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

⚖️ Compare🖨️ Print Report

Provider 1962680033

NPI: 1962680033Share
Active Billing Period:2018-01→2024-07(71 months)

Total Paid

$11.7M

$11,701,638

Total Claims

593K

Beneficiaries

553K

1.1 claims/patient

Avg Cost/Claim

$20

Monthly Spending Trend

Yearly Spending

2018
$643K
+78%
2019
$1.1M
-5%
2020
$1.1M
+154%
2021
$2.8M
+19%
2022
$3.3M
-16%
2023
$2.8M
-100%
2024
$2K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99204 (Office/outpatient visit, new patient, mod-high complexity)) accounts for 22% of total spending.

99204Normal range

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

$2.6M

52K claims · 22.2%

Your Cost: $49.57/claim|Median: $84.03
0.6× median
99214Normal range

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

$2.5M

70K claims · 21.3%

Your Cost: $35.52/claim|Median: $53.41
0.7× median
99203Normal range

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

$1.6M

37K claims · 13.5%

Your Cost: $42.45/claim|Median: $57.85
0.7× median
87426Normal range

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

$1.2M

68K claims · 10.4%

Your Cost: $17.89/claim|Median: $30.04
0.6× median
99213Normal range

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

$997K

43K claims · 8.5%

Your Cost: $23.27/claim|Median: $37.81
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$602K

21K claims · 5.1%

Your Cost: $28.95/claim|Median: $40.11
0.7× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$555K

23K claims · 4.7%

Your Cost: $23.88/claim|Median: $30.53
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$337K

22K claims · 2.9%

Your Cost: $15.21/claim|Median: $25.06
0.6× median
94760Top 25%

Pulse oximetry, single reading, noninvasive

$259K

64K claims · 2.2%

Your Cost: $4.05/claim|Median: $0.79
5.1× median
99401Normal range

$220K

61K claims · 1.9%

Your Cost: $3.59/claim|Median: $16.53
0.2× median
87804Normal range

Influenza virus detection, rapid test

$194K

30K claims · 1.7%

Your Cost: $6.45/claim|Median: $12.59
0.5× median
G2023Normal range

Specimen collection for COVID-19 testing

$128K

13K claims · 1.1%

Your Cost: $10.12/claim|Median: $17.15
0.6× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$123K

9,362 claims · 1.1%

Your Cost: $13.14/claim|Median: $9.56
1.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$102K

18K claims · 0.9%

Your Cost: $5.65/claim|Median: $11.48
0.5× median
99000Normal range

$56K

25K claims · 0.5%

Your Cost: $2.21/claim|Median: $2.30
1.0× median
U0004Normal range

COVID-19 test, nucleic acid detection, CDC lab only

$36K

599 claims · 0.3%

Your Cost: $60.85/claim|Median: $60.05
1.0× median
81003Top 25%

Urinalysis, automated without microscopy

$27K

12K claims · 0.2%

Your Cost: $2.20/claim|Median: $1.48
1.5× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$23K

454 claims · 0.2%

Your Cost: $50.01/claim|Median: $27.38
1.8× median
93000Top 10%

Electrocardiogram, complete, with interpretation and report

$18K

825 claims · 0.2%

Your Cost: $21.47/claim|Median: $9.70
2.2× median
J0696Top 25%

$15K

2,085 claims · 0.1%

Your Cost: $7.09/claim|Median: $1.34
5.3× median
81025Normal range

Urine pregnancy test

$14K

3,829 claims · 0.1%

Your Cost: $3.56/claim|Median: $4.81
0.7× median
J1885Top 10%

Injection, ketorolac tromethamine, fifteen milligrams

$12K

1,778 claims · 0.1%

Your Cost: $6.86/claim|Median: $0.91
7.5× median
71046Top 25%

Chest X-ray, 2 views

$12K

638 claims · 0.1%

Your Cost: $18.97/claim|Median: $8.92
2.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$11K

175 claims · 0.1%

Your Cost: $63.55/claim|Median: $111.09
0.6× median
99497Top 25%

$10K

266 claims · 0.1%

Your Cost: $38.13/claim|Median: $10.99
3.5× median
99051Normal range

$8K

3,799 claims · 0.1%

Your Cost: $2.01/claim|Median: $7.89
0.3× median
36410Normal range

$7K

1,020 claims · 0.1%

Your Cost: $6.96/claim|Median: $5.72
1.2× median
J2930Top 25%

$7K

924 claims · 0.1%

Your Cost: $7.53/claim|Median: $3.03
2.5× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$6K

702 claims · 0.0%

Your Cost: $8.19/claim|Median: $10.88
0.8× median
87807Normal range

$5K

884 claims · 0.0%

Your Cost: $6.00/claim|Median: $10.06
0.6× median
← All providersHow we detect fraud →