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

Provider 1770689242

NPI: 1770689242Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.2M

$10,215,522

Total Claims

244K

Beneficiaries

144K

1.7 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$231K
+44%
2019
$332K
+85%
2020
$615K
+120%
2021
$1.4M
+60%
2022
$2.2M
+40%
2023
$3.0M
-17%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99349) accounts for 21% of total spending.

99349Top 25%

$2.1M

31K claims · 20.8%

Your Cost: $69.55/claim|Median: $24.29
2.9× median
90791Normal range

Psychiatric diagnostic evaluation

$1.2M

13K claims · 11.9%

Your Cost: $94.40/claim|Median: $99.21
1.0× median
99348Top 25%

$1.2M

26K claims · 11.7%

Your Cost: $47.03/claim|Median: $17.17
2.7× median
99336Top 10%

$1.1M

17K claims · 10.3%

Your Cost: $61.11/claim|Median: $20.35
3.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$1.0M

59K claims · 10.3%

Your Cost: $17.73/claim|Median: $14.00
1.3× median
99344Normal range

$654K

7,931 claims · 6.4%

Your Cost: $82.43/claim|Median: $50.43
1.6× median
99204Normal range

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

$603K

7,446 claims · 5.9%

Your Cost: $80.96/claim|Median: $84.03
1.0× median
99335Top 25%

$540K

13K claims · 5.3%

Your Cost: $42.30/claim|Median: $14.90
2.8× median
99214Normal range

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

$463K

10K claims · 4.5%

Your Cost: $45.93/claim|Median: $53.41
0.9× median
99326Top 10%

$370K

5,329 claims · 3.6%

Your Cost: $69.42/claim|Median: $25.03
2.8× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$181K

7,144 claims · 1.8%

Your Cost: $25.31/claim|Median: $30.04
0.8× median
G2023Normal range

Specimen collection for COVID-19 testing

$135K

7,265 claims · 1.3%

Your Cost: $18.52/claim|Median: $17.15
1.1× median
99308Normal range

Nursing facility care, subsequent, straightforward

$92K

7,919 claims · 0.9%

Your Cost: $11.57/claim|Median: $9.79
1.2× median
99203Normal range

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

$89K

1,508 claims · 0.9%

Your Cost: $59.01/claim|Median: $57.85
1.0× median
99327Top 25%

$74K

916 claims · 0.7%

Your Cost: $80.92/claim|Median: $34.72
2.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$69K

4,916 claims · 0.7%

Your Cost: $14.05/claim|Median: $12.93
1.1× median
99213Normal range

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

$47K

880 claims · 0.5%

Your Cost: $53.31/claim|Median: $37.81
1.4× median
94004Normal range

$43K

2,540 claims · 0.4%

Your Cost: $17.08/claim|Median: $22.42
0.8× median
99310Normal range

$41K

1,612 claims · 0.4%

Your Cost: $25.42/claim|Median: $21.82
1.2× median
99305Normal range

$41K

2,004 claims · 0.4%

Your Cost: $20.36/claim|Median: $19.28
1.1× median
99345Normal range

$34K

363 claims · 0.3%

Your Cost: $94.93/claim|Median: $56.78
1.7× median
99306Normal range

$15K

516 claims · 0.1%

Your Cost: $29.33/claim|Median: $29.97
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$14K

166 claims · 0.1%

Your Cost: $83.55/claim|Median: $74.09
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$10K

91 claims · 0.1%

Your Cost: $111.94/claim|Median: $111.09
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$8K

800 claims · 0.1%

Your Cost: $9.64/claim|Median: $11.48
0.8× median
99304Normal range

$7K

419 claims · 0.1%

Your Cost: $17.77/claim|Median: $13.51
1.3× median
99337Top 5%

$6K

47 claims · 0.1%

Your Cost: $122.57/claim|Median: $29.39
4.2× median
99342Normal range

$5K

128 claims · 0.0%

Your Cost: $39.22/claim|Median: $32.19
1.2× median
87804Normal range

Influenza virus detection, rapid test

$5K

530 claims · 0.0%

Your Cost: $9.25/claim|Median: $12.59
0.7× median
99334Normal range

$4K

245 claims · 0.0%

Your Cost: $16.26/claim|Median: $9.92
1.6× median