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

⚖️ Compare🖨️ Print Report

Provider 1073530150

NPI: 1073530150Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.8M

$8,821,075

Total Claims

31K

Beneficiaries

24K

1.3 claims/patient

Avg Cost/Claim

$282

Monthly Spending Trend

Yearly Spending

2018
$695K
+83%
2019
$1.3M
-8%
2020
$1.2M
+100%
2021
$2.3M
-28%
2022
$1.7M
-37%
2023
$1.1M
-41%
2024
$621K

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 33% of total spending.

99213Top 1%

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

$2.9M

7,048 claims · 33.0%

Your Cost: $413.51/claim|Median: $37.81
10.9× median
99347Top 1%

$926K

1,951 claims · 10.5%

Your Cost: $474.74/claim|Median: $11.74
40.4× median
99212Top 1%

Office/outpatient visit, low complexity

$739K

1,915 claims · 8.4%

Your Cost: $385.90/claim|Median: $25.06
15.4× median
90837Top 1%

Psychotherapy, 60 minutes

$720K

1,547 claims · 8.2%

Your Cost: $465.46/claim|Median: $85.66
5.4× median
99211Top 1%

Office/outpatient visit, minimal complexity

$649K

1,368 claims · 7.4%

Your Cost: $474.33/claim|Median: $12.93
36.7× median
D0120Top 1%

Periodic oral evaluation, established patient

$594K

1,495 claims · 6.7%

Your Cost: $397.56/claim|Median: $24.34
16.3× median
D0140Top 1%

Limited oral evaluation, problem focused

$505K

1,379 claims · 5.7%

Your Cost: $366.43/claim|Median: $27.07
13.5× median
90832Top 1%

Psychotherapy, 30 minutes

$303K

465 claims · 3.4%

Your Cost: $650.91/claim|Median: $41.28
15.8× median
99214Top 1%

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

$295K

624 claims · 3.3%

Your Cost: $472.13/claim|Median: $53.41
8.8× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$153K

688 claims · 1.7%

Your Cost: $223.11/claim|Median: $57.39
3.9× median
0011ATop 1%

COVID-19 vaccine admin, Moderna, 1st dose

$151K

363 claims · 1.7%

Your Cost: $417.22/claim|Median: $25.93
16.1× median
0012ATop 1%

COVID-19 vaccine admin, Moderna, 2nd dose

$142K

318 claims · 1.6%

Your Cost: $447.04/claim|Median: $33.85
13.2× median
90471Top 1%

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

$114K

749 claims · 1.3%

Your Cost: $151.90/claim|Median: $9.80
15.5× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$87K

256 claims · 1.0%

Your Cost: $341.02/claim|Median: $32.07
10.6× median
D1110Top 1%

Prophylaxis, adult cleaning

$72K

351 claims · 0.8%

Your Cost: $205.12/claim|Median: $43.38
4.7× median
D2391Top 1%

Resin-based composite, one surface, posterior

$56K

218 claims · 0.6%

Your Cost: $257.22/claim|Median: $54.60
4.7× median
0064ATop 1%

$53K

131 claims · 0.6%

Your Cost: $408.33/claim|Median: $34.17
11.9× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$45K

140 claims · 0.5%

Your Cost: $318.06/claim|Median: $71.00
4.5× median
99215Top 1%

Office/outpatient visit, high complexity

$33K

74 claims · 0.4%

Your Cost: $451.81/claim|Median: $74.09
6.1× median
D0274Top 5%

Bitewings, four radiographic images

$30K

709 claims · 0.3%

Your Cost: $42.36/claim|Median: $22.54
1.9× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$25K

730 claims · 0.3%

Your Cost: $34.58/claim|Median: $10.51
3.3× median
0001ATop 1%

COVID-19 vaccine admin, Pfizer, 1st dose

$24K

53 claims · 0.3%

Your Cost: $459.49/claim|Median: $33.72
13.6× median
90791Top 1%

Psychiatric diagnostic evaluation

$24K

45 claims · 0.3%

Your Cost: $538.52/claim|Median: $99.21
5.4× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$23K

60 claims · 0.3%

Your Cost: $384.07/claim|Median: $75.18
5.1× median
0002ATop 1%

COVID-19 vaccine admin, Pfizer, 2nd dose

$21K

45 claims · 0.2%

Your Cost: $472.87/claim|Median: $36.70
12.9× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$17K

35 claims · 0.2%

Your Cost: $489.34/claim|Median: $80.15
6.1× median
D0330Normal range

Panoramic radiographic image

$17K

488 claims · 0.2%

Your Cost: $34.91/claim|Median: $37.36
0.9× median
D1120Normal range

Prophylaxis, adult

$15K

452 claims · 0.2%

Your Cost: $33.94/claim|Median: $33.86
1.0× median
0071ATop 1%

$13K

45 claims · 0.1%

Your Cost: $288.33/claim|Median: $38.71
7.4× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$9K

262 claims · 0.1%

Your Cost: $34.62/claim|Median: $7.18
4.8× median
← All providersHow we detect fraud →