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

Provider 1982667663

NPI: 1982667663Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$13.9M

$13,879,099

Total Claims

247K

Beneficiaries

187K

1.3 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$4.1M
-17%
2019
$3.4M
-19%
2020
$2.8M
-6%
2021
$2.6M
-85%
2022
$402K
-18%
2023
$328K
-10%
2024
$297K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99215 (Office/outpatient visit, high complexity)) accounts for 29% of total spending.

99215Top 25%

Office/outpatient visit, high complexity

$4.0M

33K claims · 28.7%

Your Cost: $120.19/claim|Median: $74.09
1.6× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2.8M

44K claims · 20.5%

Your Cost: $64.22/claim|Median: $35.30
1.8× median
99214Normal range

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

$1.7M

28K claims · 12.5%

Your Cost: $61.34/claim|Median: $53.41
1.1× median
Z4306Normal range

$716K

14K claims · 5.2%

Your Cost: $49.44/claim|Median: $49.73
1.0× median
99291Top 10%

Critical care, first 30-74 minutes

$524K

2,239 claims · 3.8%

Your Cost: $234.12/claim|Median: $101.24
2.3× median
Z4300Normal range

$465K

6,559 claims · 3.4%

Your Cost: $70.94/claim|Median: $72.00
1.0× median
Z0102Normal range

$338K

1,766 claims · 2.4%

Your Cost: $191.56/claim|Median: $193.72
1.0× median
99309Top 10%

Nursing facility care, subsequent, low complexity

$337K

7,991 claims · 2.4%

Your Cost: $42.15/claim|Median: $14.00
3.0× median
93303Normal range

Echocardiography, transthoracic, limited

$337K

4,703 claims · 2.4%

Your Cost: $71.57/claim|Median: $112.83
0.6× median
95951Normal range

$223K

879 claims · 1.6%

Your Cost: $254.03/claim|Median: $183.28
1.4× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$198K

2,540 claims · 1.4%

Your Cost: $77.85/claim|Median: $54.68
1.4× median
93320Normal range

$176K

4,724 claims · 1.3%

Your Cost: $37.18/claim|Median: $28.68
1.3× median
99213Normal range

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

$174K

10K claims · 1.3%

Your Cost: $16.81/claim|Median: $37.81
0.4× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$150K

4,539 claims · 1.1%

Your Cost: $32.99/claim|Median: $37.22
0.9× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$149K

3,523 claims · 1.1%

Your Cost: $42.32/claim|Median: $62.48
0.7× median
99308Top 10%

Nursing facility care, subsequent, straightforward

$110K

3,809 claims · 0.8%

Your Cost: $28.89/claim|Median: $9.79
3.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$105K

2,230 claims · 0.8%

Your Cost: $47.01/claim|Median: $23.99
2.0× median
Z4304Normal range

$104K

1,968 claims · 0.8%

Your Cost: $52.99/claim|Median: $53.44
1.0× median
99479Top 25%

Subsequent intensive care, 2,501-5,000 grams

$92K

717 claims · 0.7%

Your Cost: $127.69/claim|Median: $103.70
1.2× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$85K

460 claims · 0.6%

Your Cost: $184.38/claim|Median: $293.45
0.6× median
95720Top 25%

$75K

360 claims · 0.5%

Your Cost: $207.93/claim|Median: $120.95
1.7× median
93010Top 5%

Electrocardiogram, interpretation and report only

$69K

6,089 claims · 0.5%

Your Cost: $11.41/claim|Median: $5.60
2.0× median
Z4311Normal range

$67K

6,050 claims · 0.5%

Your Cost: $11.03/claim|Median: $11.03
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$64K

1,737 claims · 0.5%

Your Cost: $36.91/claim|Median: $75.18
0.5× median
99223Normal range

Initial hospital care, per day, high complexity

$58K

657 claims · 0.4%

Your Cost: $88.79/claim|Median: $67.32
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$56K

973 claims · 0.4%

Your Cost: $57.39/claim|Median: $69.35
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$53K

1,335 claims · 0.4%

Your Cost: $39.44/claim|Median: $74.82
0.5× median
Z4310Top 25%

$51K

3,949 claims · 0.4%

Your Cost: $12.93/claim|Median: $11.87
1.1× median
Z0108Normal range

$44K

1,400 claims · 0.3%

Your Cost: $31.76/claim|Median: $29.86
1.1× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$43K

219 claims · 0.3%

Your Cost: $197.36/claim|Median: $111.09
1.8× median