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

Provider 1164494068

NPI: 1164494068Share
Active Billing Period:2018-112024-12(60 months)

Total Paid

$10.4M

$10,363,198

Total Claims

128K

Beneficiaries

116K

1.1 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$0
2020
$331K
+565%
2021
$2.2M
+36%
2022
$3.0M
-5%
2023
$2.9M
-30%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (S9083 (Global fee, urgent care centers)) accounts for 90% of total spending.

S9083Normal range

Global fee, urgent care centers

$9.3M

90K claims · 89.9%

Your Cost: $103.77/claim|Median: $103.99
1.0× median
99213Top 5%

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

$958K

9,068 claims · 9.2%

Your Cost: $105.61/claim|Median: $37.81
2.8× median
99214Normal range

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

$22K

828 claims · 0.2%

Your Cost: $26.53/claim|Median: $53.41
0.5× median
87426Normal range

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

$19K

15K claims · 0.2%

Your Cost: $1.23/claim|Median: $30.04
0.0× median
99204Normal range

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

$18K

807 claims · 0.2%

Your Cost: $22.86/claim|Median: $84.03
0.3× median
99203Normal range

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

$16K

625 claims · 0.2%

Your Cost: $26.33/claim|Median: $57.85
0.5× median
87804Normal range

Influenza virus detection, rapid test

$3K

4,169 claims · 0.0%

Your Cost: $0.80/claim|Median: $12.59
0.1× median
U0002Normal range

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

$3K

5,760 claims · 0.0%

Your Cost: $0.53/claim|Median: $34.62
0.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$3K

1,337 claims · 0.0%

Your Cost: $2.05/claim|Median: $11.48
0.2× median
87811Normal range

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

$1K

176 claims · 0.0%

Your Cost: $7.48/claim|Median: $30.53
0.2× median
99000Normal range

$74

197 claims · 0.0%

Your Cost: $0.38/claim|Median: $2.30
0.2× median
81003Normal range

Urinalysis, automated without microscopy

$64

102 claims · 0.0%

Your Cost: $0.63/claim|Median: $1.48
0.4× median
81025Normal range

Urine pregnancy test

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.81
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

41 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
85025Normal range

Complete blood count (CBC) with differential, automated

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.71