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

⚖️ Compare🖨️ Print Report

Provider 1184676157

NPI: 1184676157Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,545,717

Total Claims

961K

Beneficiaries

763K

1.3 claims/patient

Avg Cost/Claim

$10

Monthly Spending Trend

Yearly Spending

2018
$888K
+34%
2019
$1.2M
-9%
2020
$1.1M
+29%
2021
$1.4M
+34%
2022
$1.9M
-12%
2023
$1.7M
-12%
2024
$1.4M

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 39% of total spending.

99213Normal range

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

$3.7M

129K claims · 39.2%

Your Cost: $29.12/claim|Median: $37.81
0.8× median
87428Top 5%

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

$1.1M

13K claims · 11.3%

Your Cost: $83.28/claim|Median: $39.63
2.1× median
99214Normal range

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

$700K

20K claims · 7.3%

Your Cost: $35.00/claim|Median: $53.41
0.7× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$586K

13K claims · 6.1%

Your Cost: $45.80/claim|Median: $17.85
2.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$560K

9,807 claims · 5.9%

Your Cost: $57.14/claim|Median: $69.35
0.8× median
90837Normal range

Psychotherapy, 60 minutes

$387K

6,486 claims · 4.1%

Your Cost: $59.64/claim|Median: $85.66
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$347K

5,114 claims · 3.6%

Your Cost: $67.91/claim|Median: $75.18
0.9× median
H0033Normal range

Oral medication administration, direct observation

$312K

2,446 claims · 3.3%

Your Cost: $127.42/claim|Median: $31.37
4.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$139K

14K claims · 1.5%

Your Cost: $9.83/claim|Median: $11.48
0.9× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$136K

3,001 claims · 1.4%

Your Cost: $45.43/claim|Median: $39.70
1.1× median
87804Top 25%

Influenza virus detection, rapid test

$136K

6,821 claims · 1.4%

Your Cost: $19.93/claim|Median: $12.59
1.6× median
G0467Normal range

Federally qualified health center visit, mental health

$131K

8,159 claims · 1.4%

Your Cost: $16.05/claim|Median: $21.91
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$128K

1,900 claims · 1.3%

Your Cost: $67.25/claim|Median: $74.82
0.9× median
90834Normal range

Psychotherapy, 45 minutes

$78K

2,107 claims · 0.8%

Your Cost: $36.88/claim|Median: $63.65
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$74K

3,748 claims · 0.8%

Your Cost: $19.71/claim|Median: $41.28
0.5× median
96110Top 10%

Developmental screening, per standardized instrument

$64K

2,288 claims · 0.7%

Your Cost: $27.94/claim|Median: $9.10
3.1× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$64K

5,530 claims · 0.7%

Your Cost: $11.52/claim|Median: $11.35
1.0× median
59510Normal range

$63K

61 claims · 0.7%

Your Cost: $1,037.15/claim|Median: $1,543.20
0.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$63K

741 claims · 0.7%

Your Cost: $84.90/claim|Median: $74.78
1.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$46K

627 claims · 0.5%

Your Cost: $73.82/claim|Median: $80.15
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$45K

3,990 claims · 0.5%

Your Cost: $11.38/claim|Median: $9.56
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$43K

826 claims · 0.4%

Your Cost: $51.77/claim|Median: $108.91
0.5× median
0503FNormal range

$39K

1,418 claims · 0.4%

Your Cost: $27.61/claim|Median: $10.68
2.6× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$39K

32 claims · 0.4%

Your Cost: $1,220.82/claim|Median: $1,482.45
0.8× median
90791Normal range

Psychiatric diagnostic evaluation

$36K

600 claims · 0.4%

Your Cost: $59.34/claim|Median: $99.21
0.6× median
87426Normal range

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

$34K

3,480 claims · 0.4%

Your Cost: $9.88/claim|Median: $30.04
0.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$34K

610 claims · 0.4%

Your Cost: $55.92/claim|Median: $36.79
1.5× median
Q3014Normal range

Telehealth originating site facility fee

$31K

2,770 claims · 0.3%

Your Cost: $11.23/claim|Median: $15.37
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$31K

1,329 claims · 0.3%

Your Cost: $23.35/claim|Median: $25.06
0.9× median
36415Normal range

Collection of venous blood by venipuncture

$30K

21K claims · 0.3%

Your Cost: $1.45/claim|Median: $1.57
0.9× median
← All providersHow we detect fraud →