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

⚖️ Compare🖨️ Print Report

Provider 1396749941

NPI: 1396749941Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.0M

$11,030,258

Total Claims

284K

Beneficiaries

253K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+3%
2019
$1.2M
+6%
2020
$1.3M
+17%
2021
$1.5M
-25%
2022
$1.2M
+78%
2023
$2.1M
+20%
2024
$2.5M

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 42% of total spending.

99214Top 25%

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

$4.6M

55K claims · 41.7%

Your Cost: $84.07/claim|Median: $53.41
1.6× median
G0447Top 5%

$1.0M

32K claims · 9.2%

Your Cost: $31.52/claim|Median: $5.19
6.1× median
99497Top 1%

$935K

10K claims · 8.5%

Your Cost: $92.80/claim|Median: $10.99
8.4× median
99215Normal range

Office/outpatient visit, high complexity

$469K

4,416 claims · 4.3%

Your Cost: $106.20/claim|Median: $74.09
1.4× median
G0439Top 25%

Annual wellness visit, subsequent visit

$403K

7,029 claims · 3.7%

Your Cost: $57.38/claim|Median: $5.42
10.6× median
G9008Normal range

Coordination of long-term care services, per month

$336K

13K claims · 3.0%

Your Cost: $26.48/claim|Median: $66.78
0.4× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$305K

1,691 claims · 2.8%

Your Cost: $180.53/claim|Median: $111.09
1.6× median
G0442Top 5%

$266K

11K claims · 2.4%

Your Cost: $23.88/claim|Median: $4.91
4.9× median
G0438Top 25%

Annual wellness visit, first visit

$227K

2,694 claims · 2.1%

Your Cost: $84.36/claim|Median: $19.28
4.4× median
90651Top 1%

HPV vaccine, 9-valent

$222K

877 claims · 2.0%

Your Cost: $253.54/claim|Median: $8.93
28.4× median
G0446Top 1%

$200K

6,346 claims · 1.8%

Your Cost: $31.45/claim|Median: $4.40
7.1× median
99406Top 10%

$185K

12K claims · 1.7%

Your Cost: $15.02/claim|Median: $6.53
2.3× median
99204Top 25%

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

$156K

1,126 claims · 1.4%

Your Cost: $138.25/claim|Median: $84.03
1.6× median
90471Normal range

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

$133K

9,907 claims · 1.2%

Your Cost: $13.38/claim|Median: $9.80
1.4× median
90739Top 25%

$127K

1,017 claims · 1.2%

Your Cost: $124.96/claim|Median: $74.43
1.7× median
90750Top 25%

$124K

736 claims · 1.1%

Your Cost: $168.51/claim|Median: $96.16
1.8× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$116K

662 claims · 1.0%

Your Cost: $174.81/claim|Median: $76.06
2.3× median
G9012Normal range

Other specified case management service, per 15 minutes

$111K

8,098 claims · 1.0%

Your Cost: $13.77/claim|Median: $137.85
0.1× median
99213Top 25%

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

$108K

1,517 claims · 1.0%

Your Cost: $70.96/claim|Median: $37.81
1.9× median
G9920Normal range

$101K

5,082 claims · 0.9%

Your Cost: $19.81/claim|Median: $6.56
3.0× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$90K

608 claims · 0.8%

Your Cost: $148.31/claim|Median: $72.71
2.0× median
G2012Top 10%

Brief communication technology-based service

$87K

5,286 claims · 0.8%

Your Cost: $16.54/claim|Median: $8.79
1.9× median
99212Normal range

Office/outpatient visit, low complexity

$60K

1,651 claims · 0.5%

Your Cost: $36.33/claim|Median: $25.06
1.4× median
90756Top 25%

Influenza virus vaccine, quadrivalent

$55K

2,269 claims · 0.5%

Your Cost: $24.13/claim|Median: $14.34
1.7× median
99490Top 25%

Chronic care management services, 20 minutes per month

$51K

3,221 claims · 0.5%

Your Cost: $15.93/claim|Median: $6.31
2.5× median
90677Top 10%

$49K

319 claims · 0.4%

Your Cost: $152.52/claim|Median: $12.96
11.8× median
90746Normal range

Hepatitis B vaccine, adult

$44K

878 claims · 0.4%

Your Cost: $50.05/claim|Median: $48.85
1.0× median
99458Top 1%

$43K

467 claims · 0.4%

Your Cost: $91.43/claim|Median: $6.87
13.3× median
99386Top 5%

Preventive visit, new patient, 40-64 yr

$43K

162 claims · 0.4%

Your Cost: $262.90/claim|Median: $87.82
3.0× median
99457Top 1%

$40K

637 claims · 0.4%

Your Cost: $62.40/claim|Median: $6.05
10.3× median
← All providersHow we detect fraud →