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

⚖️ Compare🖨️ Print Report

Provider 1164716643

NPI: 1164716643Share
Active Billing Period:2018-01→2024-12(78 months)

Total Paid

$13.4M

$13,398,825

Total Claims

434K

Beneficiaries

417K

1.0 claims/patient

Avg Cost/Claim

$31

Monthly Spending Trend

Yearly Spending

2018
$88K
+5%
2019
$92K
+302%
2020
$371K
+596%
2021
$2.6M
+32%
2022
$3.4M
+6%
2023
$3.6M
-10%
2024
$3.2M

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 61% of total spending.

99213Normal range

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

$8.1M

239K claims · 60.5%

Your Cost: $33.90/claim|Median: $37.81
0.9× median
99214Normal range

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

$2.3M

44K claims · 17.5%

Your Cost: $52.98/claim|Median: $53.41
1.0× median
S9088Normal range

Services provided in an urgent care center

$1.1M

59K claims · 8.6%

Your Cost: $19.37/claim|Median: $28.22
0.7× median
99203Normal range

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

$700K

13K claims · 5.2%

Your Cost: $53.71/claim|Median: $57.85
0.9× median
99211Top 25%

Office/outpatient visit, minimal complexity

$314K

16K claims · 2.3%

Your Cost: $20.15/claim|Median: $12.93
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$260K

10K claims · 1.9%

Your Cost: $25.36/claim|Median: $25.06
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$204K

30K claims · 1.5%

Your Cost: $6.72/claim|Median: $11.48
0.6× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$82K

1,009 claims · 0.6%

Your Cost: $81.14/claim|Median: $91.47
0.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$68K

1,988 claims · 0.5%

Your Cost: $34.14/claim|Median: $40.11
0.9× median
99215Normal range

Office/outpatient visit, high complexity

$61K

852 claims · 0.5%

Your Cost: $71.15/claim|Median: $74.09
1.0× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$35K

361 claims · 0.3%

Your Cost: $96.76/claim|Median: $65.64
1.5× median
81003Top 10%

Urinalysis, automated without microscopy

$21K

6,899 claims · 0.2%

Your Cost: $3.09/claim|Median: $1.48
2.1× median
99204Normal range

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

$17K

183 claims · 0.1%

Your Cost: $92.52/claim|Median: $84.03
1.1× median
90715Normal range

Tdap vaccine

$9K

1,104 claims · 0.1%

Your Cost: $8.40/claim|Median: $10.32
0.8× median
99051Normal range

$7K

692 claims · 0.0%

Your Cost: $9.56/claim|Median: $7.89
1.2× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$2K

211 claims · 0.0%

Your Cost: $9.04/claim|Median: $7.50
1.2× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$2K

67 claims · 0.0%

Your Cost: $28.39/claim|Median: $21.76
1.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$2K

132 claims · 0.0%

Your Cost: $12.66/claim|Median: $9.56
1.3× median
81025Normal range

Urine pregnancy test

$2K

402 claims · 0.0%

Your Cost: $4.07/claim|Median: $4.81
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$2K

184 claims · 0.0%

Your Cost: $8.77/claim|Median: $7.18
1.2× median
86580Normal range

Tuberculosis (TB) skin test

$1K

1,846 claims · 0.0%

Your Cost: $0.69/claim|Median: $4.46
0.2× median
36415Top 25%

Collection of venous blood by venipuncture

$1K

289 claims · 0.0%

Your Cost: $4.24/claim|Median: $1.57
2.7× median
81002Top 5%

Urinalysis, non-automated without microscopy

$609

167 claims · 0.0%

Your Cost: $3.65/claim|Median: $2.00
1.8× median
J1885Normal range

Injection, ketorolac tromethamine, fifteen milligrams

$400

2,495 claims · 0.0%

Your Cost: $0.16/claim|Median: $0.91
0.2× median
87804Normal range

Influenza virus detection, rapid test

$365

26 claims · 0.0%

Your Cost: $14.03/claim|Median: $12.59
1.1× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$251

16 claims · 0.0%

Your Cost: $15.71/claim|Median: $22.44
0.7× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$183

41 claims · 0.0%

Your Cost: $4.46/claim|Median: $10.88
0.4× median
J1100Normal range

$150

1,092 claims · 0.0%

Your Cost: $0.14/claim|Median: $0.52
0.3× median
J0696Normal range

$64

418 claims · 0.0%

Your Cost: $0.15/claim|Median: $1.34
0.1× median
J2405Normal range

Injection, ondansetron HCl, per one milligram

$25

666 claims · 0.0%

Your Cost: $0.04/claim|Median: $0.58
0.1× median
← All providersHow we detect fraud →