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

⚖️ Compare🖨️ Print Report

Provider 1386273100

NPI: 1386273100Share
Active Billing Period:2021-01→2024-12(48 months)

Total Paid

$16.9M

$16,935,606

Total Claims

288K

Beneficiaries

225K

1.3 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2021
$1.8M
+62%
2022
$2.9M
+120%
2023
$6.4M
-8%
2024
$5.9M

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 70% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$11.9M

69K claims · 70.2%

Your Cost: $170.99/claim|Median: $121.16
1.4× median
00003Normal range

Anesthesia services

$1.6M

7,228 claims · 9.5%

Your Cost: $222.99/claim|Median: $223.77
1.0× median
96156Normal range

$1.1M

22K claims · 6.7%

Your Cost: $51.32/claim|Median: $22.36
2.3× median
99214Normal range

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

$644K

38K claims · 3.8%

Your Cost: $16.96/claim|Median: $53.41
0.3× median
99213Normal range

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

$289K

25K claims · 1.7%

Your Cost: $11.54/claim|Median: $37.81
0.3× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$150K

11K claims · 0.9%

Your Cost: $14.13/claim|Median: $12.70
1.1× median
99204Normal range

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

$141K

5,601 claims · 0.8%

Your Cost: $25.09/claim|Median: $84.03
0.3× median
96110Top 5%

Developmental screening, per standardized instrument

$138K

2,784 claims · 0.8%

Your Cost: $49.58/claim|Median: $9.10
5.4× median
G9008Top 1%

Coordination of long-term care services, per month

$128K

210 claims · 0.8%

Your Cost: $609.62/claim|Median: $66.78
9.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$77K

1,319 claims · 0.5%

Your Cost: $58.30/claim|Median: $111.09
0.5× median
G0108Normal range

Diabetes self-management training, individual

$73K

1,772 claims · 0.4%

Your Cost: $41.08/claim|Median: $35.89
1.1× median
G9920Top 25%

$69K

3,177 claims · 0.4%

Your Cost: $21.58/claim|Median: $6.56
3.3× median
99215Normal range

Office/outpatient visit, high complexity

$66K

1,838 claims · 0.4%

Your Cost: $36.16/claim|Median: $74.09
0.5× median
99384Normal range

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

$62K

1,220 claims · 0.4%

Your Cost: $51.14/claim|Median: $83.63
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$60K

2,815 claims · 0.4%

Your Cost: $21.39/claim|Median: $80.15
0.3× median
99383Normal range

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

$50K

1,134 claims · 0.3%

Your Cost: $43.70/claim|Median: $81.92
0.5× median
92551Normal range

Screening audiometry, pure tone, air only

$45K

5,085 claims · 0.3%

Your Cost: $8.90/claim|Median: $6.61
1.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$36K

1,903 claims · 0.2%

Your Cost: $19.00/claim|Median: $74.82
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$33K

3,776 claims · 0.2%

Your Cost: $8.73/claim|Median: $25.06
0.3× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$24K

2,687 claims · 0.1%

Your Cost: $9.04/claim|Median: $24.95
0.4× median
90834Normal range

Psychotherapy, 45 minutes

$22K

3,474 claims · 0.1%

Your Cost: $6.42/claim|Median: $63.65
0.1× median
99203Normal range

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

$14K

428 claims · 0.1%

Your Cost: $32.65/claim|Median: $57.85
0.6× median
98960Normal range

$10K

505 claims · 0.1%

Your Cost: $20.65/claim|Median: $12.74
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$10K

532 claims · 0.1%

Your Cost: $19.59/claim|Median: $75.18
0.3× median
G0442Normal range

$10K

3,374 claims · 0.1%

Your Cost: $3.03/claim|Median: $4.91
0.6× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$10K

3,294 claims · 0.1%

Your Cost: $2.89/claim|Median: $5.50
0.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$9K

5,441 claims · 0.1%

Your Cost: $1.68/claim|Median: $3.67
0.5× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$9K

261 claims · 0.1%

Your Cost: $34.98/claim|Median: $108.91
0.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$8K

117 claims · 0.0%

Your Cost: $71.22/claim|Median: $72.71
1.0× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$8K

86 claims · 0.0%

Your Cost: $94.27/claim|Median: $76.22
1.2× median
← All providersHow we detect fraud →