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

⚖️ Compare🖨️ Print Report

Provider 1396794426

NPI: 1396794426Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.9M

$14,931,154

Total Claims

256K

Beneficiaries

209K

1.2 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+16%
2019
$2.2M
-23%
2020
$1.7M
+23%
2021
$2.1M
-4%
2022
$2.0M
+23%
2023
$2.5M
+2%
2024
$2.5M

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 99% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$14.8M

131K claims · 99.2%

Your Cost: $113.07/claim|Median: $121.16
0.9× median
H1000Normal range

Prenatal care, at-risk assessment

$48K

837 claims · 0.3%

Your Cost: $56.92/claim|Median: $50.36
1.1× median
G9357Normal range

$23K

421 claims · 0.2%

Your Cost: $53.73/claim|Median: $78.40
0.7× median
99213Normal range

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

$12K

43K claims · 0.1%

Your Cost: $0.28/claim|Median: $37.81
0.0× median
99214Normal range

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

$9K

25K claims · 0.1%

Your Cost: $0.34/claim|Median: $53.41
0.0× median
90837Normal range

Psychotherapy, 60 minutes

$8K

1,554 claims · 0.1%

Your Cost: $5.14/claim|Median: $85.66
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$3K

270 claims · 0.0%

Your Cost: $12.96/claim|Median: $7.18
1.8× median
90670Top 5%

$2K

65 claims · 0.0%

Your Cost: $37.12/claim|Median: $5.94
6.2× median
90715Top 25%

Tdap vaccine

$2K

69 claims · 0.0%

Your Cost: $25.82/claim|Median: $10.32
2.5× median
90651Top 25%

HPV vaccine, 9-valent

$2K

52 claims · 0.0%

Your Cost: $30.61/claim|Median: $8.93
3.4× median
90834Normal range

Psychotherapy, 45 minutes

$1K

244 claims · 0.0%

Your Cost: $5.20/claim|Median: $63.65
0.1× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$993

1,748 claims · 0.0%

Your Cost: $0.57/claim|Median: $97.61
0.0× median
90658Normal range

$921

90 claims · 0.0%

Your Cost: $10.24/claim|Median: $8.96
1.1× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$833

1,981 claims · 0.0%

Your Cost: $0.42/claim|Median: $47.08
0.0× median
90671Top 25%

$827

16 claims · 0.0%

Your Cost: $51.66/claim|Median: $8.59
6.0× median
90710Top 25%

MMRV vaccine

$758

34 claims · 0.0%

Your Cost: $22.29/claim|Median: $7.00
3.2× median
90734Top 10%

$713

27 claims · 0.0%

Your Cost: $26.41/claim|Median: $6.40
4.1× median
90619Top 10%

$540

12 claims · 0.0%

Your Cost: $45.03/claim|Median: $8.36
5.4× median
90791Normal range

Psychiatric diagnostic evaluation

$524

185 claims · 0.0%

Your Cost: $2.83/claim|Median: $99.21
0.0× median
90696Top 25%

DTaP-IPV vaccine

$346

28 claims · 0.0%

Your Cost: $12.36/claim|Median: $5.95
2.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$297

2,903 claims · 0.0%

Your Cost: $0.10/claim|Median: $11.48
0.0× median
92551Normal range

Screening audiometry, pure tone, air only

$233

4,245 claims · 0.0%

Your Cost: $0.05/claim|Median: $6.61
0.0× median
90633Normal range

$227

25 claims · 0.0%

Your Cost: $9.07/claim|Median: $3.56
2.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$194

3,831 claims · 0.0%

Your Cost: $0.05/claim|Median: $75.18
0.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$193

3,217 claims · 0.0%

Your Cost: $0.06/claim|Median: $74.82
0.0× median
87804Normal range

Influenza virus detection, rapid test

$111

1,842 claims · 0.0%

Your Cost: $0.06/claim|Median: $12.59
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$71

2,903 claims · 0.0%

Your Cost: $0.02/claim|Median: $80.15
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$59

3,528 claims · 0.0%

Your Cost: $0.02/claim|Median: $25.06
0.0× median
90832Normal range

Psychotherapy, 30 minutes

$48

970 claims · 0.0%

Your Cost: $0.05/claim|Median: $41.28
0.0× median
96110Normal range

Developmental screening, per standardized instrument

$38

6,572 claims · 0.0%

Your Cost: $0.01/claim|Median: $9.10
0.0× median
← All providersHow we detect fraud →