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

⚖️ Compare🖨️ Print Report

Provider 1306877121

NPI: 1306877121Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,693,617

Total Claims

148K

Beneficiaries

104K

1.4 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$1.4M
-32%
2019
$922K
-5%
2020
$879K
+24%
2021
$1.1M
-4%
2022
$1.1M
+7%
2023
$1.1M
+13%
2024
$1.3M

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

$7.5M

53K claims · 96.9%

Your Cost: $140.50/claim|Median: $121.16
1.2× median
90832Normal range

Psychotherapy, 30 minutes

$59K

2,460 claims · 0.8%

Your Cost: $24.18/claim|Median: $41.28
0.6× median
99213Normal range

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

$54K

37K claims · 0.7%

Your Cost: $1.43/claim|Median: $37.81
0.0× median
G0467Top 10%

Federally qualified health center visit, mental health

$45K

607 claims · 0.6%

Your Cost: $74.69/claim|Median: $21.91
3.4× median
99214Normal range

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

$25K

12K claims · 0.3%

Your Cost: $2.01/claim|Median: $53.41
0.0× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$11K

175 claims · 0.1%

Your Cost: $62.79/claim|Median: $25.93
2.4× median
G9920Normal range

$6K

1,234 claims · 0.1%

Your Cost: $5.11/claim|Median: $6.56
0.8× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$6K

92 claims · 0.1%

Your Cost: $67.00/claim|Median: $33.85
2.0× median
99212Normal range

Office/outpatient visit, low complexity

$6K

6,734 claims · 0.1%

Your Cost: $0.84/claim|Median: $25.06
0.0× median
90677Normal range

$3K

118 claims · 0.0%

Your Cost: $26.88/claim|Median: $12.96
2.1× median
99203Normal range

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

$3K

418 claims · 0.0%

Your Cost: $6.52/claim|Median: $57.85
0.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$2K

555 claims · 0.0%

Your Cost: $4.38/claim|Median: $69.35
0.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$2K

983 claims · 0.0%

Your Cost: $2.41/claim|Median: $75.18
0.0× median
96156Normal range

$2K

1,104 claims · 0.0%

Your Cost: $1.95/claim|Median: $22.36
0.1× median
99394Normal range

Preventive medicine, established patient, age 12-17

$2K

1,269 claims · 0.0%

Your Cost: $1.65/claim|Median: $80.15
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$2K

1,361 claims · 0.0%

Your Cost: $1.43/claim|Median: $74.82
0.0× median
92552Normal range

Pure tone audiometry, air only, each ear

$2K

3,496 claims · 0.0%

Your Cost: $0.52/claim|Median: $12.63
0.0× median
0031ATop 5%

COVID-19 vaccine admin, J&J, single dose

$2K

25 claims · 0.0%

Your Cost: $67.00/claim|Median: $32.49
2.1× median
99215Normal range

Office/outpatient visit, high complexity

$1K

464 claims · 0.0%

Your Cost: $2.74/claim|Median: $74.09
0.0× median
90471Normal range

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

$1K

4,654 claims · 0.0%

Your Cost: $0.25/claim|Median: $9.80
0.0× median
H1003Normal range

$990

481 claims · 0.0%

Your Cost: $2.06/claim|Median: $10.04
0.2× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$980

218 claims · 0.0%

Your Cost: $4.50/claim|Median: $12.70
0.4× median
96110Normal range

Developmental screening, per standardized instrument

$580

64 claims · 0.0%

Your Cost: $9.06/claim|Median: $9.10
1.0× median
99401Normal range

$561

406 claims · 0.0%

Your Cost: $1.38/claim|Median: $16.53
0.1× median
99204Normal range

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

$552

57 claims · 0.0%

Your Cost: $9.68/claim|Median: $84.03
0.1× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$424

111 claims · 0.0%

Your Cost: $3.82/claim|Median: $24.33
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$386

1,663 claims · 0.0%

Your Cost: $0.23/claim|Median: $7.18
0.0× median
90674Normal range

$257

269 claims · 0.0%

Your Cost: $0.96/claim|Median: $15.16
0.1× median
99384Normal range

Preventive visit, new patient, adolescent (12-17 yr)

$246

56 claims · 0.0%

Your Cost: $4.39/claim|Median: $83.63
0.1× median
90715Normal range

Tdap vaccine

$242

201 claims · 0.0%

Your Cost: $1.20/claim|Median: $10.32
0.1× median
← All providersHow we detect fraud →