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

⚖️ Compare🖨️ Print Report

Provider 1063669562

NPI: 1063669562Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.0M

$10,951,947

Total Claims

178K

Beneficiaries

158K

1.1 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$506K
+97%
2019
$998K
+40%
2020
$1.4M
+72%
2021
$2.4M
-4%
2022
$2.3M
-37%
2023
$1.4M
+29%
2024
$1.9M

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 42% of total spending.

99213Top 5%

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

$4.6M

53K claims · 42.4%

Your Cost: $87.19/claim|Median: $37.81
2.3× median
99214Top 5%

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

$3.0M

23K claims · 27.1%

Your Cost: $128.20/claim|Median: $53.41
2.4× median
99203Top 10%

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

$667K

6,448 claims · 6.1%

Your Cost: $103.46/claim|Median: $57.85
1.8× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$512K

4,321 claims · 4.7%

Your Cost: $118.38/claim|Median: $72.71
1.6× median
99204Top 10%

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

$293K

1,879 claims · 2.7%

Your Cost: $155.73/claim|Median: $84.03
1.9× median
99396Top 10%

Preventive medicine, established patient, age 40-64

$271K

2,127 claims · 2.5%

Your Cost: $127.27/claim|Median: $76.06
1.7× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$174K

1,451 claims · 1.6%

Your Cost: $119.64/claim|Median: $75.18
1.6× median
99051Normal range

$166K

26K claims · 1.5%

Your Cost: $6.34/claim|Median: $7.89
0.8× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$133K

1,199 claims · 1.2%

Your Cost: $111.20/claim|Median: $69.35
1.6× median
99212Top 25%

Office/outpatient visit, low complexity

$116K

2,184 claims · 1.1%

Your Cost: $53.11/claim|Median: $25.06
2.1× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$109K

918 claims · 1.0%

Your Cost: $118.30/claim|Median: $74.82
1.6× median
99385Top 10%

Preventive visit, new patient, 18-39 yr

$107K

855 claims · 1.0%

Your Cost: $125.45/claim|Median: $76.22
1.6× median
69210Top 5%

$97K

1,789 claims · 0.9%

Your Cost: $53.98/claim|Median: $21.74
2.5× median
87811Normal range

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

$82K

3,278 claims · 0.8%

Your Cost: $25.12/claim|Median: $30.53
0.8× median
87804Normal range

Influenza virus detection, rapid test

$81K

6,814 claims · 0.7%

Your Cost: $11.90/claim|Median: $12.59
0.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$76K

23K claims · 0.7%

Your Cost: $3.27/claim|Median: $11.48
0.3× median
17110Top 5%

Destruction of benign lesions, up to fourteen

$59K

453 claims · 0.5%

Your Cost: $129.71/claim|Median: $59.25
2.2× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$33K

298 claims · 0.3%

Your Cost: $109.37/claim|Median: $97.61
1.1× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$28K

213 claims · 0.3%

Your Cost: $130.77/claim|Median: $80.15
1.6× median
99381Top 10%

Preventive visit, new patient, infant (<1 yr)

$26K

219 claims · 0.2%

Your Cost: $117.96/claim|Median: $73.46
1.6× median
92587Normal range

$24K

806 claims · 0.2%

Your Cost: $29.99/claim|Median: $19.24
1.6× median
99383Top 10%

Preventive visit, new patient, late childhood (5-11 yr)

$23K

172 claims · 0.2%

Your Cost: $134.54/claim|Median: $81.92
1.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$21K

1,240 claims · 0.2%

Your Cost: $17.08/claim|Median: $9.56
1.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$20K

2,527 claims · 0.2%

Your Cost: $7.99/claim|Median: $17.85
0.4× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$20K

215 claims · 0.2%

Your Cost: $93.21/claim|Median: $22.44
4.2× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$18K

260 claims · 0.2%

Your Cost: $70.28/claim|Median: $40.11
1.8× median
99215Top 5%

Office/outpatient visit, high complexity

$17K

89 claims · 0.2%

Your Cost: $188.61/claim|Median: $74.09
2.5× median
U0003Normal range

Infectious disease detection (COVID-19)

$14K

245 claims · 0.1%

Your Cost: $58.41/claim|Median: $63.08
0.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$14K

131 claims · 0.1%

Your Cost: $107.22/claim|Median: $100.62
1.1× median
76857Top 25%

Pelvic ultrasound, limited

$14K

334 claims · 0.1%

Your Cost: $41.90/claim|Median: $26.23
1.6× median
← All providersHow we detect fraud →