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

⚖️ Compare🖨️ Print Report

Provider 1922598929

NPI: 1922598929Share
Active Billing Period:2018-07→2024-12(78 months)

Total Paid

$7.7M

$7,725,257

Total Claims

285K

Beneficiaries

143K

2.0 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$78K
+462%
2019
$436K
+127%
2020
$991K
+75%
2021
$1.7M
-13%
2022
$1.5M
+15%
2023
$1.7M
-27%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (99233 (Subsequent hospital care, per day, high complexity)) accounts for 41% of total spending.

99233Normal range

Subsequent hospital care, per day, high complexity

$3.1M

100K claims · 40.6%

Your Cost: $31.37/claim|Median: $35.30
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$1.3M

25K claims · 17.1%

Your Cost: $52.97/claim|Median: $67.32
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$935K

45K claims · 12.1%

Your Cost: $20.62/claim|Median: $23.99
0.9× median
1123FTop 25%

$582K

36K claims · 7.5%

Your Cost: $16.34/claim|Median: $0.49
33.3× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$469K

21K claims · 6.1%

Your Cost: $22.77/claim|Median: $43.85
0.5× median
99220Normal range

$421K

9,024 claims · 5.5%

Your Cost: $46.68/claim|Median: $73.56
0.6× median
G8427Top 5%

$329K

21K claims · 4.3%

Your Cost: $15.74/claim|Median: $0.02
787.2× median
99291Normal range

Critical care, first 30-74 minutes

$158K

4,968 claims · 2.0%

Your Cost: $31.73/claim|Median: $101.24
0.3× median
1124FTop 25%

$67K

3,972 claims · 0.9%

Your Cost: $16.88/claim|Median: $2.37
7.1× median
99226Normal range

$67K

4,233 claims · 0.9%

Your Cost: $15.79/claim|Median: $34.09
0.5× median
99217Normal range

$64K

4,403 claims · 0.8%

Your Cost: $14.48/claim|Median: $31.89
0.5× median
99222Normal range

Initial hospital care, per day, moderate complexity

$47K

2,255 claims · 0.6%

Your Cost: $20.80/claim|Median: $51.25
0.4× median
99231Normal range

Subsequent hospital care, per day, low complexity

$35K

3,079 claims · 0.4%

Your Cost: $11.26/claim|Median: $16.77
0.7× median
99221Normal range

Initial hospital care, straightforward/low

$33K

912 claims · 0.4%

Your Cost: $36.01/claim|Median: $39.96
0.9× median
G8428Top 5%

$19K

1,011 claims · 0.2%

Your Cost: $18.54/claim|Median: $0.12
154.5× median
99225Normal range

$16K

1,385 claims · 0.2%

Your Cost: $11.40/claim|Median: $20.96
0.5× median
99497Normal range

$14K

1,078 claims · 0.2%

Your Cost: $12.54/claim|Median: $10.99
1.1× median
99292Normal range

$7K

452 claims · 0.1%

Your Cost: $15.92/claim|Median: $57.64
0.3× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$6K

565 claims · 0.1%

Your Cost: $10.91/claim|Median: $37.22
0.3× median
G8450Top 1%

$861

71 claims · 0.0%

Your Cost: $12.13/claim|Median: $6.10
2.0× median
93010Top 25%

Electrocardiogram, interpretation and report only

$643

69 claims · 0.0%

Your Cost: $9.31/claim|Median: $5.60
1.7× median
99219Normal range

$517

68 claims · 0.0%

Your Cost: $7.61/claim|Median: $63.35
0.1× median
G8923Top 1%

$490

45 claims · 0.0%

Your Cost: $10.90/claim|Median: $5.95
1.8× median
G0180Top 25%

$425

28 claims · 0.0%

Your Cost: $15.17/claim|Median: $8.31
1.8× median
6030FNormal range

$325

16 claims · 0.0%

Your Cost: $20.33/claim|Median: $20.33
1.0× median
99236Normal range

Observation care same day admit and discharge

-$42

16 claims · -0.0%

Your Cost: $-2.60/claim|Median: $128.23
← All providersHow we detect fraud →