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

⚖️ Compare🖨️ Print Report

Provider 1811006083

NPI: 1811006083Share
Active Billing Period:2018-01→2022-06(54 months)
Billing appears to have stoppedLast active: 2022-06

Total Paid

$9.6M

$9,640,861

Total Claims

261K

Beneficiaries

176K

1.5 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$2.6M
+8%
2019
$2.8M
-34%
2020
$1.9M
+3%
2021
$1.9M
-80%
2022
$384K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 18% of total spending.

99213Normal range

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

$1.8M

36K claims · 18.2%

Your Cost: $48.62/claim|Median: $37.81
1.3× median
97530Normal range

Therapeutic activities, each 15 min

$1.2M

31K claims · 12.6%

Your Cost: $39.12/claim|Median: $33.11
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$789K

28K claims · 8.2%

Your Cost: $28.31/claim|Median: $24.49
1.2× median
97140Normal range

Manual therapy techniques, per 15 minutes

$569K

27K claims · 5.9%

Your Cost: $21.19/claim|Median: $16.79
1.3× median
99214Normal range

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

$561K

7,713 claims · 5.8%

Your Cost: $72.76/claim|Median: $53.41
1.4× median
76830Top 10%

Ultrasound, transvaginal

$475K

4,445 claims · 4.9%

Your Cost: $106.92/claim|Median: $57.47
1.9× median
99203Top 10%

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

$449K

4,489 claims · 4.7%

Your Cost: $100.01/claim|Median: $57.85
1.7× median
36478Normal range

$398K

333 claims · 4.1%

Your Cost: $1,195.86/claim|Median: $864.49
1.4× median
76856Top 25%

Ultrasound, pelvic, complete

$397K

4,216 claims · 4.1%

Your Cost: $94.19/claim|Median: $47.58
2.0× median
93970Top 10%

Duplex scan of extremity veins, complete, bilateral

$394K

2,156 claims · 4.1%

Your Cost: $182.61/claim|Median: $43.07
4.2× median
97014Top 25%

Electrical stimulation, unattended

$257K

19K claims · 2.7%

Your Cost: $13.75/claim|Median: $8.83
1.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$242K

1,233 claims · 2.5%

Your Cost: $196.43/claim|Median: $54.68
3.6× median
99204Top 10%

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

$230K

1,509 claims · 2.4%

Your Cost: $152.25/claim|Median: $84.03
1.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$194K

3,200 claims · 2.0%

Your Cost: $60.47/claim|Median: $76.06
0.8× median
95911Top 25%

$193K

985 claims · 2.0%

Your Cost: $195.92/claim|Median: $122.86
1.6× median
95886Top 10%

$177K

986 claims · 1.8%

Your Cost: $179.77/claim|Median: $67.70
2.7× median
97162Normal range

PT evaluation, moderate complexity

$150K

2,392 claims · 1.6%

Your Cost: $62.57/claim|Median: $46.10
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$138K

3,203 claims · 1.4%

Your Cost: $43.01/claim|Median: $25.06
1.7× median
97164Normal range

PT re-evaluation

$82K

1,967 claims · 0.8%

Your Cost: $41.59/claim|Median: $32.66
1.3× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$77K

658 claims · 0.8%

Your Cost: $117.66/claim|Median: $47.08
2.5× median
93976Top 25%

$74K

515 claims · 0.8%

Your Cost: $144.34/claim|Median: $42.06
3.4× median
99402Normal range

$74K

2,040 claims · 0.8%

Your Cost: $36.24/claim|Median: $31.79
1.1× median
97161Top 25%

Physical therapy evaluation, low complexity

$72K

1,021 claims · 0.7%

Your Cost: $70.43/claim|Median: $47.89
1.5× median
92004Top 5%

Ophthalmological exam, comprehensive, new patient

$55K

389 claims · 0.6%

Your Cost: $142.03/claim|Median: $59.72
2.4× median
95813Top 25%

$54K

161 claims · 0.6%

Your Cost: $334.23/claim|Median: $121.48
2.8× median
93971Top 10%

Duplex scan of extremity veins, unilateral or limited

$50K

442 claims · 0.5%

Your Cost: $113.46/claim|Median: $25.43
4.5× median
93880Top 5%

Duplex ultrasound scan of carotid arteries, bilateral

$47K

268 claims · 0.5%

Your Cost: $175.41/claim|Median: $49.03
3.6× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$38K

2,507 claims · 0.4%

Your Cost: $15.09/claim|Median: $9.70
1.6× median
76775Top 25%

$33K

600 claims · 0.3%

Your Cost: $54.33/claim|Median: $28.03
1.9× median
95806Normal range

$31K

365 claims · 0.3%

Your Cost: $85.05/claim|Median: $64.51
1.3× median
← All providersHow we detect fraud →