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

⚖️ Compare🖨️ Print Report

Provider 1992176499

NPI: 1992176499Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,442,790

Total Claims

277K

Beneficiaries

184K

1.5 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$166K
+667%
2019
$1.3M
+62%
2020
$2.1M
+4%
2021
$2.2M
-4%
2022
$2.1M
-1%
2023
$2.0M
-18%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99309 (Nursing facility care, subsequent, low complexity)) accounts for 22% of total spending.

99309Top 25%

Nursing facility care, subsequent, low complexity

$2.5M

69K claims · 21.7%

Your Cost: $35.82/claim|Median: $14.00
2.6× median
99336Top 25%

$1.7M

32K claims · 15.2%

Your Cost: $54.88/claim|Median: $20.35
2.7× median
99310Top 25%

$1.7M

29K claims · 14.9%

Your Cost: $58.45/claim|Median: $21.82
2.7× median
99349Top 25%

$1.1M

18K claims · 9.7%

Your Cost: $60.48/claim|Median: $24.29
2.5× median
99335Top 25%

$1.0M

26K claims · 8.9%

Your Cost: $38.99/claim|Median: $14.90
2.6× median
99308Top 25%

Nursing facility care, subsequent, straightforward

$896K

35K claims · 7.8%

Your Cost: $25.55/claim|Median: $9.79
2.6× median
99350Top 25%

$826K

9,047 claims · 7.2%

Your Cost: $91.32/claim|Median: $35.62
2.6× median
99306Top 25%

$417K

6,436 claims · 3.6%

Your Cost: $64.72/claim|Median: $29.97
2.2× median
99497Top 25%

$232K

7,913 claims · 2.0%

Your Cost: $29.37/claim|Median: $10.99
2.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$188K

12K claims · 1.6%

Your Cost: $16.35/claim|Median: $12.93
1.3× median
G0439Top 25%

Annual wellness visit, subsequent visit

$175K

3,388 claims · 1.5%

Your Cost: $51.78/claim|Median: $5.42
9.6× median
99490Top 25%

Chronic care management services, 20 minutes per month

$138K

8,418 claims · 1.2%

Your Cost: $16.43/claim|Median: $6.31
2.6× median
99356Normal range

$117K

3,727 claims · 1.0%

Your Cost: $31.28/claim|Median: $22.76
1.4× median
99348Top 25%

$90K

2,609 claims · 0.8%

Your Cost: $34.44/claim|Median: $17.17
2.0× median
99334Top 25%

$87K

4,322 claims · 0.8%

Your Cost: $20.20/claim|Median: $9.92
2.0× median
99307Top 25%

$40K

3,013 claims · 0.4%

Your Cost: $13.29/claim|Median: $6.57
2.0× median
11042Normal range

Debridement, subcutaneous tissue, first 20 sq cm

$35K

647 claims · 0.3%

Your Cost: $54.15/claim|Median: $36.13
1.5× median
99327Top 25%

$23K

317 claims · 0.2%

Your Cost: $72.25/claim|Median: $34.72
2.1× median
99496Top 25%

Transitional care management, moderate complexity face-to-face visit

$21K

167 claims · 0.2%

Your Cost: $126.19/claim|Median: $54.66
2.3× median
G2058Top 25%

$21K

1,303 claims · 0.2%

Your Cost: $16.14/claim|Median: $5.40
3.0× median
99337Top 25%

$18K

212 claims · 0.2%

Your Cost: $87.10/claim|Median: $29.39
3.0× median
99441Normal range

Telephone E/M by physician, 5-10 min

$17K

1,470 claims · 0.1%

Your Cost: $11.42/claim|Median: $13.30
0.9× median
99439Top 25%

$9K

521 claims · 0.1%

Your Cost: $16.75/claim|Median: $5.83
2.9× median
G0180Top 5%

$8K

292 claims · 0.1%

Your Cost: $26.63/claim|Median: $8.31
3.2× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$7K

353 claims · 0.1%

Your Cost: $20.36/claim|Median: $22.44
0.9× median
99345Normal range

$4K

37 claims · 0.0%

Your Cost: $96.39/claim|Median: $56.78
1.7× median
99214Normal range

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

$3K

45 claims · 0.0%

Your Cost: $56.17/claim|Median: $53.41
1.1× median
99213Normal range

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

$2K

78 claims · 0.0%

Your Cost: $29.84/claim|Median: $37.81
0.8× median
93793Top 25%

$2K

255 claims · 0.0%

Your Cost: $7.87/claim|Median: $4.09
1.9× median
P9604Top 25%

$1K

254 claims · 0.0%

Your Cost: $5.82/claim|Median: $0.81
7.2× median
← All providersHow we detect fraud →