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

Provider 1801342639

NPI: 1801342639Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$9.1M

$9,142,977

Total Claims

128K

Beneficiaries

117K

1.1 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$583K
+34%
2019
$782K
+8%
2020
$846K
+69%
2021
$1.4M
+19%
2022
$1.7M
+16%
2023
$2.0M
-9%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 35% of total spending.

99214Top 25%

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

$3.2M

37K claims · 34.7%

Your Cost: $86.58/claim|Median: $53.41
1.6× median
99213Top 25%

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

$1.5M

28K claims · 16.9%

Your Cost: $55.85/claim|Median: $37.81
1.5× median
99204Top 25%

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

$1.5M

13K claims · 16.1%

Your Cost: $112.82/claim|Median: $84.03
1.3× median
99203Normal range

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

$870K

12K claims · 9.5%

Your Cost: $72.53/claim|Median: $57.85
1.3× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$812K

9,643 claims · 8.9%

Your Cost: $84.21/claim|Median: $59.25
1.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$354K

7,016 claims · 3.9%

Your Cost: $50.51/claim|Median: $40.11
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$328K

11K claims · 3.6%

Your Cost: $29.52/claim|Median: $25.06
1.2× median
96920Normal range

$260K

2,792 claims · 2.8%

Your Cost: $93.16/claim|Median: $118.58
0.8× median
96910Top 25%

$127K

1,588 claims · 1.4%

Your Cost: $80.24/claim|Median: $51.52
1.6× median
11900Normal range

$78K

1,965 claims · 0.9%

Your Cost: $39.88/claim|Median: $31.25
1.3× median
11102Normal range

$69K

1,031 claims · 0.8%

Your Cost: $67.29/claim|Median: $48.69
1.4× median
96999Normal range

$14K

470 claims · 0.2%

Your Cost: $29.19/claim|Median: $29.19
1.0× median
12032Top 25%

$10K

52 claims · 0.1%

Your Cost: $188.91/claim|Median: $109.53
1.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$6K

548 claims · 0.1%

Your Cost: $11.51/claim|Median: $9.56
1.2× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$5K

2,473 claims · 0.1%

Your Cost: $2.03/claim|Median: $2.91
0.7× median
11400Normal range

$4K

55 claims · 0.0%

Your Cost: $68.94/claim|Median: $80.13
0.9× median
11100Top 25%

$2K

33 claims · 0.0%

Your Cost: $69.19/claim|Median: $44.58
1.6× median
17000Normal range

$2K

77 claims · 0.0%

Your Cost: $26.87/claim|Median: $21.35
1.3× median
11401Normal range

$2K

16 claims · 0.0%

Your Cost: $99.22/claim|Median: $71.34
1.4× median
81025Top 25%

Urine pregnancy test

$1K

174 claims · 0.0%

Your Cost: $7.42/claim|Median: $4.81
1.5× median
11403Top 25%

$1K

14 claims · 0.0%

Your Cost: $85.83/claim|Median: $66.68
1.3× median
11300Top 25%

$1K

17 claims · 0.0%

Your Cost: $65.34/claim|Median: $38.09
1.7× median
11200Normal range

$809

15 claims · 0.0%

Your Cost: $53.94/claim|Median: $36.51
1.5× median
11901Top 25%

$802

16 claims · 0.0%

Your Cost: $50.15/claim|Median: $36.91
1.4× median