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

⚖️ Compare🖨️ Print Report

Provider 1134257249

NPI: 1134257249Share
Active Billing Period:2018-01→2024-06(78 months)

Total Paid

$15.9M

$15,867,038

Total Claims

540K

Beneficiaries

499K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+20%
2019
$2.0M
+170%
2020
$5.5M
-56%
2021
$2.4M
-40%
2022
$1.4M
+21%
2023
$1.7M
-39%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (U0002 (COVID-19 lab test, non-CDC, nucleic acid)) accounts for 12% of total spending.

U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$1.9M

42K claims · 12.2%

Your Cost: $46.18/claim|Median: $34.62
1.3× median
87801Top 25%

Infectious agent detection, amplified probe, multiple organisms

$1.9M

27K claims · 12.0%

Your Cost: $70.61/claim|Median: $38.79
1.8× median
G2023Normal range

Specimen collection for COVID-19 testing

$1.9M

82K claims · 11.7%

Your Cost: $22.52/claim|Median: $17.15
1.3× median
U0001Normal range

$1.2M

36K claims · 7.4%

Your Cost: $32.92/claim|Median: $24.79
1.3× median
90471Top 10%

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

$1.1M

53K claims · 6.9%

Your Cost: $20.48/claim|Median: $9.80
2.1× median
90472Top 5%

Immunization administration, each additional vaccine

$834K

21K claims · 5.3%

Your Cost: $38.82/claim|Median: $11.79
3.3× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$807K

902 claims · 5.1%

Your Cost: $894.72/claim|Median: $786.43
1.1× median
J1050Top 10%

Injection, medroxyprogesterone acetate, one milligram

$740K

8,399 claims · 4.7%

Your Cost: $88.15/claim|Median: $41.92
2.1× median
99211Normal range

Office/outpatient visit, minimal complexity

$592K

32K claims · 3.7%

Your Cost: $18.22/claim|Median: $12.93
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$563K

16K claims · 3.5%

Your Cost: $36.33/claim|Median: $25.06
1.4× median
S4993Normal range

$508K

6,001 claims · 3.2%

Your Cost: $84.64/claim|Median: $46.61
1.8× median
99213Top 25%

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

$478K

7,470 claims · 3.0%

Your Cost: $64.00/claim|Median: $37.81
1.7× median
99203Top 25%

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

$354K

3,619 claims · 2.2%

Your Cost: $97.93/claim|Median: $57.85
1.7× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$226K

6,295 claims · 1.4%

Your Cost: $35.90/claim|Median: $36.70
1.0× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$197K

5,878 claims · 1.2%

Your Cost: $33.48/claim|Median: $33.72
1.0× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$179K

7,818 claims · 1.1%

Your Cost: $22.92/claim|Median: $18.03
1.3× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$174K

2,679 claims · 1.1%

Your Cost: $64.77/claim|Median: $40.11
1.6× median
U0003Normal range

Infectious disease detection (COVID-19)

$133K

4,286 claims · 0.8%

Your Cost: $30.98/claim|Median: $63.08
0.5× median
90632Normal range

$123K

3,036 claims · 0.8%

Your Cost: $40.51/claim|Median: $40.43
1.0× median
0003ANormal range

COVID-19 vaccine admin, Pfizer, 3rd dose

$119K

4,052 claims · 0.8%

Your Cost: $29.43/claim|Median: $36.49
0.8× median
81025Top 10%

Urine pregnancy test

$113K

14K claims · 0.7%

Your Cost: $8.29/claim|Median: $4.81
1.7× median
90651Normal range

HPV vaccine, 9-valent

$100K

7,165 claims · 0.6%

Your Cost: $13.94/claim|Median: $8.93
1.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$99K

20K claims · 0.6%

Your Cost: $5.09/claim|Median: $7.18
0.7× median
90716Top 10%

$94K

3,270 claims · 0.6%

Your Cost: $28.76/claim|Median: $6.18
4.7× median
86780Top 25%

$90K

6,374 claims · 0.6%

Your Cost: $14.07/claim|Median: $9.83
1.4× median
11981Normal range

$81K

425 claims · 0.5%

Your Cost: $189.81/claim|Median: $117.16
1.6× median
86703Top 25%

$77K

5,571 claims · 0.5%

Your Cost: $13.74/claim|Median: $10.37
1.3× median
J8499Top 5%

$71K

1,687 claims · 0.4%

Your Cost: $41.79/claim|Median: $1.99
21.0× median
90739Top 25%

$67K

484 claims · 0.4%

Your Cost: $138.90/claim|Median: $74.43
1.9× median
87538Top 10%

$61K

1,778 claims · 0.4%

Your Cost: $34.56/claim|Median: $20.47
1.7× median
← All providersHow we detect fraud →