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

⚖️ Compare🖨️ Print Report

Provider 1952333478

NPI: 1952333478Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,548,737

Total Claims

497K

Beneficiaries

465K

1.1 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$53K
+193%
2019
$157K
+318%
2020
$656K
+148%
2021
$1.6M
+6%
2022
$1.7M
+65%
2023
$2.8M
+58%
2024
$4.5M

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 20% of total spending.

99214Normal range

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

$2.3M

35K claims · 19.6%

Your Cost: $65.30/claim|Median: $53.41
1.2× median
99284Normal range

Emergency dept visit, high complexity

$2.2M

25K claims · 19.4%

Your Cost: $90.47/claim|Median: $69.51
1.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$686K

16K claims · 5.9%

Your Cost: $42.08/claim|Median: $39.33
1.1× median
91320Top 5%

$677K

4,398 claims · 5.9%

Your Cost: $153.94/claim|Median: $72.65
2.1× median
99213Normal range

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

$593K

46K claims · 5.1%

Your Cost: $12.83/claim|Median: $37.81
0.3× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$485K

3,507 claims · 4.2%

Your Cost: $138.23/claim|Median: $54.68
2.5× median
92012Top 25%

Ophthalmological exam, intermediate, established patient

$389K

7,231 claims · 3.4%

Your Cost: $53.79/claim|Median: $38.23
1.4× median
88305Normal range

Surgical pathology, gross and microscopic examination

$288K

14K claims · 2.5%

Your Cost: $20.86/claim|Median: $35.80
0.6× median
90662Top 5%

$274K

2,501 claims · 2.4%

Your Cost: $109.49/claim|Median: $6.55
16.7× median
90471Normal range

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

$265K

49K claims · 2.3%

Your Cost: $5.36/claim|Median: $9.80
0.5× median
90480Top 5%

$264K

5,407 claims · 2.3%

Your Cost: $48.82/claim|Median: $25.29
1.9× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$231K

3,545 claims · 2.0%

Your Cost: $65.30/claim|Median: $54.77
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$167K

13K claims · 1.4%

Your Cost: $12.72/claim|Median: $25.06
0.5× median
92015Normal range

Determination of refractive state

$159K

18K claims · 1.4%

Your Cost: $8.76/claim|Median: $10.36
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$132K

4,267 claims · 1.1%

Your Cost: $30.85/claim|Median: $42.48
0.7× median
74177Normal range

CT abdomen and pelvis with contrast

$122K

1,445 claims · 1.1%

Your Cost: $84.41/claim|Median: $65.76
1.3× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$107K

2,780 claims · 0.9%

Your Cost: $38.49/claim|Median: $33.72
1.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$106K

2,709 claims · 0.9%

Your Cost: $39.25/claim|Median: $36.70
1.1× median
96413Top 25%

Chemotherapy administration, IV infusion, up to 1 hour

$101K

534 claims · 0.9%

Your Cost: $188.35/claim|Median: $75.28
2.5× median
99285Normal range

Emergency dept visit, high/urgent complexity

$97K

944 claims · 0.8%

Your Cost: $102.90/claim|Median: $85.65
1.2× median
97110Normal range

Therapeutic exercises, each 15 min

$91K

5,031 claims · 0.8%

Your Cost: $18.00/claim|Median: $24.49
0.7× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$78K

1,456 claims · 0.7%

Your Cost: $53.87/claim|Median: $47.08
1.1× median
70450Normal range

CT head/brain without contrast

$78K

1,535 claims · 0.7%

Your Cost: $50.99/claim|Median: $45.53
1.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$77K

1,968 claims · 0.7%

Your Cost: $39.16/claim|Median: $33.85
1.2× median
0064ATop 25%

$72K

1,765 claims · 0.6%

Your Cost: $40.93/claim|Median: $34.17
1.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$71K

23K claims · 0.6%

Your Cost: $3.16/claim|Median: $7.18
0.4× median
76641Normal range

Ultrasound imaging of one breast, complete

$71K

2,456 claims · 0.6%

Your Cost: $28.97/claim|Median: $49.03
0.6× median
99223Top 25%

Initial hospital care, per day, high complexity

$71K

577 claims · 0.6%

Your Cost: $123.22/claim|Median: $67.32
1.8× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$70K

1,938 claims · 0.6%

Your Cost: $36.17/claim|Median: $25.93
1.4× median
71045Normal range

Chest X-ray, single view

$66K

12K claims · 0.6%

Your Cost: $5.58/claim|Median: $4.93
1.1× median
← All providersHow we detect fraud →