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

⚖️ Compare🖨️ Print Report

Provider 1780819748

NPI: 1780819748Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.0M

$14,005,265

Total Claims

385K

Beneficiaries

325K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+19%
2019
$2.0M
+18%
2020
$2.4M
+1%
2021
$2.4M
-7%
2022
$2.2M
-16%
2023
$1.9M
-27%
2024
$1.4M

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 37% of total spending.

99214Normal range

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

$5.1M

75K claims · 36.7%

Your Cost: $68.02/claim|Median: $53.41
1.3× median
99213Normal range

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

$2.2M

41K claims · 15.4%

Your Cost: $52.84/claim|Median: $37.81
1.4× median
99401Top 25%

$1.9M

66K claims · 13.7%

Your Cost: $29.28/claim|Median: $16.53
1.8× median
99204Normal range

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

$501K

4,794 claims · 3.6%

Your Cost: $104.57/claim|Median: $84.03
1.2× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$480K

14K claims · 3.4%

Your Cost: $33.63/claim|Median: $27.28
1.2× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$374K

3,848 claims · 2.7%

Your Cost: $97.07/claim|Median: $76.06
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$367K

4,070 claims · 2.6%

Your Cost: $90.21/claim|Median: $72.71
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$317K

3,638 claims · 2.3%

Your Cost: $87.27/claim|Median: $74.09
1.2× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$222K

12K claims · 1.6%

Your Cost: $18.91/claim|Median: $9.80
1.9× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$190K

1,988 claims · 1.4%

Your Cost: $95.71/claim|Median: $76.22
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$173K

5,942 claims · 1.2%

Your Cost: $29.20/claim|Median: $25.06
1.2× median
99203Normal range

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

$168K

2,340 claims · 1.2%

Your Cost: $71.61/claim|Median: $57.85
1.2× median
99441Top 25%

Telephone E/M by physician, 5-10 min

$162K

3,808 claims · 1.2%

Your Cost: $42.57/claim|Median: $13.30
3.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$159K

1,924 claims · 1.1%

Your Cost: $82.72/claim|Median: $74.82
1.1× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$153K

4,962 claims · 1.1%

Your Cost: $30.77/claim|Median: $39.70
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$134K

10K claims · 1.0%

Your Cost: $13.18/claim|Median: $9.56
1.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$113K

1,276 claims · 0.8%

Your Cost: $88.94/claim|Median: $80.15
1.1× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$102K

1,550 claims · 0.7%

Your Cost: $66.05/claim|Median: $22.44
2.9× median
90472Top 5%

Immunization administration, each additional vaccine

$82K

2,089 claims · 0.6%

Your Cost: $39.39/claim|Median: $11.79
3.3× median
99211Normal range

Office/outpatient visit, minimal complexity

$76K

6,117 claims · 0.5%

Your Cost: $12.38/claim|Median: $12.93
1.0× median
36415Top 25%

Collection of venous blood by venipuncture

$71K

24K claims · 0.5%

Your Cost: $2.93/claim|Median: $1.57
1.9× median
93880Top 25%

Duplex ultrasound scan of carotid arteries, bilateral

$62K

540 claims · 0.4%

Your Cost: $115.70/claim|Median: $49.03
2.4× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$52K

5,734 claims · 0.4%

Your Cost: $9.02/claim|Median: $7.18
1.3× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$50K

406 claims · 0.4%

Your Cost: $124.08/claim|Median: $111.09
1.1× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$49K

440 claims · 0.3%

Your Cost: $111.26/claim|Median: $87.82
1.3× median
87804Normal range

Influenza virus detection, rapid test

$48K

3,657 claims · 0.3%

Your Cost: $13.11/claim|Median: $12.59
1.0× median
93923Top 25%

$46K

531 claims · 0.3%

Your Cost: $87.43/claim|Median: $38.08
2.3× median
99402Normal range

$43K

984 claims · 0.3%

Your Cost: $43.33/claim|Median: $31.79
1.4× median
Q0091Top 10%

$42K

1,127 claims · 0.3%

Your Cost: $37.24/claim|Median: $11.15
3.3× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$41K

2,999 claims · 0.3%

Your Cost: $13.65/claim|Median: $9.70
1.4× median
← All providersHow we detect fraud →