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

⚖️ Compare🖨️ Print Report

Provider 1942489042

NPI: 1942489042Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.2M

$12,212,460

Total Claims

183K

Beneficiaries

170K

1.1 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-13%
2019
$1.7M
-18%
2020
$1.4M
+29%
2021
$1.8M
-8%
2022
$1.7M
+9%
2023
$1.9M
-14%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (31231 (Nasal endoscopy, diagnostic)) accounts for 24% of total spending.

31231Top 25%

Nasal endoscopy, diagnostic

$2.9M

19K claims · 23.8%

Your Cost: $156.78/claim|Median: $98.77
1.6× median
99204Normal range

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

$1.6M

17K claims · 13.4%

Your Cost: $98.01/claim|Median: $84.03
1.2× median
99213Normal range

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

$1.5M

34K claims · 12.3%

Your Cost: $44.22/claim|Median: $37.81
1.2× median
99203Normal range

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

$1.5M

24K claims · 12.2%

Your Cost: $62.20/claim|Median: $57.85
1.1× median
99214Normal range

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

$1.1M

17K claims · 9.2%

Your Cost: $64.98/claim|Median: $53.41
1.2× median
30140Normal range

$818K

4,846 claims · 6.7%

Your Cost: $168.84/claim|Median: $240.99
0.7× median
31237Normal range

$655K

2,299 claims · 5.4%

Your Cost: $284.83/claim|Median: $211.06
1.3× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$405K

1,717 claims · 3.3%

Your Cost: $236.00/claim|Median: $331.68
0.7× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$344K

13K claims · 2.8%

Your Cost: $26.94/claim|Median: $27.28
1.0× median
92567Normal range

$235K

20K claims · 1.9%

Your Cost: $11.80/claim|Median: $11.50
1.0× median
31575Normal range

$203K

2,417 claims · 1.7%

Your Cost: $84.06/claim|Median: $68.78
1.2× median
92504Normal range

$145K

6,590 claims · 1.2%

Your Cost: $22.01/claim|Median: $16.07
1.4× median
92587Normal range

$109K

5,877 claims · 0.9%

Your Cost: $18.59/claim|Median: $19.24
1.0× median
69436Normal range

Tympanostomy, general anesthesia

$99K

622 claims · 0.8%

Your Cost: $159.29/claim|Median: $205.50
0.8× median
30520Normal range

$96K

232 claims · 0.8%

Your Cost: $413.56/claim|Median: $369.78
1.1× median
69210Normal range

$87K

2,822 claims · 0.7%

Your Cost: $30.72/claim|Median: $21.74
1.4× median
95004Top 25%

Percutaneous allergy skin tests, each

$86K

326 claims · 0.7%

Your Cost: $263.07/claim|Median: $134.97
1.9× median
95117Normal range

$77K

8,631 claims · 0.6%

Your Cost: $8.93/claim|Median: $8.34
1.1× median
92579Normal range

$40K

994 claims · 0.3%

Your Cost: $39.90/claim|Median: $30.58
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$39K

1,344 claims · 0.3%

Your Cost: $28.98/claim|Median: $25.06
1.2× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$29K

163 claims · 0.2%

Your Cost: $179.60/claim|Median: $144.04
1.2× median
30901Top 10%

$16K

86 claims · 0.1%

Your Cost: $184.05/claim|Median: $74.72
2.5× median
30465Normal range

$12K

14 claims · 0.1%

Your Cost: $889.17/claim|Median: $952.07
0.9× median
30802Normal range

$9K

84 claims · 0.1%

Your Cost: $101.60/claim|Median: $110.05
0.9× median
69200Normal range

$8K

123 claims · 0.1%

Your Cost: $62.30/claim|Median: $51.29
1.2× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$6K

37 claims · 0.0%

Your Cost: $158.74/claim|Median: $121.58
1.3× median
61782Normal range

$5K

47 claims · 0.0%

Your Cost: $111.35/claim|Median: $111.35
1.0× median
92588Normal range

Vestibular evoked myogenic potential testing, each side

$4K

129 claims · 0.0%

Your Cost: $32.10/claim|Median: $31.08
1.0× median
42821Normal range

$3K

16 claims · 0.0%

Your Cost: $207.34/claim|Median: $613.18
0.3× median
G0268Normal range

$3K

88 claims · 0.0%

Your Cost: $33.03/claim|Median: $16.23
2.0× median
← All providersHow we detect fraud →