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

⚖️ Compare🖨️ Print Report

Provider 1821026352

NPI: 1821026352Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,226,099

Total Claims

414K

Beneficiaries

331K

1.3 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$27K
-25%
2019
$21K
+2028%
2020
$438K
+381%
2021
$2.1M
+21%
2022
$2.5M
-11%
2023
$2.3M
-20%
2024
$1.8M

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 21% of total spending.

99214Normal range

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

$2.0M

49K claims · 21.4%

Your Cost: $40.57/claim|Median: $53.41
0.8× median
99213Normal range

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

$1.8M

60K claims · 19.9%

Your Cost: $30.72/claim|Median: $37.81
0.8× median
59409Normal range

Vaginal delivery only

$620K

1,115 claims · 6.7%

Your Cost: $556.22/claim|Median: $619.91
0.9× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$583K

7,241 claims · 6.3%

Your Cost: $80.46/claim|Median: $58.55
1.4× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$427K

4,206 claims · 4.6%

Your Cost: $101.42/claim|Median: $74.78
1.4× median
59430Normal range

$298K

3,422 claims · 3.2%

Your Cost: $86.97/claim|Median: $80.32
1.1× median
81513Normal range

$286K

2,848 claims · 3.1%

Your Cost: $100.57/claim|Median: $71.32
1.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$246K

9,255 claims · 2.7%

Your Cost: $26.59/claim|Median: $23.39
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$246K

9,247 claims · 2.7%

Your Cost: $26.57/claim|Median: $24.95
1.1× median
81002Top 25%

Urinalysis, non-automated without microscopy

$219K

80K claims · 2.4%

Your Cost: $2.73/claim|Median: $2.00
1.4× median
99000Top 25%

$212K

30K claims · 2.3%

Your Cost: $7.04/claim|Median: $2.30
3.1× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$175K

6,907 claims · 1.9%

Your Cost: $25.35/claim|Median: $21.08
1.2× median
99204Normal range

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

$175K

2,203 claims · 1.9%

Your Cost: $79.26/claim|Median: $84.03
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$125K

1,663 claims · 1.3%

Your Cost: $74.89/claim|Median: $75.18
1.0× median
88175Normal range

Cytopathology, cervical or vaginal, ThinPrep

$116K

6,021 claims · 1.3%

Your Cost: $19.23/claim|Median: $19.06
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$105K

1,423 claims · 1.1%

Your Cost: $74.00/claim|Median: $69.35
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$100K

7,985 claims · 1.1%

Your Cost: $12.46/claim|Median: $17.85
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$94K

1,163 claims · 1.0%

Your Cost: $81.08/claim|Median: $74.82
1.1× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$89K

1,022 claims · 1.0%

Your Cost: $86.60/claim|Median: $58.16
1.5× median
99203Normal range

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

$85K

1,674 claims · 0.9%

Your Cost: $50.88/claim|Median: $57.85
0.9× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$83K

3,414 claims · 0.9%

Your Cost: $24.22/claim|Median: $25.57
0.9× median
87481Normal range

$77K

3,085 claims · 0.8%

Your Cost: $25.01/claim|Median: $22.38
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$74K

13K claims · 0.8%

Your Cost: $5.74/claim|Median: $4.71
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$63K

975 claims · 0.7%

Your Cost: $64.59/claim|Median: $74.09
0.9× median
59514Normal range

Cesarean delivery only

$61K

101 claims · 0.7%

Your Cost: $604.28/claim|Median: $452.80
1.3× median
69436Normal range

Tympanostomy, general anesthesia

$47K

444 claims · 0.5%

Your Cost: $104.84/claim|Median: $205.50
0.5× median
76815Normal range

Ultrasound, pregnant uterus, limited

$44K

730 claims · 0.5%

Your Cost: $60.36/claim|Median: $36.79
1.6× median
86703Normal range

$40K

3,903 claims · 0.4%

Your Cost: $10.26/claim|Median: $10.37
1.0× median
97112Top 25%

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$40K

998 claims · 0.4%

Your Cost: $39.84/claim|Median: $20.04
2.0× median
87426Top 25%

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

$38K

948 claims · 0.4%

Your Cost: $40.36/claim|Median: $30.04
1.3× median
← All providersHow we detect fraud →