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

⚖️ Compare🖨️ Print Report

Provider 1891895637

NPI: 1891895637Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.6M

$15,580,260

Total Claims

877K

Beneficiaries

719K

1.2 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-19%
2019
$2.4M
-5%
2020
$2.2M
+29%
2021
$2.9M
-24%
2022
$2.2M
-22%
2023
$1.7M
-24%
2024
$1.3M

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 40% of total spending.

99214Normal range

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

$6.3M

109K claims · 40.2%

Your Cost: $57.51/claim|Median: $53.41
1.1× median
99213Normal range

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

$4.8M

115K claims · 30.7%

Your Cost: $41.60/claim|Median: $37.81
1.1× median
36478Normal range

$2.0M

3,180 claims · 13.1%

Your Cost: $641.48/claim|Median: $864.49
0.7× median
36466Normal range

$510K

552 claims · 3.3%

Your Cost: $923.83/claim|Median: $930.67
1.0× median
93970Top 25%

Duplex scan of extremity veins, complete, bilateral

$295K

2,331 claims · 1.9%

Your Cost: $126.44/claim|Median: $43.07
2.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$187K

2,215 claims · 1.2%

Your Cost: $84.53/claim|Median: $76.06
1.1× median
90837Normal range

Psychotherapy, 60 minutes

$157K

1,845 claims · 1.0%

Your Cost: $84.97/claim|Median: $85.66
1.0× median
93922Top 25%

$151K

3,031 claims · 1.0%

Your Cost: $49.71/claim|Median: $26.06
1.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$136K

13K claims · 0.9%

Your Cost: $10.27/claim|Median: $9.70
1.1× median
99203Normal range

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

$108K

1,700 claims · 0.7%

Your Cost: $63.46/claim|Median: $57.85
1.1× median
36465Normal range

$99K

99 claims · 0.6%

Your Cost: $999.01/claim|Median: $792.14
1.3× median
99204Normal range

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

$96K

962 claims · 0.6%

Your Cost: $100.20/claim|Median: $84.03
1.2× median
99497Top 25%

$83K

2,111 claims · 0.5%

Your Cost: $39.11/claim|Median: $10.99
3.6× median
90791Normal range

Psychiatric diagnostic evaluation

$82K

838 claims · 0.5%

Your Cost: $98.21/claim|Median: $99.21
1.0× median
76970Normal range

$67K

1,917 claims · 0.4%

Your Cost: $34.84/claim|Median: $45.37
0.8× median
97140Top 10%

Manual therapy techniques, per 15 minutes

$61K

1,512 claims · 0.4%

Your Cost: $40.28/claim|Median: $16.79
2.4× median
97164Normal range

PT re-evaluation

$49K

1,266 claims · 0.3%

Your Cost: $38.71/claim|Median: $32.66
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$46K

4,072 claims · 0.3%

Your Cost: $11.33/claim|Median: $9.56
1.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$39K

17K claims · 0.2%

Your Cost: $2.29/claim|Median: $3.67
0.6× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$35K

1,508 claims · 0.2%

Your Cost: $23.27/claim|Median: $20.04
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$34K

450 claims · 0.2%

Your Cost: $76.27/claim|Median: $74.09
1.0× median
36470Normal range

$34K

524 claims · 0.2%

Your Cost: $63.99/claim|Median: $77.35
0.8× median
97110Normal range

Therapeutic exercises, each 15 min

$33K

1,513 claims · 0.2%

Your Cost: $21.88/claim|Median: $24.49
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$33K

1,486 claims · 0.2%

Your Cost: $22.18/claim|Median: $25.06
0.9× median
96130Normal range

Psychological testing evaluation by professional, first hour

$29K

366 claims · 0.2%

Your Cost: $79.11/claim|Median: $79.21
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$26K

358 claims · 0.2%

Your Cost: $72.83/claim|Median: $72.71
1.0× median
94010Normal range

$16K

809 claims · 0.1%

Your Cost: $19.34/claim|Median: $18.11
1.1× median
G0439Normal range

Annual wellness visit, subsequent visit

$11K

1,510 claims · 0.1%

Your Cost: $7.07/claim|Median: $5.42
1.3× median
93971Normal range

Duplex scan of extremity veins, unilateral or limited

$11K

211 claims · 0.1%

Your Cost: $50.36/claim|Median: $25.43
2.0× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$10K

110 claims · 0.1%

Your Cost: $87.85/claim|Median: $76.22
1.2× median
← All providersHow we detect fraud →