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

⚖️ Compare🖨️ Print Report

Provider 1952705410

NPI: 1952705410Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.7M

$12,652,214

Total Claims

150K

Beneficiaries

127K

1.2 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+23%
2019
$1.3M
+4%
2020
$1.3M
+27%
2021
$1.7M
+37%
2022
$2.3M
+21%
2023
$2.8M
-13%
2024
$2.4M

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 21% of total spending.

99213Top 25%

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

$2.7M

38K claims · 21.0%

Your Cost: $70.17/claim|Median: $37.81
1.9× median
76830Top 10%

Ultrasound, transvaginal

$1.7M

16K claims · 13.6%

Your Cost: $110.35/claim|Median: $57.47
1.9× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$1.5M

15K claims · 11.6%

Your Cost: $96.02/claim|Median: $58.55
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$818K

18K claims · 6.5%

Your Cost: $45.72/claim|Median: $25.06
1.8× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$687K

6,774 claims · 5.4%

Your Cost: $101.45/claim|Median: $72.71
1.4× median
76819Top 25%

Fetal biophysical profile with non-stress test

$611K

7,865 claims · 4.8%

Your Cost: $77.67/claim|Median: $49.45
1.6× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$611K

7,491 claims · 4.8%

Your Cost: $81.52/claim|Median: $47.65
1.7× median
59409Normal range

Vaginal delivery only

$572K

807 claims · 4.5%

Your Cost: $708.77/claim|Median: $619.91
1.1× median
99214Top 10%

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

$429K

3,925 claims · 3.4%

Your Cost: $109.35/claim|Median: $53.41
2.0× median
59514Top 25%

Cesarean delivery only

$406K

531 claims · 3.2%

Your Cost: $765.24/claim|Median: $452.80
1.7× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$392K

2,511 claims · 3.1%

Your Cost: $156.01/claim|Median: $106.79
1.5× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$292K

2,682 claims · 2.3%

Your Cost: $108.82/claim|Median: $76.06
1.4× median
99442Top 25%

Telephone E/M by physician, 11-20 minutes

$260K

4,009 claims · 2.1%

Your Cost: $64.74/claim|Median: $22.44
2.9× median
59430Top 10%

$225K

1,124 claims · 1.8%

Your Cost: $200.24/claim|Median: $80.32
2.5× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$225K

2,161 claims · 1.8%

Your Cost: $104.04/claim|Median: $70.87
1.5× median
58558Normal range

$144K

158 claims · 1.1%

Your Cost: $912.72/claim|Median: $942.89
1.0× median
99203Top 25%

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

$134K

1,450 claims · 1.1%

Your Cost: $92.75/claim|Median: $57.85
1.6× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$107K

959 claims · 0.8%

Your Cost: $111.16/claim|Median: $76.22
1.5× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$104K

899 claims · 0.8%

Your Cost: $115.63/claim|Median: $74.78
1.5× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$101K

1,669 claims · 0.8%

Your Cost: $60.26/claim|Median: $37.22
1.6× median
J7300Top 25%

$92K

98 claims · 0.7%

Your Cost: $937.64/claim|Median: $692.75
1.4× median
99204Top 25%

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

$71K

542 claims · 0.6%

Your Cost: $131.59/claim|Median: $84.03
1.6× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$57K

1,624 claims · 0.4%

Your Cost: $34.81/claim|Median: $16.77
2.1× median
54150Normal range

$51K

514 claims · 0.4%

Your Cost: $98.82/claim|Median: $84.60
1.2× median
76998Top 25%

$49K

380 claims · 0.4%

Your Cost: $129.73/claim|Median: $57.59
2.3× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$46K

411 claims · 0.4%

Your Cost: $110.94/claim|Median: $58.16
1.9× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$39K

594 claims · 0.3%

Your Cost: $66.28/claim|Median: $36.79
1.8× median
58300Normal range

$39K

418 claims · 0.3%

Your Cost: $92.32/claim|Median: $74.77
1.2× median
81025Normal range

Urine pregnancy test

$35K

6,023 claims · 0.3%

Your Cost: $5.85/claim|Median: $4.81
1.2× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$35K

286 claims · 0.3%

Your Cost: $122.17/claim|Median: $87.82
1.4× median
← All providersHow we detect fraud →