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

⚖️ Compare🖨️ Print Report

Provider 1861742991

NPI: 1861742991Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$17.9M

$17,859,290

Total Claims

193K

Beneficiaries

174K

1.1 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$2.5M
+40%
2019
$3.4M
+15%
2020
$4.0M
+20%
2021
$4.7M
-52%
2022
$2.3M
-67%
2023
$746K
-64%
2024
$269K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 23 distinct procedure codes. The top code (99215 (Office/outpatient visit, high complexity)) accounts for 46% of total spending.

99215Normal range

Office/outpatient visit, high complexity

$8.3M

81K claims · 46.4%

Your Cost: $102.10/claim|Median: $74.09
1.4× median
99214Top 25%

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

$4.2M

47K claims · 23.8%

Your Cost: $90.70/claim|Median: $53.41
1.7× median
J0585Top 10%

Injection, onabotulinumtoxinA, 1 unit

$1.4M

1,218 claims · 7.8%

Your Cost: $1,144.76/claim|Median: $470.36
2.4× median
99213Top 25%

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

$860K

13K claims · 4.8%

Your Cost: $65.27/claim|Median: $37.81
1.7× median
97810Top 10%

$791K

19K claims · 4.4%

Your Cost: $42.28/claim|Median: $23.92
1.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$636K

4,189 claims · 3.6%

Your Cost: $151.85/claim|Median: $111.09
1.4× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$448K

10K claims · 2.5%

Your Cost: $43.70/claim|Median: $9.79
4.5× median
99309Top 1%

Nursing facility care, subsequent, low complexity

$289K

3,536 claims · 1.6%

Your Cost: $81.60/claim|Median: $14.00
5.8× median
99306Top 5%

$249K

2,335 claims · 1.4%

Your Cost: $106.82/claim|Median: $29.97
3.6× median
J3490Top 5%

Unclassified drugs

$243K

944 claims · 1.4%

Your Cost: $257.25/claim|Median: $5.70
45.1× median
64612Normal range

$127K

1,045 claims · 0.7%

Your Cost: $121.43/claim|Median: $98.05
1.2× median
64616Normal range

$99K

1,046 claims · 0.6%

Your Cost: $94.54/claim|Median: $66.22
1.4× median
80305Top 25%

$86K

7,735 claims · 0.5%

Your Cost: $11.07/claim|Median: $7.44
1.5× median
99305Top 5%

$35K

357 claims · 0.2%

Your Cost: $96.95/claim|Median: $19.28
5.0× median
E0720Normal range

$16K

115 claims · 0.1%

Your Cost: $141.19/claim|Median: $80.28
1.8× median
62322Normal range

$15K

150 claims · 0.1%

Your Cost: $100.44/claim|Median: $72.87
1.4× median
62323Normal range

Epidural injection of diagnostic or therapeutic substance, lumbar

$15K

131 claims · 0.1%

Your Cost: $111.17/claim|Median: $111.02
1.0× median
99204Top 25%

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

$10K

71 claims · 0.1%

Your Cost: $141.21/claim|Median: $84.03
1.7× median
99203Normal range

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

$6K

131 claims · 0.0%

Your Cost: $49.28/claim|Median: $57.85
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$3K

106 claims · 0.0%

Your Cost: $30.32/claim|Median: $41.28
0.7× median
E0730Top 25%

$3K

21 claims · 0.0%

Your Cost: $132.91/claim|Median: $52.06
2.6× median
A4595Normal range

$2K

137 claims · 0.0%

Your Cost: $15.54/claim|Median: $17.27
0.9× median
99310Top 5%

$1K

14 claims · 0.0%

Your Cost: $104.43/claim|Median: $21.82
4.8× median
← All providersHow we detect fraud →