claim|Median: $37.81
0.8× median
99222Top 25%

Initial hospital care, per day, moderate complexity

$94K

1,156 claims · 1.2%

Your Cost: $81.66/claim|Median: $51.25
1.6× median
90833Normal range

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

$89K

2,974 claims · 1.2%

Your Cost: $30.07/claim|Median: $38.83
0.8× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$87K

1,346 claims · 1.1%

Your Cost: $64.46/claim|Median: $43.85
1.5× median
J0572Top 10%

$79K

1,385 claims · 1.0%

Your Cost: $56.95/claim|Median: $8.49
6.7× median
J0573Top 1%

$35K

493 claims · 0.4%

Your Cost: $70.24/claim|Median: $12.82
5.5× median
99310Top 5%

$30K

357 claims · 0.4%

Your Cost: $82.97/claim|Median: $21.82
3.8× median
99212Normal range

Office/outpatient visit, low complexity

$17K

526 claims · 0.2%

Your Cost: $32.83/claim|Median: $25.06
1.3× median
99221Top 25%

Initial hospital care, straightforward/low

$15K

243 claims · 0.2%

Your Cost: $63.07/claim|Median: $39.96
1.6× median
96131Normal range

Psychological testing evaluation, each additional hour

$13K

135 claims · 0.2%

Your Cost: $99.30/claim|Median: $133.38
0.7× median
96152Normal range

Health behavior intervention, individual

$13K

356 claims · 0.2%

Your Cost: $35.46/claim|Median: $20.02
1.8× median
96130Normal range

Psychological testing evaluation by professional, first hour

$12K

165 claims · 0.2%

Your Cost: $71.62/claim|Median: $79.21
0.9× median
G0463Normal range

Hospital outpatient clinic visit

$11K

292 claims · 0.1%

Your Cost: $37.27/claim|Median: $26.41
1.4× median
Q3014Normal range

Telehealth originating site facility fee

$10K

1,567 claims · 0.1%

Your Cost: $6.36/claim|Median: $15.37
0.4× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$9K

365 claims · 0.1%

Your Cost: $24.51/claim|Median: $74.63
0.3× median
90837Normal range

Psychotherapy, 60 minutes

$9K

140 claims · 0.1%

Your Cost: $63.80/claim|Median: $85.66
0.7× median
J0571Top 25%

$6K

284 claims · 0.1%

Your Cost: $19.95/claim|Median: $7.96
2.5× median
← All providersHow we detect fraud →