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

⚖️ Compare🖨️ Print Report

Provider 1124541438

NPI: 1124541438Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.2M

$16,229,737

Total Claims

487K

Beneficiaries

387K

1.3 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$203K
+218%
2019
$647K
+107%
2020
$1.3M
+133%
2021
$3.1M
+50%
2022
$4.7M
-19%
2023
$3.8M
-36%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 29% of total spending.

99214Normal range

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

$4.8M

78K claims · 29.5%

Your Cost: $61.31/claim|Median: $53.41
1.1× median
99204Normal range

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

$4.4M

53K claims · 27.1%

Your Cost: $83.03/claim|Median: $84.03
1.0× median
99213Normal range

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

$1.7M

39K claims · 10.5%

Your Cost: $43.54/claim|Median: $37.81
1.2× median
99203Normal range

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

$1.3M

22K claims · 7.9%

Your Cost: $57.49/claim|Median: $57.85
1.0× median
87426Normal range

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

$1.1M

51K claims · 6.8%

Your Cost: $21.67/claim|Median: $30.04
0.7× median
87804Normal range

Influenza virus detection, rapid test

$1.0M

110K claims · 6.3%

Your Cost: $9.33/claim|Median: $12.59
0.7× median
87811Normal range

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

$756K

30K claims · 4.7%

Your Cost: $25.58/claim|Median: $30.53
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$602K

54K claims · 3.7%

Your Cost: $11.15/claim|Median: $11.48
1.0× median
99051Normal range

$197K

15K claims · 1.2%

Your Cost: $13.14/claim|Median: $7.89
1.7× median
87807Normal range

$159K

17K claims · 1.0%

Your Cost: $9.39/claim|Median: $10.06
0.9× median
87428Normal range

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

$81K

2,518 claims · 0.5%

Your Cost: $32.33/claim|Median: $39.63
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$36K

496 claims · 0.2%

Your Cost: $72.26/claim|Median: $74.09
1.0× median
G2023Normal range

Specimen collection for COVID-19 testing

$23K

3,062 claims · 0.1%

Your Cost: $7.54/claim|Median: $17.15
0.4× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$17K

156 claims · 0.1%

Your Cost: $108.81/claim|Median: $111.09
1.0× median
71046Top 25%

Chest X-ray, 2 views

$17K

545 claims · 0.1%

Your Cost: $31.04/claim|Median: $8.92
3.5× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$16K

1,215 claims · 0.1%

Your Cost: $12.99/claim|Median: $10.88
1.2× median
99000Normal range

$14K

6,825 claims · 0.1%

Your Cost: $2.11/claim|Median: $2.30
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$6K

258 claims · 0.0%

Your Cost: $23.10/claim|Median: $25.06
0.9× median
99211Normal range

Office/outpatient visit, minimal complexity

$5K

558 claims · 0.0%

Your Cost: $8.79/claim|Median: $12.93
0.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$5K

174 claims · 0.0%

Your Cost: $27.41/claim|Median: $40.11
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

202 claims · 0.0%

Your Cost: $10.92/claim|Median: $9.56
1.1× median
J7613Top 10%

Albuterol inhalation solution, concentrated, per milligram

$2K

444 claims · 0.0%

Your Cost: $4.50/claim|Median: $0.08
56.2× median
81003Normal range

Urinalysis, automated without microscopy

$1K

724 claims · 0.0%

Your Cost: $1.95/claim|Median: $1.48
1.3× median
81002Normal range

Urinalysis, non-automated without microscopy

$930

365 claims · 0.0%

Your Cost: $2.55/claim|Median: $2.00
1.3× median
J7611Top 10%

Albuterol inhalation solution, non-concentrated, per milligram

$610

115 claims · 0.0%

Your Cost: $5.30/claim|Median: $0.26
20.4× median
0071ANormal range

$512

35 claims · 0.0%

Your Cost: $14.62/claim|Median: $38.71
0.4× median
0072ANormal range

$464

17 claims · 0.0%

Your Cost: $27.27/claim|Median: $39.57
0.7× median
73610Top 25%

X-ray of ankle, complete, minimum three views

$462

16 claims · 0.0%

Your Cost: $28.89/claim|Median: $13.55
2.1× median
73630Top 10%

X-ray, foot, complete, minimum 3 views

$411

12 claims · 0.0%

Your Cost: $34.27/claim|Median: $12.06
2.8× median
J7620Top 5%

$404

25 claims · 0.0%

Your Cost: $16.15/claim|Median: $0.14
115.4× median
← All providersHow we detect fraud →