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

⚖️ Compare🖨️ Print Report

Provider 1811917024

NPI: 1811917024Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,051,416

Total Claims

231K

Beneficiaries

137K

1.7 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$39K
+38%
2019
$54K
+1247%
2020
$727K
+180%
2021
$2.0M
+7%
2022
$2.2M
-6%
2023
$2.0M
-3%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 29% of total spending.

99213Normal range

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

$2.6M

88K claims · 28.6%

Your Cost: $29.53/claim|Median: $37.81
0.8× median
59409Normal range

Vaginal delivery only

$2.6M

5,200 claims · 28.3%

Your Cost: $492.74/claim|Median: $619.91
0.8× median
59514Normal range

Cesarean delivery only

$1.2M

2,496 claims · 13.2%

Your Cost: $478.10/claim|Median: $452.80
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$733K

8,409 claims · 8.1%

Your Cost: $87.14/claim|Median: $74.78
1.2× median
76815Normal range

Ultrasound, pregnant uterus, limited

$469K

9,142 claims · 5.2%

Your Cost: $51.34/claim|Median: $36.79
1.4× median
99203Normal range

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

$381K

8,728 claims · 4.2%

Your Cost: $43.64/claim|Median: $57.85
0.8× median
59430Normal range

$322K

4,469 claims · 3.6%

Your Cost: $71.95/claim|Median: $80.32
0.9× median
81002Normal range

Urinalysis, non-automated without microscopy

$206K

89K claims · 2.3%

Your Cost: $2.32/claim|Median: $2.00
1.2× median
76819Normal range

Fetal biophysical profile with non-stress test

$142K

2,668 claims · 1.6%

Your Cost: $53.37/claim|Median: $49.45
1.1× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$112K

2,114 claims · 1.2%

Your Cost: $52.88/claim|Median: $41.92
1.3× median
76830Normal range

Ultrasound, transvaginal

$83K

1,145 claims · 0.9%

Your Cost: $72.36/claim|Median: $57.47
1.3× median
99214Normal range

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

$81K

2,068 claims · 0.9%

Your Cost: $39.02/claim|Median: $53.41
0.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$78K

1,317 claims · 0.9%

Your Cost: $58.87/claim|Median: $72.71
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$27K

3,329 claims · 0.3%

Your Cost: $8.19/claim|Median: $9.56
0.9× median
99234Normal range

$17K

425 claims · 0.2%

Your Cost: $39.41/claim|Median: $80.89
0.5× median
99235Normal range

$15K

217 claims · 0.2%

Your Cost: $71.41/claim|Median: $110.13
0.6× median
99204Normal range

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

$14K

256 claims · 0.2%

Your Cost: $54.63/claim|Median: $84.03
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$8K

480 claims · 0.1%

Your Cost: $15.98/claim|Median: $25.06
0.6× median
81025Normal range

Urine pregnancy test

$6K

1,090 claims · 0.1%

Your Cost: $5.51/claim|Median: $4.81
1.1× median
58300Top 25%

$4K

43 claims · 0.0%

Your Cost: $104.34/claim|Median: $74.77
1.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$2K

30 claims · 0.0%

Your Cost: $64.02/claim|Median: $76.06
0.8× median
87210Normal range

$1K

387 claims · 0.0%

Your Cost: $3.40/claim|Median: $3.65
0.9× median
11981Normal range

$1K

17 claims · 0.0%

Your Cost: $73.13/claim|Median: $117.16
0.6× median
59025Normal range

Fetal non-stress test

$506

82 claims · 0.0%

Your Cost: $6.17/claim|Median: $26.45
0.2× median
← All providersHow we detect fraud →