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

⚖️ Compare🖨️ Print Report

Provider 1891349817

NPI: 1891349817Share
Active Billing Period:2020-01→2024-11(59 months)

Total Paid

$11.6M

$11,601,166

Total Claims

62K

Beneficiaries

54K

1.1 claims/patient

Avg Cost/Claim

$186

Monthly Spending Trend

Yearly Spending

2020
$4.6M
-20%
2021
$3.7M
-65%
2022
$1.3M
-8%
2023
$1.2M
-26%
2024
$880K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (76811 (Ultrasound, pregnant uterus, detailed, single fetus)) accounts for 23% of total spending.

76811Top 5%

Ultrasound, pregnant uterus, detailed, single fetus

$2.7M

9,483 claims · 23.3%

Your Cost: $285.29/claim|Median: $106.79
2.7× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$2.6M

15K claims · 22.2%

Your Cost: $173.76/claim|Median: $58.55
3.0× median
76818Top 5%

$1.8M

9,648 claims · 15.5%

Your Cost: $185.92/claim|Median: $68.15
2.7× median
99214Top 5%

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

$1.3M

6,765 claims · 10.9%

Your Cost: $187.36/claim|Median: $53.41
3.5× median
99204Top 1%

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

$885K

3,309 claims · 7.6%

Your Cost: $267.44/claim|Median: $84.03
3.2× median
99213Top 5%

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

$623K

5,419 claims · 5.4%

Your Cost: $114.90/claim|Median: $37.81
3.0× median
99203Top 5%

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

$340K

1,897 claims · 2.9%

Your Cost: $179.15/claim|Median: $57.85
3.1× median
76805Top 5%

Ultrasound, pregnant uterus, complete, single fetus

$319K

1,432 claims · 2.8%

Your Cost: $222.82/claim|Median: $74.78
3.0× median
76817Top 5%

Ultrasound, pregnant uterus, transvaginal

$310K

2,037 claims · 2.7%

Your Cost: $152.27/claim|Median: $47.65
3.2× median
76819Top 5%

Fetal biophysical profile with non-stress test

$266K

2,205 claims · 2.3%

Your Cost: $120.62/claim|Median: $49.45
2.4× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$253K

2,021 claims · 2.2%

Your Cost: $125.10/claim|Median: $40.11
3.1× median
76820Top 5%

$119K

1,594 claims · 1.0%

Your Cost: $74.43/claim|Median: $31.79
2.3× median
76801Top 5%

Ultrasound, pregnant uterus, single fetus, first trimester

$53K

266 claims · 0.5%

Your Cost: $199.29/claim|Median: $58.16
3.4× median
76825Top 5%

$47K

110 claims · 0.4%

Your Cost: $424.98/claim|Median: $103.74
4.1× median
99212Top 10%

Office/outpatient visit, low complexity

$27K

366 claims · 0.2%

Your Cost: $74.37/claim|Median: $25.06
3.0× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$7K

97 claims · 0.1%

Your Cost: $75.88/claim|Median: $27.38
2.8× median
93325Top 25%

$6K

153 claims · 0.1%

Your Cost: $38.29/claim|Median: $14.61
2.6× median
76821Top 5%

$3K

18 claims · 0.0%

Your Cost: $147.70/claim|Median: $46.75
3.2× median
36415Top 25%

Collection of venous blood by venipuncture

$2K

696 claims · 0.0%

Your Cost: $2.97/claim|Median: $1.57
1.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$931

25 claims · 0.0%

Your Cost: $37.24/claim|Median: $12.93
2.9× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$662

30 claims · 0.0%

Your Cost: $22.05/claim|Median: $9.56
2.3× median
J0702Normal range

$109

15 claims · 0.0%

Your Cost: $7.25/claim|Median: $7.64
0.9× median
← All providersHow we detect fraud →