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

⚖️ Compare🖨️ Print Report

Provider 1992854855

NPI: 1992854855Share
Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$10.0M

$10,030,622

Total Claims

235K

Beneficiaries

222K

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$547K
-3%
2019
$532K
+102%
2020
$1.1M
+62%
2021
$1.7M
+10%
2022
$1.9M
+27%
2023
$2.4M
-25%
2024
$1.8M

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 53% of total spending.

99213Top 25%

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

$5.3M

81K claims · 53.2%

Your Cost: $65.71/claim|Median: $37.81
1.7× median
99214Top 25%

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

$1.1M

11K claims · 10.6%

Your Cost: $94.40/claim|Median: $53.41
1.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$977K

11K claims · 9.7%

Your Cost: $89.31/claim|Median: $76.06
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$833K

9,963 claims · 8.3%

Your Cost: $83.59/claim|Median: $72.71
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$660K

17K claims · 6.6%

Your Cost: $39.26/claim|Median: $25.06
1.6× median
99203Normal range

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

$286K

3,745 claims · 2.8%

Your Cost: $76.28/claim|Median: $57.85
1.3× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$168K

1,876 claims · 1.7%

Your Cost: $89.38/claim|Median: $76.22
1.2× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$143K

1,393 claims · 1.4%

Your Cost: $102.75/claim|Median: $87.82
1.2× median
90674Top 25%

$141K

5,096 claims · 1.4%

Your Cost: $27.65/claim|Median: $15.16
1.8× median
90471Normal range

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

$94K

9,127 claims · 0.9%

Your Cost: $10.31/claim|Median: $9.80
1.1× median
90756Top 10%

Influenza virus vaccine, quadrivalent

$64K

2,397 claims · 0.6%

Your Cost: $26.86/claim|Median: $14.34
1.9× median
36415Normal range

Collection of venous blood by venipuncture

$28K

32K claims · 0.3%

Your Cost: $0.88/claim|Median: $1.57
0.6× median
99211Normal range

Office/outpatient visit, minimal complexity

$28K

1,558 claims · 0.3%

Your Cost: $18.05/claim|Median: $12.93
1.4× median
99401Top 25%

$27K

975 claims · 0.3%

Your Cost: $27.77/claim|Median: $16.53
1.7× median
90661Top 10%

$24K

704 claims · 0.2%

Your Cost: $33.64/claim|Median: $14.37
2.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$22K

424 claims · 0.2%

Your Cost: $52.15/claim|Median: $40.11
1.3× median
G0101Normal range

Cervical/vaginal cancer screening; pelvic exam

$17K

647 claims · 0.2%

Your Cost: $26.89/claim|Median: $21.28
1.3× median
87110Normal range

$17K

1,382 claims · 0.2%

Your Cost: $12.59/claim|Median: $8.42
1.5× median
99204Top 25%

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

$15K

125 claims · 0.1%

Your Cost: $117.20/claim|Median: $84.03
1.4× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$14K

157 claims · 0.1%

Your Cost: $90.68/claim|Median: $83.63
1.1× median
90688Top 10%

$11K

550 claims · 0.1%

Your Cost: $19.65/claim|Median: $9.00
2.2× median
99397Top 25%

$8K

131 claims · 0.1%

Your Cost: $62.57/claim|Median: $22.92
2.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$8K

399 claims · 0.1%

Your Cost: $19.78/claim|Median: $22.44
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$6K

81 claims · 0.1%

Your Cost: $77.46/claim|Median: $80.15
1.0× median
Q0091Normal range

$5K

619 claims · 0.1%

Your Cost: $8.52/claim|Median: $11.15
0.8× median
92250Normal range

Fundus photography with interpretation and report

$5K

417 claims · 0.1%

Your Cost: $12.09/claim|Median: $27.95
0.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$4K

368 claims · 0.0%

Your Cost: $11.38/claim|Median: $17.85
0.6× median
3074FTop 25%

$4K

3,204 claims · 0.0%

Your Cost: $1.17/claim|Median: $0.11
10.6× median
99497Top 25%

$4K

87 claims · 0.0%

Your Cost: $41.55/claim|Median: $10.99
3.8× median
92228Normal range

$3K

170 claims · 0.0%

Your Cost: $16.12/claim|Median: $11.30
1.4× median
← All providersHow we detect fraud →