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

⚖️ Compare🖨️ Print Report

Provider 1932313228

NPI: 1932313228Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,038,110

Total Claims

194K

Beneficiaries

163K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+137%
2019
$5.4M
-97%
2020
$164K
-63%
2021
$61K
+26%
2022
$77K
+389%
2023
$378K
+66%
2024
$626K

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 18% of total spending.

99214Normal range

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

$1.6M

25K claims · 18.1%

Your Cost: $65.29/claim|Median: $53.41
1.2× median
99213Top 5%

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

$1.4M

16K claims · 15.5%

Your Cost: $87.39/claim|Median: $37.81
2.3× median
90834Normal range

Psychotherapy, 45 minutes

$1.2M

17K claims · 13.3%

Your Cost: $68.99/claim|Median: $63.65
1.1× median
99284Normal range

Emergency dept visit, high complexity

$582K

8,330 claims · 6.4%

Your Cost: $69.84/claim|Median: $69.51
1.0× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$342K

5,523 claims · 3.8%

Your Cost: $61.90/claim|Median: $47.08
1.3× median
99285Normal range

Emergency dept visit, high/urgent complexity

$299K

3,539 claims · 3.3%

Your Cost: $84.42/claim|Median: $85.65
1.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$261K

1,889 claims · 2.9%

Your Cost: $137.93/claim|Median: $42.48
3.2× median
90791Normal range

Psychiatric diagnostic evaluation

$169K

1,506 claims · 1.9%

Your Cost: $112.03/claim|Median: $99.21
1.1× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$155K

1,485 claims · 1.7%

Your Cost: $104.45/claim|Median: $108.91
1.0× median
96361Top 1%

IV infusion, hydration, each additional hour

$149K

288 claims · 1.6%

Your Cost: $517.70/claim|Median: $38.92
13.3× median
99215Normal range

Office/outpatient visit, high complexity

$144K

1,391 claims · 1.6%

Your Cost: $103.19/claim|Median: $74.09
1.4× median
90853Normal range

Group psychotherapy

$107K

4,061 claims · 1.2%

Your Cost: $26.41/claim|Median: $25.02
1.1× median
99211Top 5%

Office/outpatient visit, minimal complexity

$98K

614 claims · 1.1%

Your Cost: $159.09/claim|Median: $12.93
12.3× median
93010Normal range

Electrocardiogram, interpretation and report only

$92K

28K claims · 1.0%

Your Cost: $3.29/claim|Median: $5.60
0.6× median
97110Top 5%

Therapeutic exercises, each 15 min

$90K

863 claims · 1.0%

Your Cost: $104.24/claim|Median: $24.49
4.3× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$88K

670 claims · 1.0%

Your Cost: $131.01/claim|Median: $69.35
1.9× median
80307Top 10%

Drug test, presumptive, by chemistry analyzers

$85K

1,238 claims · 0.9%

Your Cost: $68.58/claim|Median: $35.43
1.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$75K

1,992 claims · 0.8%

Your Cost: $37.44/claim|Median: $23.99
1.6× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$73K

631 claims · 0.8%

Your Cost: $116.17/claim|Median: $74.82
1.6× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$69K

561 claims · 0.8%

Your Cost: $123.58/claim|Median: $75.18
1.6× median
J2315Top 1%

$69K

42 claims · 0.8%

Your Cost: $1,635.51/claim|Median: $1,045.36
1.6× median
99282Top 5%

Emergency dept visit, low complexity

$68K

366 claims · 0.7%

Your Cost: $185.00/claim|Median: $37.72
4.9× median
99309Normal range

Nursing facility care, subsequent, low complexity

$62K

4,295 claims · 0.7%

Your Cost: $14.39/claim|Median: $14.00
1.0× median
99212Top 5%

Office/outpatient visit, low complexity

$62K

543 claims · 0.7%

Your Cost: $113.60/claim|Median: $25.06
4.5× median
G0480Normal range

Drug test, definitive, 1-7 drug classes

$60K

1,285 claims · 0.7%

Your Cost: $46.77/claim|Median: $37.56
1.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$52K

2,195 claims · 0.6%

Your Cost: $23.79/claim|Median: $54.68
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$48K

1,077 claims · 0.5%

Your Cost: $44.47/claim|Median: $41.28
1.1× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$43K

364 claims · 0.5%

Your Cost: $119.20/claim|Median: $80.15
1.5× median
20610Top 25%

Arthrocentesis, aspiration/injection, major joint

$42K

618 claims · 0.5%

Your Cost: $68.73/claim|Median: $29.03
2.4× median
59025Top 5%

Fetal non-stress test

$40K

171 claims · 0.4%

Your Cost: $236.08/claim|Median: $26.45
8.9× median
← All providersHow we detect fraud →