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

⚖️ Compare🖨️ Print Report

Provider 1386714228

NPI: 1386714228Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$17.9M

$17,883,201

Total Claims

274K

Beneficiaries

97K

2.8 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$4.6M
+4%
2019
$4.7M
-20%
2020
$3.8M
-69%
2021
$1.2M
+14%
2022
$1.3M
+2%
2023
$1.4M
-34%
2024
$915K

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 35% of total spending.

99213Top 5%

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

$6.2M

45K claims · 34.7%

Your Cost: $136.72/claim|Median: $37.81
3.6× median
T1017Normal range

Targeted case management, per 15 min

$3.7M

129K claims · 20.9%

Your Cost: $28.96/claim|Median: $69.56
0.4× median
99212Top 5%

Office/outpatient visit, low complexity

$1.8M

13K claims · 10.2%

Your Cost: $143.14/claim|Median: $25.06
5.7× median
D0120Top 5%

Periodic oral evaluation, established patient

$1.1M

16K claims · 6.1%

Your Cost: $69.72/claim|Median: $24.34
2.9× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$995K

32K claims · 5.6%

Your Cost: $31.22/claim|Median: $27.28
1.1× median
D4910Top 1%

$841K

5,754 claims · 4.7%

Your Cost: $146.21/claim|Median: $75.56
1.9× median
90847Top 5%

Family psychotherapy with patient, 50 min

$718K

3,097 claims · 4.0%

Your Cost: $231.94/claim|Median: $77.33
3.0× median
99214Top 25%

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

$490K

6,105 claims · 2.7%

Your Cost: $80.24/claim|Median: $53.41
1.5× median
90834Top 5%

Psychotherapy, 45 minutes

$295K

1,957 claims · 1.6%

Your Cost: $150.54/claim|Median: $63.65
2.4× median
92014Top 5%

Ophthalmological exam, comprehensive, established patient

$268K

2,231 claims · 1.5%

Your Cost: $120.27/claim|Median: $47.08
2.6× median
92567Top 5%

$249K

4,183 claims · 1.4%

Your Cost: $59.42/claim|Median: $11.50
5.2× median
92507Top 5%

Speech/hearing/language treatment

$229K

1,978 claims · 1.3%

Your Cost: $115.80/claim|Median: $49.45
2.3× median
D4999Normal range

$157K

1,117 claims · 0.9%

Your Cost: $140.11/claim|Median: $103.91
1.3× median
92609Top 25%

$117K

1,285 claims · 0.7%

Your Cost: $91.25/claim|Median: $59.78
1.5× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$95K

722 claims · 0.5%

Your Cost: $131.41/claim|Median: $40.11
3.3× median
D0140Top 5%

Limited oral evaluation, problem focused

$89K

1,245 claims · 0.5%

Your Cost: $71.23/claim|Median: $27.07
2.6× median
V5299Top 25%

$78K

794 claims · 0.4%

Your Cost: $97.73/claim|Median: $17.60
5.6× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$72K

341 claims · 0.4%

Your Cost: $211.93/claim|Median: $101.33
2.1× median
92012Top 1%

Ophthalmological exam, intermediate, established patient

$39K

270 claims · 0.2%

Your Cost: $143.92/claim|Median: $38.23
3.8× median
D1206Top 1%

Topical application of fluoride varnish

$35K

310 claims · 0.2%

Your Cost: $112.62/claim|Median: $18.12
6.2× median
99490Normal range

Chronic care management services, 20 minutes per month

$34K

3,121 claims · 0.2%

Your Cost: $10.74/claim|Median: $6.31
1.7× median
D1110Top 10%

Prophylaxis, adult cleaning

$27K

332 claims · 0.2%

Your Cost: $82.42/claim|Median: $43.38
1.9× median
96116Top 5%

Neurobehavioral status examination, first hour

$26K

93 claims · 0.1%

Your Cost: $275.66/claim|Median: $46.64
5.9× median
V5264Normal range

$23K

543 claims · 0.1%

Your Cost: $41.95/claim|Median: $49.58
0.8× median
99203Top 5%

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

$22K

177 claims · 0.1%

Your Cost: $124.17/claim|Median: $57.85
2.1× median
90674Normal range

$21K

995 claims · 0.1%

Your Cost: $21.32/claim|Median: $15.16
1.4× median
92579Top 25%

$18K

276 claims · 0.1%

Your Cost: $66.70/claim|Median: $30.58
2.2× median
V5266Normal range

$14K

1,049 claims · 0.1%

Your Cost: $13.08/claim|Median: $15.52
0.8× median
D1330Top 1%

$11K

92 claims · 0.1%

Your Cost: $120.22/claim|Median: $5.73
21.0× median
90756Normal range

Influenza virus vaccine, quadrivalent

$8K

391 claims · 0.0%

Your Cost: $21.00/claim|Median: $14.34
1.5× median
← All providersHow we detect fraud →