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

⚖️ Compare🖨️ Print Report

Provider 1275562969

NPI: 1275562969Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.7M

$17,690,905

Total Claims

952K

Beneficiaries

609K

1.6 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-0%
2019
$2.4M
-17%
2020
$2.0M
+39%
2021
$2.8M
-22%
2022
$2.2M
+31%
2023
$2.9M
+0%
2024
$2.9M

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 81% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$14.4M

98K claims · 81.2%

Your Cost: $146.08/claim|Median: $121.16
1.2× median
00003Normal range

Anesthesia services

$3.2M

17K claims · 18.2%

Your Cost: $193.17/claim|Median: $223.77
0.9× median
G0467Normal range

Federally qualified health center visit, mental health

$42K

2,583 claims · 0.2%

Your Cost: $16.34/claim|Median: $21.91
0.7× median
99214Normal range

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

$24K

46K claims · 0.1%

Your Cost: $0.53/claim|Median: $53.41
0.0× median
99213Normal range

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

$19K

61K claims · 0.1%

Your Cost: $0.31/claim|Median: $37.81
0.0× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$5K

130K claims · 0.0%

Your Cost: $0.04/claim|Median: $0.79
0.1× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$4K

142 claims · 0.0%

Your Cost: $28.59/claim|Median: $25.93
1.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

96 claims · 0.0%

Your Cost: $30.73/claim|Median: $33.85
0.9× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$2K

464 claims · 0.0%

Your Cost: $5.36/claim|Median: $76.22
0.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$2K

824 claims · 0.0%

Your Cost: $2.72/claim|Median: $72.71
0.0× median
86580Normal range

Tuberculosis (TB) skin test

$1K

1,018 claims · 0.0%

Your Cost: $1.28/claim|Median: $4.46
0.3× median
99203Normal range

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

$932

682 claims · 0.0%

Your Cost: $1.37/claim|Median: $57.85
0.0× median
87426Normal range

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

$879

1,001 claims · 0.0%

Your Cost: $0.88/claim|Median: $30.04
0.0× median
92553Normal range

$825

12K claims · 0.0%

Your Cost: $0.07/claim|Median: $20.30
0.0× median
87428Normal range

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

$763

94 claims · 0.0%

Your Cost: $8.12/claim|Median: $39.63
0.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$642

139 claims · 0.0%

Your Cost: $4.62/claim|Median: $40.11
0.1× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$600

41 claims · 0.0%

Your Cost: $14.63/claim|Median: $33.72
0.4× median
92551Normal range

Screening audiometry, pure tone, air only

$573

14K claims · 0.0%

Your Cost: $0.04/claim|Median: $6.61
0.0× median
87389Normal range

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

$540

3,668 claims · 0.0%

Your Cost: $0.15/claim|Median: $18.03
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$439

1,904 claims · 0.0%

Your Cost: $0.23/claim|Median: $25.06
0.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$428

3,431 claims · 0.0%

Your Cost: $0.12/claim|Median: $24.95
0.0× median
80074Normal range

$396

3,376 claims · 0.0%

Your Cost: $0.12/claim|Median: $27.54
0.0× median
80055Normal range

$390

47 claims · 0.0%

Your Cost: $8.30/claim|Median: $28.10
0.3× median
0072ANormal range

$342

25 claims · 0.0%

Your Cost: $13.66/claim|Median: $39.57
0.3× median
0064ANormal range

$331

39 claims · 0.0%

Your Cost: $8.49/claim|Median: $34.17
0.2× median
99204Normal range

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

$307

469 claims · 0.0%

Your Cost: $0.65/claim|Median: $84.03
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$296

1,547 claims · 0.0%

Your Cost: $0.19/claim|Median: $75.18
0.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$294

4,802 claims · 0.0%

Your Cost: $0.06/claim|Median: $4.71
0.0× median
0071ANormal range

$291

13 claims · 0.0%

Your Cost: $22.40/claim|Median: $38.71
0.6× median
90832Normal range

Psychotherapy, 30 minutes

$266

1,357 claims · 0.0%

Your Cost: $0.20/claim|Median: $41.28
0.0× median
← All providersHow we detect fraud →