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

⚖️ Compare🖨️ Print Report

Provider 1932199171

NPI: 1932199171Share
Active Billing Period:2018-01→2024-08(80 months)

Total Paid

$15.4M

$15,380,752

Total Claims

161K

Beneficiaries

134K

1.2 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$2.0M
+9%
2019
$2.2M
+22%
2020
$2.7M
+9%
2021
$3.0M
-18%
2022
$2.5M
+1%
2023
$2.5M
-82%
2024
$444K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 22% of total spending.

99213Top 5%

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

$3.4M

34K claims · 22.3%

Your Cost: $100.02/claim|Median: $37.81
2.6× median
D0999Normal range

Unspecified diagnostic procedure, by report

$2.7M

15K claims · 17.7%

Your Cost: $176.45/claim|Median: $101.33
1.7× median
H0049Top 1%

$1.6M

10K claims · 10.5%

Your Cost: $155.30/claim|Median: $9.27
16.8× median
Q3014Top 5%

Telehealth originating site facility fee

$1.5M

15K claims · 10.0%

Your Cost: $99.71/claim|Median: $15.37
6.5× median
99214Top 10%

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

$894K

8,958 claims · 5.8%

Your Cost: $99.77/claim|Median: $53.41
1.9× median
90837Top 10%

Psychotherapy, 60 minutes

$893K

6,102 claims · 5.8%

Your Cost: $146.35/claim|Median: $85.66
1.7× median
90853Top 5%

Group psychotherapy

$819K

6,931 claims · 5.3%

Your Cost: $118.20/claim|Median: $25.02
4.7× median
36416Top 1%

$416K

5,215 claims · 2.7%

Your Cost: $79.72/claim|Median: $1.31
60.9× median
80305Top 1%

$408K

4,118 claims · 2.7%

Your Cost: $99.13/claim|Median: $7.44
13.3× median
36415Top 1%

Collection of venous blood by venipuncture

$318K

5,823 claims · 2.1%

Your Cost: $54.55/claim|Median: $1.57
34.7× median
99212Top 5%

Office/outpatient visit, low complexity

$303K

2,498 claims · 2.0%

Your Cost: $121.18/claim|Median: $25.06
4.8× median
86803Top 5%

Hepatitis C antibody

$191K

3,036 claims · 1.2%

Your Cost: $62.78/claim|Median: $10.17
6.2× median
90834Top 5%

Psychotherapy, 45 minutes

$181K

1,290 claims · 1.2%

Your Cost: $140.03/claim|Median: $63.65
2.2× median
99203Top 10%

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

$172K

1,699 claims · 1.1%

Your Cost: $101.28/claim|Median: $57.85
1.8× median
81025Top 1%

Urine pregnancy test

$145K

2,717 claims · 0.9%

Your Cost: $53.22/claim|Median: $4.81
11.1× median
81002Top 1%

Urinalysis, non-automated without microscopy

$144K

2,051 claims · 0.9%

Your Cost: $70.40/claim|Median: $2.00
35.2× median
90832Top 5%

Psychotherapy, 30 minutes

$126K

989 claims · 0.8%

Your Cost: $127.77/claim|Median: $41.28
3.1× median
H2011Normal range

Crisis intervention service, per 15 minutes

$123K

1,318 claims · 0.8%

Your Cost: $93.08/claim|Median: $215.80
0.4× median
86703Top 5%

$117K

3,577 claims · 0.8%

Your Cost: $32.66/claim|Median: $10.37
3.1× median
81003Top 1%

Urinalysis, automated without microscopy

$77K

1,505 claims · 0.5%

Your Cost: $51.33/claim|Median: $1.48
34.7× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$68K

752 claims · 0.4%

Your Cost: $90.40/claim|Median: $40.11
2.3× median
87522Top 5%

$63K

1,044 claims · 0.4%

Your Cost: $60.51/claim|Median: $29.66
2.0× median
90656Top 1%

$62K

1,546 claims · 0.4%

Your Cost: $40.22/claim|Median: $8.67
4.6× median
87430Top 1%

$56K

530 claims · 0.4%

Your Cost: $105.15/claim|Median: $9.41
11.2× median
83036Top 25%

Hemoglobin A1c (glycated hemoglobin)

$48K

4,789 claims · 0.3%

Your Cost: $9.98/claim|Median: $5.50
1.8× median
G0467Normal range

Federally qualified health center visit, mental health

$48K

2,429 claims · 0.3%

Your Cost: $19.56/claim|Median: $21.91
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$47K

547 claims · 0.3%

Your Cost: $86.24/claim|Median: $74.09
1.2× median
82274Top 1%

$46K

1,146 claims · 0.3%

Your Cost: $40.46/claim|Median: $12.83
3.2× median
90715Top 10%

Tdap vaccine

$36K

983 claims · 0.2%

Your Cost: $37.00/claim|Median: $10.32
3.6× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$30K

292 claims · 0.2%

Your Cost: $102.87/claim|Median: $75.18
1.4× median
← All providersHow we detect fraud →