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

⚖️ Compare🖨️ Print Report

Provider 1013406610

NPI: 1013406610Share
Active Billing Period:2018-08→2024-12(77 months)

Total Paid

$16.2M

$16,163,754

Total Claims

542K

Beneficiaries

404K

1.3 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+198%
2019
$3.4M
-19%
2020
$2.7M
-11%
2021
$2.4M
-37%
2022
$1.6M
+56%
2023
$2.4M
+5%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 95% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$15.3M

100K claims · 94.9%

Your Cost: $152.95/claim|Median: $121.16
1.3× median
99213Normal range

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

$286K

58K claims · 1.8%

Your Cost: $4.89/claim|Median: $37.81
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$60K

8,677 claims · 0.4%

Your Cost: $6.94/claim|Median: $74.82
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$58K

10K claims · 0.4%

Your Cost: $5.75/claim|Median: $75.18
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$47K

5,663 claims · 0.3%

Your Cost: $8.37/claim|Median: $80.15
0.1× median
99214Normal range

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

$46K

13K claims · 0.3%

Your Cost: $3.65/claim|Median: $53.41
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$37K

17K claims · 0.2%

Your Cost: $2.12/claim|Median: $7.18
0.3× median
92551Normal range

Screening audiometry, pure tone, air only

$34K

20K claims · 0.2%

Your Cost: $1.69/claim|Median: $6.61
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$33K

25K claims · 0.2%

Your Cost: $1.32/claim|Median: $25.06
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$27K

6,000 claims · 0.2%

Your Cost: $4.57/claim|Median: $69.35
0.1× median
90832Normal range

Psychotherapy, 30 minutes

$26K

1,946 claims · 0.2%

Your Cost: $13.61/claim|Median: $41.28
0.3× median
90791Normal range

Psychiatric diagnostic evaluation

$26K

890 claims · 0.2%

Your Cost: $29.43/claim|Median: $99.21
0.3× median
S9449Top 10%

$23K

758 claims · 0.1%

Your Cost: $29.96/claim|Median: $0.93
32.2× median
0072ANormal range

$12K

290 claims · 0.1%

Your Cost: $41.58/claim|Median: $39.57
1.1× median
90834Normal range

Psychotherapy, 45 minutes

$11K

729 claims · 0.1%

Your Cost: $14.68/claim|Median: $63.65
0.2× median
85018Normal range

$11K

16K claims · 0.1%

Your Cost: $0.67/claim|Median: $1.71
0.4× median
0071ANormal range

$9K

229 claims · 0.1%

Your Cost: $41.41/claim|Median: $38.71
1.1× median
99173Normal range

$9K

21K claims · 0.1%

Your Cost: $0.42/claim|Median: $2.16
0.2× median
90670Normal range

$8K

4,218 claims · 0.0%

Your Cost: $1.83/claim|Median: $5.94
0.3× median
90649Normal range

$6K

1,867 claims · 0.0%

Your Cost: $3.48/claim|Median: $6.42
0.5× median
90633Normal range

$6K

3,474 claims · 0.0%

Your Cost: $1.60/claim|Median: $3.56
0.4× median
90647Normal range

$5K

4,309 claims · 0.0%

Your Cost: $1.25/claim|Median: $4.31
0.3× median
90723Normal range

DTaP-HepB-IPV vaccine

$5K

3,991 claims · 0.0%

Your Cost: $1.18/claim|Median: $5.78
0.2× median
90734Normal range

$5K

1,421 claims · 0.0%

Your Cost: $3.19/claim|Median: $6.40
0.5× median
90710Normal range

MMRV vaccine

$4K

1,406 claims · 0.0%

Your Cost: $2.75/claim|Median: $7.00
0.4× median
90700Normal range

$3K

561 claims · 0.0%

Your Cost: $5.38/claim|Median: $4.56
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$3K

672 claims · 0.0%

Your Cost: $4.36/claim|Median: $11.48
0.4× median
90715Normal range

Tdap vaccine

$3K

662 claims · 0.0%

Your Cost: $3.96/claim|Median: $10.32
0.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$3K

9,448 claims · 0.0%

Your Cost: $0.27/claim|Median: $17.85
0.0× median
G0467Top 25%

Federally qualified health center visit, mental health

$2K

68 claims · 0.0%

Your Cost: $35.41/claim|Median: $21.91
1.6× median
← All providersHow we detect fraud →