Is ALLERGY ASSOCIATES, P.A. flagged for Medicaid fraud?

ALLERGY ASSOCIATES, P.A. (NPI: 1073508347) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ALLERGY ASSOCIATES, P.A. bill Medicaid?

ALLERGY ASSOCIATES, P.A. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Specialist provider. Located in KNOXVILLE, TN.

What is NPI 1073508347?

NPI 1073508347 is the National Provider Identifier for ALLERGY ASSOCIATES, P.A.. They are a Specialist provider based in KNOXVILLE, TN. This NPI is registered with the CMS NPI Registry.

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ALLERGY ASSOCIATES, P.A.

Specialist·KNOXVILLE, TN·NPI: 1073508347Share

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

Total Paid

$26.6M

$26,608,442

Total Claims

692K

Beneficiaries

352K

2.0 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018

$3.0M

+26%

2019

$3.8M

-25%

2020

$2.8M

+36%

2021

$3.9M

+15%

2022

$4.4M

+14%

2023

$5.1M

-28%

2024

$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (95165 (Professional services for allergen immunotherapy, per injection)) accounts for 37% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

95165Professional services for allergen immunotherapy, per injectionSee all providers →

$9.7M

46K claims

$209.74

$144.04

1.5×

Normal range

95165Normal range

Professional services for allergen immunotherapy, per injection

$9.7M

46K claims · 36.5%

Your Cost: $209.74/claim|Median: $144.04

1.5× median

95004Percutaneous allergy skin tests, eachSee all providers →

$5.2M

33K claims

$159.92

$134.97

1.2×

Normal range

95004Normal range

Percutaneous allergy skin tests, each

$5.2M

33K claims · 19.5%

Your Cost: $159.92/claim|Median: $134.97

1.2× median

95117 See all providers →

$4.5M

438K claims

$10.22

$8.34

1.2×

Normal range

95117Normal range

$4.5M

438K claims · 16.8%

Your Cost: $10.22/claim|Median: $8.34

1.2× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$2.4M

56K claims

$42.42

$37.81

1.1×

Normal range

99213Normal range

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

$2.4M

56K claims · 8.9%

Your Cost: $42.42/claim|Median: $37.81

1.1× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$1.2M

12K claims

$102.87

$84.03

1.2×

Normal range

99204Normal range

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

$1.2M

12K claims · 4.6%

Your Cost: $102.87/claim|Median: $84.03

1.2× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

$1.0M

14K claims

$70.41

$57.85

1.2×

Normal range

99203Normal range

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

$1.0M

14K claims · 3.8%

Your Cost: $70.41/claim|Median: $57.85

1.2× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$722K

11K claims

$63.85

$53.41

1.2×

Normal range

99214Normal range

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

$722K

11K claims · 2.7%

Your Cost: $63.85/claim|Median: $53.41

1.2× median

J2357Injection, omalizumab, 5 mgSee all providers →

$634K

432 claims

$1,468.23

$920.37

1.6×

Normal range

J2357Normal range

Injection, omalizumab, 5 mg

$634K

432 claims · 2.4%

Your Cost: $1,468.23/claim|Median: $920.37

1.6× median

95115 See all providers →

$514K

60K claims

$8.63

$6.96

1.2×

Top 25%

95115Top 25%

$514K

60K claims · 1.9%

Your Cost: $8.63/claim|Median: $6.96

1.2× median

95024 See all providers →

$304K

6,550 claims

$46.37

$60.31

0.8×

Normal range

95024Normal range

$304K

6,550 claims · 1.1%

Your Cost: $46.37/claim|Median: $60.31

0.8× median

94010 See all providers →

$207K

8,153 claims

$25.39

$18.11

1.4×

Normal range

94010Normal range

$207K

8,153 claims · 0.8%

Your Cost: $25.39/claim|Median: $18.11

1.4× median

96372Therapeutic injection, subcutaneous/intramuscularSee all providers →

$66K

3,561 claims

$18.65

$9.56

2.0×

Top 25%

96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$66K

3,561 claims · 0.2%

Your Cost: $18.65/claim|Median: $9.56

2.0× median

70486 See all providers →

$62K

524 claims

$117.92

$44.28

2.7×

Top 25%

70486Top 25%

$62K

524 claims · 0.2%

Your Cost: $117.92/claim|Median: $44.28

2.7× median

99243Office or other outpatient consultation, low complexitySee all providers →

$48K

552 claims

$87.67

$82.43

1.1×

Normal range

99243Normal range

Office or other outpatient consultation, low complexity

$48K

552 claims · 0.2%

Your Cost: $87.67/claim|Median: $82.43

1.1× median

99212Office/outpatient visit, low complexitySee all providers →

$35K

1,272 claims

$27.22

$25.06

1.1×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$35K

1,272 claims · 0.1%

Your Cost: $27.22/claim|Median: $25.06

1.1× median

94060 See all providers →

$24K

627 claims

$38.45

$25.18

1.5×

Normal range

94060Normal range

$24K

627 claims · 0.1%

Your Cost: $38.45/claim|Median: $25.18

1.5× median

96401 See all providers →

$11K

209 claims

$54.77

$40.24

1.4×

Normal range

96401Normal range

$11K

209 claims · 0.0%

Your Cost: $54.77/claim|Median: $40.24

1.4× median

99244Office or other outpatient consultation, moderate complexitySee all providers →

$2K

16 claims

$130.48

$121.58

1.1×

Normal range

99244Normal range

Office or other outpatient consultation, moderate complexity

$2K

16 claims · 0.0%

Your Cost: $130.48/claim|Median: $121.58

1.1× median

36415Collection of venous blood by venipunctureSee all providers →

$445

268 claims

$1.66

$1.57

1.1×

Normal range

36415Normal range

Collection of venous blood by venipuncture

$445

268 claims · 0.0%

Your Cost: $1.66/claim|Median: $1.57

1.1× median

94664 See all providers →

$429

38 claims

$11.29

$8.88

1.3×

Normal range

94664Normal range

$429

38 claims · 0.0%

Your Cost: $11.29/claim|Median: $8.88

1.3× median

A4627 See all providers →

$200

35 claims

$5.73

$21.89

0.3×

Normal range

A4627Normal range

$200

35 claims · 0.0%

Your Cost: $5.73/claim|Median: $21.89

0.3× median

J7613Albuterol inhalation solution, concentrated, per milligramSee all providers →

$24

293 claims

$0.08

1.0×

Normal range

J7613Normal range

Albuterol inhalation solution, concentrated, per milligram

$24

293 claims · 0.0%

Your Cost: $0.08/claim|Median: $0.08

1.0× median

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