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

⚖️ Compare🖨️ Print Report

Provider 1235376047

NPI: 1235376047Share
Active Billing Period:2018-01→2020-04(28 months)
Billing appears to have stoppedLast active: 2020-04

Total Paid

$8.0M

$7,953,996

Total Claims

226K

Beneficiaries

173K

1.3 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$3.7M
-9%
2019
$3.4M
-76%
2020
$809K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 97% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.7M

52K claims · 97.0%

Your Cost: $148.28/claim|Median: $121.16
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$54K

1,903 claims · 0.7%

Your Cost: $28.16/claim|Median: $69.35
0.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$36K

1,421 claims · 0.4%

Your Cost: $25.06/claim|Median: $80.15
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$32K

1,525 claims · 0.4%

Your Cost: $21.24/claim|Median: $74.82
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$24K

1,395 claims · 0.3%

Your Cost: $17.30/claim|Median: $75.18
0.2× median
99213Normal range

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

$20K

13K claims · 0.3%

Your Cost: $1.50/claim|Median: $37.81
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$19K

2,787 claims · 0.2%

Your Cost: $6.77/claim|Median: $6.61
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$7K

3,285 claims · 0.1%

Your Cost: $2.10/claim|Median: $25.06
0.1× median
90688Normal range

$5K

3,251 claims · 0.1%

Your Cost: $1.54/claim|Median: $9.00
0.2× median
90670Normal range

$4K

1,297 claims · 0.1%

Your Cost: $3.21/claim|Median: $5.94
0.5× median
85018Normal range

$4K

5,436 claims · 0.1%

Your Cost: $0.74/claim|Median: $1.71
0.4× median
90698Normal range

$3K

935 claims · 0.0%

Your Cost: $3.33/claim|Median: $6.32
0.5× median
90651Normal range

HPV vaccine, 9-valent

$3K

1,143 claims · 0.0%

Your Cost: $2.59/claim|Median: $8.93
0.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

584 claims · 0.0%

Your Cost: $4.99/claim|Median: $7.18
0.7× median
90734Normal range

$3K

862 claims · 0.0%

Your Cost: $3.15/claim|Median: $6.40
0.5× median
85999Normal range

$3K

888 claims · 0.0%

Your Cost: $2.97/claim|Median: $3.01
1.0× median
90658Normal range

$3K

271 claims · 0.0%

Your Cost: $9.61/claim|Median: $8.96
1.1× median
90633Normal range

$2K

794 claims · 0.0%

Your Cost: $3.15/claim|Median: $3.56
0.9× median
90680Normal range

$2K

779 claims · 0.0%

Your Cost: $3.12/claim|Median: $5.58
0.6× median
90744Normal range

$2K

628 claims · 0.0%

Your Cost: $3.44/claim|Median: $5.00
0.7× median
83655Normal range

$2K

501 claims · 0.0%

Your Cost: $4.04/claim|Median: $10.49
0.4× median
36415Normal range

Collection of venous blood by venipuncture

$2K

2,368 claims · 0.0%

Your Cost: $0.80/claim|Median: $1.57
0.5× median
99173Normal range

$2K

2,660 claims · 0.0%

Your Cost: $0.69/claim|Median: $2.16
0.3× median
90710Normal range

MMRV vaccine

$2K

460 claims · 0.0%

Your Cost: $3.97/claim|Median: $7.00
0.6× median
90715Normal range

Tdap vaccine

$2K

904 claims · 0.0%

Your Cost: $1.84/claim|Median: $10.32
0.2× median
90649Normal range

$1K

133 claims · 0.0%

Your Cost: $8.59/claim|Median: $6.42
1.3× median
90696Normal range

DTaP-IPV vaccine

$630

131 claims · 0.0%

Your Cost: $4.81/claim|Median: $5.95
0.8× median
87389Normal range

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$364

28 claims · 0.0%

Your Cost: $13.02/claim|Median: $18.03
0.7× median
80061Normal range

Lipid panel

$270

48 claims · 0.0%

Your Cost: $5.63/claim|Median: $8.41
0.7× median
90685Normal range

$270

48 claims · 0.0%

Your Cost: $5.63/claim|Median: $5.96
0.9× median
← All providersHow we detect fraud →