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

⚖️ Compare🖨️ Print Report

Provider 1942475793

NPI: 1942475793Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,086,938

Total Claims

130K

Beneficiaries

121K

1.1 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$878K
+18%
2019
$1.0M
-1%
2020
$1.0M
+58%
2021
$1.6M
-10%
2022
$1.5M
-2%
2023
$1.4M
-55%
2024
$641K

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.

99213Top 10%

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

$2.4M

33K claims · 29.3%

Your Cost: $71.11/claim|Median: $37.81
1.9× median
76830Top 25%

Ultrasound, transvaginal

$1.2M

13K claims · 14.4%

Your Cost: $90.63/claim|Median: $57.47
1.6× median
76856Top 25%

Ultrasound, pelvic, complete

$1.1M

14K claims · 13.8%

Your Cost: $81.70/claim|Median: $47.58
1.7× median
58558Normal range

$718K

603 claims · 8.9%

Your Cost: $1,190.42/claim|Median: $942.89
1.3× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$510K

5,104 claims · 6.3%

Your Cost: $99.97/claim|Median: $76.06
1.3× median
99203Top 25%

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

$460K

4,790 claims · 5.7%

Your Cost: $96.03/claim|Median: $57.85
1.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$375K

4,142 claims · 4.6%

Your Cost: $90.42/claim|Median: $72.71
1.2× median
G0101Top 25%

Cervical/vaginal cancer screening; pelvic exam

$340K

10K claims · 4.2%

Your Cost: $32.65/claim|Median: $21.28
1.5× median
Q0091Normal range

$167K

9,906 claims · 2.1%

Your Cost: $16.90/claim|Median: $11.15
1.5× median
76818Top 25%

$102K

973 claims · 1.3%

Your Cost: $105.31/claim|Median: $68.15
1.5× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$91K

1,089 claims · 1.1%

Your Cost: $83.49/claim|Median: $58.55
1.4× median
51729Top 25%

$90K

264 claims · 1.1%

Your Cost: $341.79/claim|Median: $175.67
1.9× median
59025Normal range

Fetal non-stress test

$78K

1,899 claims · 1.0%

Your Cost: $41.29/claim|Median: $26.45
1.6× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$74K

720 claims · 0.9%

Your Cost: $102.81/claim|Median: $76.22
1.3× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$63K

427 claims · 0.8%

Your Cost: $148.27/claim|Median: $96.39
1.5× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$61K

968 claims · 0.8%

Your Cost: $62.82/claim|Median: $47.65
1.3× median
76820Normal range

$46K

1,409 claims · 0.6%

Your Cost: $32.96/claim|Median: $31.79
1.0× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$37K

317 claims · 0.5%

Your Cost: $116.42/claim|Median: $87.82
1.3× median
99401Top 25%

$36K

1,291 claims · 0.5%

Your Cost: $28.23/claim|Median: $16.53
1.7× median
51797Top 25%

$33K

263 claims · 0.4%

Your Cost: $126.60/claim|Median: $49.66
2.5× median
81003Normal range

Urinalysis, automated without microscopy

$28K

17K claims · 0.3%

Your Cost: $1.65/claim|Median: $1.48
1.1× median
81025Normal range

Urine pregnancy test

$24K

5,217 claims · 0.3%

Your Cost: $4.53/claim|Median: $4.81
0.9× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$22K

239 claims · 0.3%

Your Cost: $91.57/claim|Median: $58.16
1.6× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$19K

133 claims · 0.2%

Your Cost: $144.91/claim|Median: $106.79
1.4× median
76819Top 25%

Fetal biophysical profile with non-stress test

$16K

229 claims · 0.2%

Your Cost: $69.53/claim|Median: $49.45
1.4× median
99214Top 25%

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

$10K

108 claims · 0.1%

Your Cost: $93.93/claim|Median: $53.41
1.8× median
81007Normal range

$9K

1,199 claims · 0.1%

Your Cost: $7.70/claim|Median: $3.40
2.3× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$6K

64 claims · 0.1%

Your Cost: $95.47/claim|Median: $70.87
1.3× median
51784Normal range

$4K

126 claims · 0.1%

Your Cost: $34.87/claim|Median: $30.27
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$4K

87 claims · 0.0%

Your Cost: $43.60/claim|Median: $25.06
1.7× median
← All providersHow we detect fraud →