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

⚖️ Compare🖨️ Print Report

Provider 1326225582

NPI: 1326225582Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.4M

$12,432,469

Total Claims

318K

Beneficiaries

300K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+18%
2019
$1.9M
-13%
2020
$1.7M
+13%
2021
$1.9M
+13%
2022
$2.1M
-15%
2023
$1.8M
-22%
2024
$1.4M

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 52% of total spending.

99213Top 5%

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

$6.4M

71K claims · 51.8%

Your Cost: $91.07/claim|Median: $37.81
2.4× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$806K

32K claims · 6.5%

Your Cost: $25.58/claim|Median: $17.85
1.4× median
99393Top 10%

Preventive medicine, established patient, age 5-11

$744K

6,839 claims · 6.0%

Your Cost: $108.85/claim|Median: $74.82
1.5× median
92552Top 10%

Pure tone audiometry, air only, each ear

$585K

18K claims · 4.7%

Your Cost: $31.97/claim|Median: $12.63
2.5× median
99394Top 10%

Preventive medicine, established patient, age 12-17

$583K

4,871 claims · 4.7%

Your Cost: $119.64/claim|Median: $80.15
1.5× median
99392Top 10%

Preventive medicine, established patient, age 1-4

$579K

5,383 claims · 4.7%

Your Cost: $107.49/claim|Median: $75.18
1.4× median
99214Top 5%

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

$547K

3,795 claims · 4.4%

Your Cost: $144.07/claim|Median: $53.41
2.7× median
99212Top 10%

Office/outpatient visit, low complexity

$359K

6,401 claims · 2.9%

Your Cost: $56.11/claim|Median: $25.06
2.2× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$312K

9,365 claims · 2.5%

Your Cost: $33.28/claim|Median: $30.53
1.1× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$268K

2,715 claims · 2.2%

Your Cost: $98.89/claim|Median: $69.35
1.4× median
87804Normal range

Influenza virus detection, rapid test

$258K

18K claims · 2.1%

Your Cost: $14.22/claim|Median: $12.59
1.1× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$230K

4,480 claims · 1.9%

Your Cost: $51.42/claim|Median: $6.93
7.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$162K

13K claims · 1.3%

Your Cost: $12.80/claim|Median: $11.48
1.1× median
86580Top 10%

Tuberculosis (TB) skin test

$162K

18K claims · 1.3%

Your Cost: $9.09/claim|Median: $4.46
2.0× median
85025Normal range

Complete blood count (CBC) with differential, automated

$61K

9,196 claims · 0.5%

Your Cost: $6.59/claim|Median: $4.71
1.4× median
G8510Top 25%

$61K

5,343 claims · 0.5%

Your Cost: $11.34/claim|Median: $1.96
5.8× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$60K

850 claims · 0.5%

Your Cost: $70.02/claim|Median: $22.44
3.1× median
96110Normal range

Developmental screening, per standardized instrument

$44K

12K claims · 0.4%

Your Cost: $3.79/claim|Median: $9.10
0.4× median
G0447Top 25%

$29K

1,725 claims · 0.2%

Your Cost: $16.62/claim|Median: $5.19
3.2× median
0072ANormal range

$20K

487 claims · 0.2%

Your Cost: $41.07/claim|Median: $39.57
1.0× median
0071ANormal range

$16K

386 claims · 0.1%

Your Cost: $40.85/claim|Median: $38.71
1.1× median
36406Normal range

$13K

2,103 claims · 0.1%

Your Cost: $5.99/claim|Median: $8.67
0.7× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$11K

93 claims · 0.1%

Your Cost: $119.16/claim|Median: $72.71
1.6× median
99173Normal range

$11K

17K claims · 0.1%

Your Cost: $0.63/claim|Median: $2.16
0.3× median
99072Normal range

$10K

4,251 claims · 0.1%

Your Cost: $2.34/claim|Median: $0.54
4.3× median
36415Normal range

Collection of venous blood by venipuncture

$8K

23K claims · 0.1%

Your Cost: $0.36/claim|Median: $1.57
0.2× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$8K

208 claims · 0.1%

Your Cost: $39.93/claim|Median: $36.70
1.1× median
99051Normal range

$7K

1,342 claims · 0.1%

Your Cost: $5.11/claim|Median: $7.89
0.6× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$6K

154 claims · 0.0%

Your Cost: $39.95/claim|Median: $33.72
1.2× median
94640Top 25%

Pressurized or nonpressurized inhalation treatment

$6K

334 claims · 0.0%

Your Cost: $17.87/claim|Median: $10.88
1.6× median
← All providersHow we detect fraud →