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

Provider 1184898934

NPI: 1184898934Share
Active Billing Period:2021-022024-10(45 months)

Total Paid

$8.7M

$8,745,802

Total Claims

19K

Beneficiaries

16K

1.2 claims/patient

Avg Cost/Claim

$458

Monthly Spending Trend

Yearly Spending

2021
$2.2M
+22%
2022
$2.7M
-21%
2023
$2.2M
-26%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (H0041) accounts for 52% of total spending.

H0041Normal range

$4.5M

13K claims · 51.7%

Your Cost: $343.71/claim|Median: $192.56
1.8× median
S5145Top 25%

Foster care, therapeutic, child, per diem

$4.1M

4,243 claims · 46.3%

Your Cost: $954.61/claim|Median: $216.31
4.4× median
99214Top 1%

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

$60K

276 claims · 0.7%

Your Cost: $215.58/claim|Median: $53.41
4.0× median
99213Top 1%

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

$40K

252 claims · 0.5%

Your Cost: $159.43/claim|Median: $37.81
4.2× median
96110Top 5%

Developmental screening, per standardized instrument

$20K

317 claims · 0.2%

Your Cost: $63.71/claim|Median: $9.10
7.0× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$12K

43 claims · 0.1%

Your Cost: $282.40/claim|Median: $75.18
3.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$11K

362 claims · 0.1%

Your Cost: $29.21/claim|Median: $17.85
1.6× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$10K

30 claims · 0.1%

Your Cost: $320.47/claim|Median: $74.82
4.3× median
96137Top 25%

Psychological/neuropsychological testing, each additional 30 min

$5K

19 claims · 0.1%

Your Cost: $272.37/claim|Median: $92.96
2.9× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$5K

70 claims · 0.1%

Your Cost: $68.09/claim|Median: $3.67
18.6× median
96130Top 25%

Psychological testing evaluation by professional, first hour

$4K

18 claims · 0.0%

Your Cost: $234.80/claim|Median: $79.21
3.0× median
96131Top 25%

Psychological testing evaluation, each additional hour

$4K

17 claims · 0.0%

Your Cost: $234.89/claim|Median: $133.38
1.8× median
90791Top 25%

Psychiatric diagnostic evaluation

$4K

24 claims · 0.0%

Your Cost: $149.12/claim|Median: $99.21
1.5× median
96136Top 5%

Psychological/neuropsychological testing, first 30 min

$2K

19 claims · 0.0%

Your Cost: $117.41/claim|Median: $30.49
3.9× median
92551Normal range

Screening audiometry, pure tone, air only

$1K

160 claims · 0.0%

Your Cost: $7.16/claim|Median: $6.61
1.1× median
90471Top 5%

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

$303

13 claims · 0.0%

Your Cost: $23.34/claim|Median: $9.80
2.4× median
99173Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.16
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

89 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18