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

⚖️ Compare🖨️ Print Report

Provider 1295849933

NPI: 1295849933Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,163,589

Total Claims

93K

Beneficiaries

75K

1.2 claims/patient

Avg Cost/Claim

$98

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-22%
2019
$977K
+52%
2020
$1.5M
+5%
2021
$1.6M
-20%
2022
$1.3M
+17%
2023
$1.5M
-21%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 29% of total spending.

99214Top 5%

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

$2.7M

20K claims · 29.2%

Your Cost: $137.27/claim|Median: $53.41
2.6× median
H2015Normal range

Comprehensive community support services, per 15 min

$2.2M

13K claims · 24.2%

Your Cost: $174.58/claim|Median: $96.24
1.8× median
99213Top 5%

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

$1.9M

14K claims · 20.7%

Your Cost: $134.29/claim|Median: $37.81
3.6× median
90834Top 5%

Psychotherapy, 45 minutes

$520K

2,881 claims · 5.7%

Your Cost: $180.45/claim|Median: $63.65
2.8× median
90791Top 10%

Psychiatric diagnostic evaluation

$325K

1,879 claims · 3.5%

Your Cost: $172.79/claim|Median: $99.21
1.7× median
Q3014Top 10%

Telehealth originating site facility fee

$227K

8,277 claims · 2.5%

Your Cost: $27.46/claim|Median: $15.37
1.8× median
90832Top 5%

Psychotherapy, 30 minutes

$207K

1,154 claims · 2.3%

Your Cost: $179.25/claim|Median: $41.28
4.3× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$184K

1,085 claims · 2.0%

Your Cost: $169.41/claim|Median: $13.30
12.7× median
G0467Normal range

Federally qualified health center visit, mental health

$162K

7,371 claims · 1.8%

Your Cost: $22.01/claim|Median: $21.91
1.0× median
H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$143K

833 claims · 1.6%

Your Cost: $171.41/claim|Median: $91.63
1.9× median
99203Top 5%

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

$106K

655 claims · 1.2%

Your Cost: $161.65/claim|Median: $57.85
2.8× median
90837Top 5%

Psychotherapy, 60 minutes

$104K

607 claims · 1.1%

Your Cost: $171.54/claim|Median: $85.66
2.0× median
99212Top 5%

Office/outpatient visit, low complexity

$100K

658 claims · 1.1%

Your Cost: $151.52/claim|Median: $25.06
6.0× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$49K

275 claims · 0.5%

Your Cost: $177.80/claim|Median: $108.91
1.6× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$37K

232 claims · 0.4%

Your Cost: $159.79/claim|Median: $22.44
7.1× median
99215Normal range

Office/outpatient visit, high complexity

$25K

296 claims · 0.3%

Your Cost: $85.43/claim|Median: $74.09
1.2× median
G2025Top 25%

$24K

664 claims · 0.3%

Your Cost: $36.50/claim|Median: $15.63
2.3× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$23K

159 claims · 0.2%

Your Cost: $143.88/claim|Median: $72.71
2.0× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$22K

154 claims · 0.2%

Your Cost: $142.63/claim|Median: $25.93
5.5× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$18K

112 claims · 0.2%

Your Cost: $163.69/claim|Median: $76.06
2.2× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$16K

139 claims · 0.2%

Your Cost: $113.42/claim|Median: $33.85
3.4× median
36415Top 10%

Collection of venous blood by venipuncture

$15K

2,660 claims · 0.2%

Your Cost: $5.66/claim|Median: $1.57
3.6× median
99204Top 10%

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

$13K

82 claims · 0.1%

Your Cost: $161.56/claim|Median: $84.03
1.9× median
91301

COVID-19 vaccine (Moderna), first dose

$13K

78 claims · 0.1%

85025Normal range

Complete blood count (CBC) with differential, automated

$7K

1,615 claims · 0.1%

Your Cost: $4.03/claim|Median: $4.71
0.9× median
99392Top 5%

Preventive medicine, established patient, age 1-4

$6K

33 claims · 0.1%

Your Cost: $177.32/claim|Median: $75.18
2.4× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$6K

119 claims · 0.1%

Your Cost: $47.48/claim|Median: $17.85
2.7× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$2K

12 claims · 0.0%

Your Cost: $173.84/claim|Median: $40.11
4.3× median
99391Top 5%

Preventive medicine, established patient, infant (under 1)

$2K

15 claims · 0.0%

Your Cost: $134.52/claim|Median: $69.35
1.9× median
99383Top 10%

Preventive visit, new patient, late childhood (5-11 yr)

$2K

15 claims · 0.0%

Your Cost: $121.07/claim|Median: $81.92
1.5× median
← All providersHow we detect fraud →