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

⚖️ Compare🖨️ Print Report

Provider 1871172957

NPI: 1871172957Share
Active Billing Period:2022-08→2024-11(28 months)

Total Paid

$8.9M

$8,891,471

Total Claims

123K

Beneficiaries

46K

2.7 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2022
$926K
+328%
2023
$4.0M
+1%
2024
$4.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (97799) accounts for 87% of total spending.

97799Top 5%

$7.7M

82K claims · 86.8%

Your Cost: $94.40/claim|Median: $16.72
5.6× median
99429Normal range

$574K

33K claims · 6.5%

Your Cost: $17.57/claim|Median: $28.58
0.6× median
99214Top 10%

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

$228K

2,167 claims · 2.6%

Your Cost: $105.30/claim|Median: $53.41
2.0× median
90832Top 25%

Psychotherapy, 30 minutes

$153K

2,149 claims · 1.7%

Your Cost: $71.10/claim|Median: $41.28
1.7× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$38K

211 claims · 0.4%

Your Cost: $178.32/claim|Median: $111.09
1.6× median
99215Top 10%

Office/outpatient visit, high complexity

$34K

218 claims · 0.4%

Your Cost: $158.15/claim|Median: $74.09
2.1× median
90837Top 10%

Psychotherapy, 60 minutes

$33K

240 claims · 0.4%

Your Cost: $139.00/claim|Median: $85.66
1.6× median
99204Top 25%

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

$32K

235 claims · 0.4%

Your Cost: $137.88/claim|Median: $84.03
1.6× median
90833Top 25%

Psychotherapy, 30 min, add-on to E/M service

$24K

348 claims · 0.3%

Your Cost: $69.17/claim|Median: $38.83
1.8× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$22K

2,825 claims · 0.2%

Your Cost: $7.63/claim|Median: $3.67
2.1× median
90834Top 25%

Psychotherapy, 45 minutes

$20K

210 claims · 0.2%

Your Cost: $95.31/claim|Median: $63.65
1.5× median
90791Top 25%

Psychiatric diagnostic evaluation

$11K

71 claims · 0.1%

Your Cost: $160.81/claim|Median: $99.21
1.6× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$5K

28 claims · 0.1%

Your Cost: $171.03/claim|Median: $108.91
1.6× median
99203Top 10%

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

$2K

18 claims · 0.0%

Your Cost: $98.47/claim|Median: $57.85
1.7× median
99213Top 10%

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

$1K

14 claims · 0.0%

Your Cost: $74.82/claim|Median: $37.81
2.0× median
← All providersHow we detect fraud →