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

⚖️ Compare🖨️ Print Report

Provider 1487792024

NPI: 1487792024Share
Active Billing Period:2018-01→2023-10(70 months)
Billing appears to have stoppedLast active: 2023-10

Total Paid

$9.2M

$9,153,182

Total Claims

245K

Beneficiaries

234K

1.1 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$989K
+44%
2019
$1.4M
-5%
2020
$1.4M
+28%
2021
$1.7M
+15%
2022
$2.0M
-18%
2023
$1.6M

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 34% of total spending.

99213Top 10%

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

$3.1M

41K claims · 33.8%

Your Cost: $75.67/claim|Median: $37.81
2.0× median
99214Top 10%

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

$2.2M

20K claims · 24.1%

Your Cost: $108.17/claim|Median: $53.41
2.0× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$560K

5,888 claims · 6.1%

Your Cost: $95.19/claim|Median: $75.18
1.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$514K

21K claims · 5.6%

Your Cost: $24.32/claim|Median: $17.85
1.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$511K

5,271 claims · 5.6%

Your Cost: $96.90/claim|Median: $74.82
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$380K

4,419 claims · 4.1%

Your Cost: $85.90/claim|Median: $69.35
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$353K

3,302 claims · 3.9%

Your Cost: $106.97/claim|Median: $80.15
1.3× median
92567Normal range

$267K

19K claims · 2.9%

Your Cost: $13.77/claim|Median: $11.50
1.2× median
92587Normal range

$151K

7,905 claims · 1.7%

Your Cost: $19.16/claim|Median: $19.24
1.0× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$104K

4,973 claims · 1.1%

Your Cost: $20.97/claim|Median: $30.04
0.7× median
92551Top 25%

Screening audiometry, pure tone, air only

$103K

10K claims · 1.1%

Your Cost: $9.83/claim|Median: $6.61
1.5× median
87804Normal range

Influenza virus detection, rapid test

$99K

5,934 claims · 1.1%

Your Cost: $16.70/claim|Median: $12.59
1.3× median
99051Normal range

$95K

17K claims · 1.0%

Your Cost: $5.68/claim|Median: $7.89
0.7× median
99212Top 25%

Office/outpatient visit, low complexity

$83K

1,816 claims · 0.9%

Your Cost: $45.67/claim|Median: $25.06
1.8× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$77K

3,022 claims · 0.8%

Your Cost: $25.33/claim|Median: $6.93
3.7× median
96110Normal range

Developmental screening, per standardized instrument

$74K

11K claims · 0.8%

Your Cost: $6.77/claim|Median: $9.10
0.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$58K

531 claims · 0.6%

Your Cost: $109.16/claim|Median: $72.71
1.5× median
99188Normal range

$48K

3,369 claims · 0.5%

Your Cost: $14.31/claim|Median: $12.80
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$47K

7,698 claims · 0.5%

Your Cost: $6.11/claim|Median: $11.48
0.5× median
99203Top 25%

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

$45K

493 claims · 0.5%

Your Cost: $91.61/claim|Median: $57.85
1.6× median
99402Normal range

$40K

859 claims · 0.4%

Your Cost: $46.59/claim|Median: $31.79
1.5× median
99177Normal range

$31K

11K claims · 0.3%

Your Cost: $2.84/claim|Median: $3.74
0.8× median
99401Top 10%

$25K

767 claims · 0.3%

Your Cost: $32.15/claim|Median: $16.53
1.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$22K

4,628 claims · 0.2%

Your Cost: $4.69/claim|Median: $3.67
1.3× median
96160Top 25%

Patient-focused health risk assessment

$18K

4,303 claims · 0.2%

Your Cost: $4.24/claim|Median: $2.10
2.0× median
99383Top 25%

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

$12K

115 claims · 0.1%

Your Cost: $102.95/claim|Median: $81.92
1.3× median
94010Top 25%

$11K

365 claims · 0.1%

Your Cost: $31.29/claim|Median: $18.11
1.7× median
0071ANormal range

$10K

334 claims · 0.1%

Your Cost: $31.02/claim|Median: $38.71
0.8× median
0072ANormal range

$10K

302 claims · 0.1%

Your Cost: $32.34/claim|Median: $39.57
0.8× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$10K

492 claims · 0.1%

Your Cost: $19.52/claim|Median: $12.70
1.5× median
← All providersHow we detect fraud →