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

⚖️ Compare🖨️ Print Report

Provider 1184904302

NPI: 1184904302Share
Active Billing Period:2019-08→2024-12(65 months)

Total Paid

$9.6M

$9,590,986

Total Claims

213K

Beneficiaries

194K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2019
$403K
+102%
2020
$817K
+95%
2021
$1.6M
+31%
2022
$2.1M
+13%
2023
$2.4M
-1%
2024
$2.3M

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 55% of total spending.

99213Top 5%

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

$5.3M

53K claims · 55.4%

Your Cost: $100.94/claim|Median: $37.81
2.7× median
99212Top 10%

Office/outpatient visit, low complexity

$646K

10K claims · 6.7%

Your Cost: $62.43/claim|Median: $25.06
2.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$459K

15K claims · 4.8%

Your Cost: $29.97/claim|Median: $17.85
1.7× median
99214Top 5%

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

$413K

2,949 claims · 4.3%

Your Cost: $139.99/claim|Median: $53.41
2.6× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$412K

3,799 claims · 4.3%

Your Cost: $108.41/claim|Median: $74.82
1.4× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$306K

2,798 claims · 3.2%

Your Cost: $109.19/claim|Median: $75.18
1.5× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$257K

2,172 claims · 2.7%

Your Cost: $118.35/claim|Median: $80.15
1.5× median
99391Top 10%

Preventive medicine, established patient, infant (under 1)

$246K

2,381 claims · 2.6%

Your Cost: $103.18/claim|Median: $69.35
1.5× median
92587Normal range

$222K

10K claims · 2.3%

Your Cost: $21.99/claim|Median: $19.24
1.1× median
96160Top 5%

Patient-focused health risk assessment

$180K

7,152 claims · 1.9%

Your Cost: $25.21/claim|Median: $2.10
12.0× median
87428Normal range

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

$169K

3,071 claims · 1.8%

Your Cost: $54.91/claim|Median: $39.63
1.4× median
90671Top 5%

$158K

834 claims · 1.6%

Your Cost: $188.94/claim|Median: $8.59
22.0× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$127K

1,582 claims · 1.3%

Your Cost: $80.33/claim|Median: $40.11
2.0× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$97K

3,746 claims · 1.0%

Your Cost: $26.02/claim|Median: $6.93
3.8× median
99203Top 5%

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

$85K

695 claims · 0.9%

Your Cost: $122.82/claim|Median: $57.85
2.1× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$64K

4,508 claims · 0.7%

Your Cost: $14.10/claim|Median: $11.48
1.2× median
H0049Normal range

$62K

3,319 claims · 0.6%

Your Cost: $18.68/claim|Median: $9.27
2.0× median
87426Normal range

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

$39K

1,324 claims · 0.4%

Your Cost: $29.35/claim|Median: $30.04
1.0× median
G0444Top 25%

Annual depression screening, fifteen minutes

$34K

3,255 claims · 0.4%

Your Cost: $10.57/claim|Median: $4.23
2.5× median
99381Top 10%

Preventive visit, new patient, infant (<1 yr)

$26K

224 claims · 0.3%

Your Cost: $114.25/claim|Median: $73.46
1.6× median
0072ANormal range

$22K

536 claims · 0.2%

Your Cost: $40.52/claim|Median: $39.57
1.0× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$20K

168 claims · 0.2%

Your Cost: $121.71/claim|Median: $72.71
1.7× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$20K

11K claims · 0.2%

Your Cost: $1.87/claim|Median: $12.70
0.1× median
0002ATop 25%

COVID-19 vaccine admin, Pfizer, 2nd dose

$19K

458 claims · 0.2%

Your Cost: $41.88/claim|Median: $36.70
1.1× median
99204Top 5%

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

$18K

104 claims · 0.2%

Your Cost: $174.77/claim|Median: $84.03
2.1× median
0001ATop 25%

COVID-19 vaccine admin, Pfizer, 1st dose

$18K

438 claims · 0.2%

Your Cost: $40.99/claim|Median: $33.72
1.2× median
0071ATop 25%

$16K

346 claims · 0.2%

Your Cost: $45.77/claim|Median: $38.71
1.2× median
90381Top 5%

$14K

31 claims · 0.1%

Your Cost: $456.95/claim|Median: $9.69
47.2× median
99401Normal range

$13K

631 claims · 0.1%

Your Cost: $19.98/claim|Median: $16.53
1.2× median
0003ATop 25%

COVID-19 vaccine admin, Pfizer, 3rd dose

$12K

301 claims · 0.1%

Your Cost: $40.94/claim|Median: $36.49
1.1× median
← All providersHow we detect fraud →