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

⚖️ Compare🖨️ Print Report

Provider 1942241351

NPI: 1942241351Share
Active Billing Period:2018-01→2024-07(79 months)

Total Paid

$12.2M

$12,215,362

Total Claims

365K

Beneficiaries

319K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-5%
2019
$2.3M
-10%
2020
$2.0M
+39%
2021
$2.8M
-36%
2022
$1.8M
-60%
2023
$731K
-81%
2024
$137K

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 29% of total spending.

99213Normal range

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

$3.5M

67K claims · 28.8%

Your Cost: $52.33/claim|Median: $37.81
1.4× median
99214Top 25%

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

$1.9M

26K claims · 15.9%

Your Cost: $75.91/claim|Median: $53.41
1.4× median
90837Normal range

Psychotherapy, 60 minutes

$398K

4,765 claims · 3.3%

Your Cost: $83.56/claim|Median: $85.66
1.0× median
77067Top 5%

Screening mammography, bilateral, including CAD

$342K

2,322 claims · 2.8%

Your Cost: $147.47/claim|Median: $39.33
3.7× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$341K

6,526 claims · 2.8%

Your Cost: $52.26/claim|Median: $24.95
2.1× median
80053Top 25%

Comprehensive metabolic panel

$306K

15K claims · 2.5%

Your Cost: $20.24/claim|Median: $7.24
2.8× median
88305Normal range

Surgical pathology, gross and microscopic examination

$296K

9,985 claims · 2.4%

Your Cost: $29.69/claim|Median: $35.80
0.8× median
92340Top 10%

Fitting of spectacles, except for aphakia

$186K

5,771 claims · 1.5%

Your Cost: $32.26/claim|Median: $19.46
1.7× median
90834Normal range

Psychotherapy, 45 minutes

$170K

2,681 claims · 1.4%

Your Cost: $63.49/claim|Median: $63.65
1.0× median
76830Top 5%

Ultrasound, transvaginal

$161K

1,140 claims · 1.3%

Your Cost: $141.09/claim|Median: $57.47
2.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$153K

4,312 claims · 1.3%

Your Cost: $35.43/claim|Median: $30.04
1.2× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$152K

6,523 claims · 1.2%

Your Cost: $23.35/claim|Median: $23.39
1.0× median
98941Top 5%

Chiropractic manipulative treatment, 3-4 spinal regions

$145K

3,613 claims · 1.2%

Your Cost: $40.21/claim|Median: $20.83
1.9× median
80061Top 10%

Lipid panel

$140K

7,933 claims · 1.1%

Your Cost: $17.60/claim|Median: $8.41
2.1× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$126K

17K claims · 1.0%

Your Cost: $7.23/claim|Median: $4.71
1.5× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$125K

1,620 claims · 1.0%

Your Cost: $77.13/claim|Median: $47.08
1.6× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$122K

1,269 claims · 1.0%

Your Cost: $96.13/claim|Median: $74.78
1.3× median
71046Top 25%

Chest X-ray, 2 views

$118K

5,493 claims · 1.0%

Your Cost: $21.53/claim|Median: $8.92
2.4× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$116K

7,820 claims · 0.9%

Your Cost: $14.84/claim|Median: $9.80
1.5× median
73562Top 25%

$113K

3,165 claims · 0.9%

Your Cost: $35.77/claim|Median: $12.28
2.9× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$106K

5,546 claims · 0.9%

Your Cost: $19.13/claim|Median: $9.87
1.9× median
87389Top 10%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$104K

2,591 claims · 0.8%

Your Cost: $40.02/claim|Median: $18.03
2.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$103K

1,609 claims · 0.8%

Your Cost: $64.26/claim|Median: $75.18
0.9× median
99203Normal range

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

$103K

1,773 claims · 0.8%

Your Cost: $58.00/claim|Median: $57.85
1.0× median
73630Top 25%

X-ray, foot, complete, minimum 3 views

$98K

3,596 claims · 0.8%

Your Cost: $27.20/claim|Median: $12.06
2.3× median
80050Top 10%

General health panel

$97K

892 claims · 0.8%

Your Cost: $108.53/claim|Median: $25.59
4.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$95K

1,313 claims · 0.8%

Your Cost: $72.04/claim|Median: $58.55
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$87K

34K claims · 0.7%

Your Cost: $2.61/claim|Median: $1.57
1.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$79K

1,196 claims · 0.6%

Your Cost: $66.29/claim|Median: $74.82
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$77K

3,403 claims · 0.6%

Your Cost: $22.73/claim|Median: $24.49
0.9× median
← All providersHow we detect fraud →