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

⚖️ Compare🖨️ Print Report

Provider 1134265986

NPI: 1134265986Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,186,545

Total Claims

338K

Beneficiaries

319K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$1.7M
-8%
2019
$1.6M
-14%
2020
$1.4M
-11%
2021
$1.2M
-2%
2022
$1.2M
+14%
2023
$1.4M
-48%
2024
$708K

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 46% of total spending.

99214Top 25%

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

$4.3M

53K claims · 46.4%

Your Cost: $80.38/claim|Median: $53.41
1.5× median
99213Top 25%

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

$1.4M

26K claims · 15.6%

Your Cost: $55.14/claim|Median: $37.81
1.5× median
99396Normal range

Preventive medicine, established patient, age 40-64

$496K

5,216 claims · 5.4%

Your Cost: $95.18/claim|Median: $76.06
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$410K

4,788 claims · 4.5%

Your Cost: $85.64/claim|Median: $72.71
1.2× median
99215Top 25%

Office/outpatient visit, high complexity

$297K

2,690 claims · 3.2%

Your Cost: $110.23/claim|Median: $74.09
1.5× median
99204Normal range

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

$216K

2,037 claims · 2.3%

Your Cost: $105.84/claim|Median: $84.03
1.3× median
99203Normal range

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

$196K

2,910 claims · 2.1%

Your Cost: $67.22/claim|Median: $57.85
1.2× median
93010Normal range

Electrocardiogram, interpretation and report only

$157K

33K claims · 1.7%

Your Cost: $4.78/claim|Median: $5.60
0.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$142K

1,694 claims · 1.5%

Your Cost: $83.63/claim|Median: $80.15
1.0× median
90651Top 10%

HPV vaccine, 9-valent

$116K

1,394 claims · 1.3%

Your Cost: $82.98/claim|Median: $8.93
9.3× median
90677Top 5%

$110K

420 claims · 1.2%

Your Cost: $262.37/claim|Median: $12.96
20.2× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$108K

2,733 claims · 1.2%

Your Cost: $39.55/claim|Median: $54.68
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$104K

1,386 claims · 1.1%

Your Cost: $75.37/claim|Median: $74.82
1.0× median
90471Normal range

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

$90K

9,547 claims · 1.0%

Your Cost: $9.40/claim|Median: $9.80
1.0× median
90732Top 10%

Pneumococcal vaccine (PPSV23)

$84K

805 claims · 0.9%

Your Cost: $104.40/claim|Median: $36.96
2.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$79K

1,048 claims · 0.9%

Your Cost: $75.78/claim|Median: $75.18
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$79K

4,245 claims · 0.9%

Your Cost: $18.54/claim|Median: $17.85
1.0× median
36415Top 25%

Collection of venous blood by venipuncture

$75K

24K claims · 0.8%

Your Cost: $3.15/claim|Median: $1.57
2.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$68K

1,013 claims · 0.7%

Your Cost: $66.81/claim|Median: $69.35
1.0× median
90750Normal range

$62K

449 claims · 0.7%

Your Cost: $138.38/claim|Median: $96.16
1.4× median
90682Top 10%

$60K

1,030 claims · 0.7%

Your Cost: $58.03/claim|Median: $34.72
1.7× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$55K

558 claims · 0.6%

Your Cost: $98.66/claim|Median: $76.22
1.3× median
90715Top 25%

Tdap vaccine

$46K

1,946 claims · 0.5%

Your Cost: $23.83/claim|Median: $10.32
2.3× median
90688Top 25%

$46K

2,826 claims · 0.5%

Your Cost: $16.21/claim|Median: $9.00
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$43K

1,481 claims · 0.5%

Your Cost: $28.89/claim|Median: $25.06
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$36K

4,498 claims · 0.4%

Your Cost: $8.11/claim|Median: $9.56
0.8× median
90620Top 5%

$31K

612 claims · 0.3%

Your Cost: $51.08/claim|Median: $6.49
7.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$27K

3,188 claims · 0.3%

Your Cost: $8.46/claim|Median: $9.70
0.9× median
90670Top 10%

$24K

781 claims · 0.3%

Your Cost: $30.39/claim|Median: $5.94
5.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$21K

2,142 claims · 0.2%

Your Cost: $9.72/claim|Median: $7.18
1.4× median
← All providersHow we detect fraud →