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

⚖️ Compare🖨️ Print Report

Provider 1871639914

NPI: 1871639914Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.5M

$14,511,547

Total Claims

477K

Beneficiaries

440K

1.1 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$481K
+39%
2019
$667K
-39%
2020
$404K
+24%
2021
$502K
+20%
2022
$603K
+842%
2023
$5.7M
+9%
2024
$6.2M

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 25% of total spending.

99214Normal range

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

$3.6M

74K claims · 25.0%

Your Cost: $49.05/claim|Median: $53.41
0.9× median
99213Normal range

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

$1.2M

69K claims · 8.2%

Your Cost: $17.28/claim|Median: $37.81
0.5× median
77067Top 5%

Screening mammography, bilateral, including CAD

$860K

5,549 claims · 5.9%

Your Cost: $155.06/claim|Median: $39.33
3.9× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$673K

4,716 claims · 4.6%

Your Cost: $142.75/claim|Median: $35.80
4.0× median
92340Top 25%

Fitting of spectacles, except for aphakia

$650K

22K claims · 4.5%

Your Cost: $29.01/claim|Median: $19.46
1.5× median
90833Normal range

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

$525K

11K claims · 3.6%

Your Cost: $50.00/claim|Median: $38.83
1.3× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$454K

6,843 claims · 3.1%

Your Cost: $66.40/claim|Median: $47.08
1.4× median
90834Top 25%

Psychotherapy, 45 minutes

$366K

3,789 claims · 2.5%

Your Cost: $96.62/claim|Median: $63.65
1.5× median
J0585Top 25%

Injection, onabotulinumtoxinA, 1 unit

$279K

343 claims · 1.9%

Your Cost: $812.94/claim|Median: $470.36
1.7× median
99203Top 25%

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

$270K

3,274 claims · 1.9%

Your Cost: $82.55/claim|Median: $57.85
1.4× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$269K

1,704 claims · 1.9%

Your Cost: $157.79/claim|Median: $58.55
2.7× median
90837Top 25%

Psychotherapy, 60 minutes

$252K

2,015 claims · 1.7%

Your Cost: $125.17/claim|Median: $85.66
1.5× median
77063Top 10%

Screening digital breast tomosynthesis, bilateral

$242K

4,840 claims · 1.7%

Your Cost: $49.92/claim|Median: $21.41
2.3× median
97110Normal range

Therapeutic exercises, each 15 min

$236K

9,969 claims · 1.6%

Your Cost: $23.68/claim|Median: $24.49
1.0× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$232K

2,843 claims · 1.6%

Your Cost: $81.56/claim|Median: $59.72
1.4× median
99204Normal range

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

$228K

2,657 claims · 1.6%

Your Cost: $85.86/claim|Median: $84.03
1.0× median
71046Top 25%

Chest X-ray, 2 views

$214K

7,502 claims · 1.5%

Your Cost: $28.57/claim|Median: $8.92
3.2× median
87635Top 5%

COVID-19 SARS-CoV-2 amplified probe detection

$192K

2,303 claims · 1.3%

Your Cost: $83.30/claim|Median: $39.70
2.1× median
76830Top 5%

Ultrasound, transvaginal

$185K

1,113 claims · 1.3%

Your Cost: $166.28/claim|Median: $57.47
2.9× median
76856Top 10%

Ultrasound, pelvic, complete

$183K

1,262 claims · 1.3%

Your Cost: $144.87/claim|Median: $47.58
3.0× median
99215Normal range

Office/outpatient visit, high complexity

$183K

3,319 claims · 1.3%

Your Cost: $55.02/claim|Median: $74.09
0.7× median
76819Top 5%

Fetal biophysical profile with non-stress test

$146K

1,193 claims · 1.0%

Your Cost: $122.49/claim|Median: $49.45
2.5× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$137K

12K claims · 0.9%

Your Cost: $11.27/claim|Median: $9.70
1.2× median
31231Top 10%

Nasal endoscopy, diagnostic

$127K

601 claims · 0.9%

Your Cost: $211.45/claim|Median: $98.77
2.1× median
92015Normal range

Determination of refractive state

$126K

11K claims · 0.9%

Your Cost: $11.45/claim|Median: $10.36
1.1× median
96127Top 5%

Brief emotional/behavioral assessment, per standardized instrument

$122K

6,822 claims · 0.8%

Your Cost: $17.86/claim|Median: $3.67
4.9× median
64483Normal range

$94K

486 claims · 0.6%

Your Cost: $193.68/claim|Median: $124.24
1.6× median
92567Top 10%

$84K

2,879 claims · 0.6%

Your Cost: $29.09/claim|Median: $11.50
2.5× median
76801Top 5%

Ultrasound, pregnant uterus, single fetus, first trimester

$83K

500 claims · 0.6%

Your Cost: $165.34/claim|Median: $58.16
2.8× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$77K

1,468 claims · 0.5%

Your Cost: $52.19/claim|Median: $24.33
2.1× median
← All providersHow we detect fraud →