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

⚖️ Compare🖨️ Print Report

Provider 1093152027

NPI: 1093152027Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$13.6M

$13,570,787

Total Claims

287K

Beneficiaries

223K

1.3 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$124K
+1546%
2019
$2.0M
-15%
2020
$1.7M
+47%
2021
$2.6M
+12%
2022
$2.9M
-8%
2023
$2.6M
-39%
2024
$1.6M

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 54% of total spending.

99213Top 5%

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

$7.4M

79K claims · 54.5%

Your Cost: $94.07/claim|Median: $37.81
2.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$1.8M

17K claims · 12.9%

Your Cost: $105.44/claim|Median: $69.35
1.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$1.3M

11K claims · 9.4%

Your Cost: $112.71/claim|Median: $75.18
1.5× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$688K

6,146 claims · 5.1%

Your Cost: $111.88/claim|Median: $74.82
1.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$419K

26K claims · 3.1%

Your Cost: $16.08/claim|Median: $17.85
0.9× median
87804Normal range

Influenza virus detection, rapid test

$261K

36K claims · 1.9%

Your Cost: $7.28/claim|Median: $12.59
0.6× median
90698Top 1%

$260K

4,050 claims · 1.9%

Your Cost: $64.24/claim|Median: $6.32
10.2× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$251K

2,138 claims · 1.9%

Your Cost: $117.56/claim|Median: $80.15
1.5× median
J0696Top 5%

$185K

7,491 claims · 1.4%

Your Cost: $24.76/claim|Median: $1.34
18.5× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$136K

6,940 claims · 1.0%

Your Cost: $19.55/claim|Median: $30.04
0.7× median
99381Top 25%

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

$128K

1,404 claims · 0.9%

Your Cost: $91.42/claim|Median: $73.46
1.2× median
90461Normal range

Immunization admin, additional vaccine, counseling

$117K

11K claims · 0.9%

Your Cost: $10.67/claim|Median: $6.93
1.5× median
90700Top 1%

$108K

2,822 claims · 0.8%

Your Cost: $38.18/claim|Median: $4.56
8.4× median
99214Top 5%

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

$95K

712 claims · 0.7%

Your Cost: $133.11/claim|Median: $53.41
2.5× median
90670Top 25%

$94K

6,162 claims · 0.7%

Your Cost: $15.26/claim|Median: $5.94
2.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$71K

11K claims · 0.5%

Your Cost: $6.35/claim|Median: $11.48
0.6× median
90710Top 10%

MMRV vaccine

$55K

1,843 claims · 0.4%

Your Cost: $29.68/claim|Median: $7.00
4.2× median
90671Top 25%

$50K

1,347 claims · 0.4%

Your Cost: $37.25/claim|Median: $8.59
4.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$48K

10K claims · 0.4%

Your Cost: $4.77/claim|Median: $9.56
0.5× median
90723Top 1%

DTaP-HepB-IPV vaccine

$32K

732 claims · 0.2%

Your Cost: $43.34/claim|Median: $5.78
7.5× median
90633Normal range

$31K

3,474 claims · 0.2%

Your Cost: $8.92/claim|Median: $3.56
2.5× median
90744Top 25%

$27K

2,214 claims · 0.2%

Your Cost: $11.99/claim|Median: $5.00
2.4× median
90680Normal range

$19K

4,661 claims · 0.1%

Your Cost: $4.15/claim|Median: $5.58
0.7× median
90648Normal range

$18K

2,286 claims · 0.1%

Your Cost: $7.91/claim|Median: $4.08
1.9× median
87807Normal range

$15K

2,790 claims · 0.1%

Your Cost: $5.53/claim|Median: $10.06
0.5× median
90651Normal range

HPV vaccine, 9-valent

$6K

530 claims · 0.0%

Your Cost: $11.99/claim|Median: $8.93
1.3× median
17110Normal range

Destruction of benign lesions, up to fourteen

$6K

228 claims · 0.0%

Your Cost: $27.25/claim|Median: $59.25
0.5× median
90707Normal range

MMR vaccine

$6K

450 claims · 0.0%

Your Cost: $12.26/claim|Median: $5.76
2.1× median
90716Normal range

$4K

677 claims · 0.0%

Your Cost: $6.00/claim|Median: $6.18
1.0× median
90713Normal range

Poliovirus vaccine (IPV)

$3K

1,255 claims · 0.0%

Your Cost: $2.21/claim|Median: $5.41
0.4× median
← All providersHow we detect fraud →