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

⚖️ Compare🖨️ Print Report

Provider 1376623736

NPI: 1376623736Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,513,846

Total Claims

317K

Beneficiaries

272K

1.2 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$834K
+26%
2019
$1.0M
+33%
2020
$1.4M
+29%
2021
$1.8M
+2%
2022
$1.8M
+6%
2023
$1.9M
-14%
2024
$1.7M

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 54% of total spending.

99214Top 25%

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

$5.7M

68K claims · 54.2%

Your Cost: $84.12/claim|Median: $53.41
1.6× median
99213Top 25%

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

$2.3M

39K claims · 22.2%

Your Cost: $59.32/claim|Median: $37.81
1.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$604K

7,047 claims · 5.7%

Your Cost: $85.72/claim|Median: $72.71
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$549K

5,798 claims · 5.2%

Your Cost: $94.77/claim|Median: $76.06
1.2× median
99203Normal range

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

$231K

3,076 claims · 2.2%

Your Cost: $75.23/claim|Median: $57.85
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$150K

1,557 claims · 1.4%

Your Cost: $96.14/claim|Median: $74.09
1.3× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$123K

1,073 claims · 1.2%

Your Cost: $114.50/claim|Median: $100.62
1.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$100K

1,018 claims · 1.0%

Your Cost: $98.58/claim|Median: $76.22
1.3× median
99204Normal range

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

$74K

740 claims · 0.7%

Your Cost: $99.40/claim|Median: $84.03
1.2× median
76700Normal range

Ultrasound, abdominal, complete

$62K

926 claims · 0.6%

Your Cost: $66.81/claim|Median: $50.69
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$50K

592 claims · 0.5%

Your Cost: $85.13/claim|Median: $80.15
1.1× median
87804Normal range

Influenza virus detection, rapid test

$45K

3,384 claims · 0.4%

Your Cost: $13.23/claim|Median: $12.59
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$45K

5,602 claims · 0.4%

Your Cost: $7.96/claim|Median: $9.56
0.8× median
87811Normal range

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

$41K

1,361 claims · 0.4%

Your Cost: $30.46/claim|Median: $30.53
1.0× median
99212Top 25%

Office/outpatient visit, low complexity

$34K

876 claims · 0.3%

Your Cost: $39.11/claim|Median: $25.06
1.6× median
99308Top 5%

Nursing facility care, subsequent, straightforward

$32K

738 claims · 0.3%

Your Cost: $43.09/claim|Median: $9.79
4.4× median
93976Normal range

$31K

328 claims · 0.3%

Your Cost: $93.05/claim|Median: $42.06
2.2× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$21K

177 claims · 0.2%

Your Cost: $117.12/claim|Median: $87.82
1.3× median
99457Top 25%

$20K

923 claims · 0.2%

Your Cost: $21.57/claim|Median: $6.05
3.6× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$19K

6,387 claims · 0.2%

Your Cost: $2.93/claim|Median: $3.67
0.8× median
99490Top 25%

Chronic care management services, 20 minutes per month

$18K

1,452 claims · 0.2%

Your Cost: $12.58/claim|Median: $6.31
2.0× median
99458Top 10%

$17K

516 claims · 0.2%

Your Cost: $32.22/claim|Median: $6.87
4.7× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$17K

341 claims · 0.2%

Your Cost: $48.60/claim|Median: $35.43
1.4× median
90471Normal range

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

$16K

1,609 claims · 0.2%

Your Cost: $10.11/claim|Median: $9.80
1.0× median
99454Top 25%

$16K

633 claims · 0.2%

Your Cost: $25.65/claim|Median: $9.15
2.8× median
90688Top 25%

$15K

888 claims · 0.1%

Your Cost: $16.77/claim|Median: $9.00
1.9× median
93000Normal range

Electrocardiogram, complete, with interpretation and report

$13K

1,476 claims · 0.1%

Your Cost: $8.54/claim|Median: $9.70
0.9× median
97110Normal range

Therapeutic exercises, each 15 min

$13K

534 claims · 0.1%

Your Cost: $23.60/claim|Median: $24.49
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$11K

265 claims · 0.1%

Your Cost: $40.58/claim|Median: $39.70
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$10K

796 claims · 0.1%

Your Cost: $12.89/claim|Median: $11.48
1.1× median
← All providersHow we detect fraud →