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

⚖️ Compare🖨️ Print Report

Provider 1487824223

NPI: 1487824223Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.6M

$14,564,860

Total Claims

385K

Beneficiaries

360K

1.1 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$112K
+2685%
2019
$3.1M
-29%
2020
$2.2M
+4%
2021
$2.3M
+7%
2022
$2.5M
-5%
2023
$2.3M
-15%
2024
$2.0M

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 28% of total spending.

99213Top 25%

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

$4.1M

70K claims · 28.2%

Your Cost: $58.68/claim|Median: $37.81
1.6× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$2.3M

46K claims · 15.5%

Your Cost: $48.63/claim|Median: $17.85
2.7× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$2.1M

24K claims · 14.4%

Your Cost: $86.11/claim|Median: $69.35
1.2× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.5M

17K claims · 10.5%

Your Cost: $87.16/claim|Median: $75.18
1.2× median
99393Normal range

Preventive medicine, established patient, age 5-11

$941K

11K claims · 6.5%

Your Cost: $86.08/claim|Median: $74.82
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$741K

22K claims · 5.1%

Your Cost: $33.41/claim|Median: $25.06
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$430K

4,587 claims · 3.0%

Your Cost: $93.81/claim|Median: $80.15
1.2× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$407K

4,799 claims · 2.8%

Your Cost: $84.88/claim|Median: $62.48
1.4× median
99058Normal range

$378K

22K claims · 2.6%

Your Cost: $17.46/claim|Median: $15.38
1.1× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$313K

4,803 claims · 2.2%

Your Cost: $65.21/claim|Median: $37.22
1.8× median
87804Normal range

Influenza virus detection, rapid test

$235K

26K claims · 1.6%

Your Cost: $8.99/claim|Median: $12.59
0.7× median
90461Top 10%

Immunization admin, additional vaccine, counseling

$187K

4,450 claims · 1.3%

Your Cost: $41.92/claim|Median: $6.93
6.0× median
87426Normal range

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

$164K

4,980 claims · 1.1%

Your Cost: $32.87/claim|Median: $30.04
1.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$134K

16K claims · 0.9%

Your Cost: $8.35/claim|Median: $11.48
0.7× median
54150Normal range

$111K

1,043 claims · 0.8%

Your Cost: $105.99/claim|Median: $84.60
1.3× median
99214Top 25%

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

$108K

1,260 claims · 0.7%

Your Cost: $85.94/claim|Median: $53.41
1.6× median
99463Top 25%

$69K

686 claims · 0.5%

Your Cost: $100.96/claim|Median: $78.46
1.3× median
99188Normal range

$54K

4,533 claims · 0.4%

Your Cost: $11.90/claim|Median: $12.80
0.9× median
99462Top 25%

$44K

1,156 claims · 0.3%

Your Cost: $38.38/claim|Median: $27.49
1.4× median
99381Top 25%

Preventive visit, new patient, infant (<1 yr)

$41K

396 claims · 0.3%

Your Cost: $103.25/claim|Median: $73.46
1.4× median
83655Normal range

$39K

4,029 claims · 0.3%

Your Cost: $9.76/claim|Median: $10.49
0.9× median
99383Top 25%

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

$39K

354 claims · 0.3%

Your Cost: $109.56/claim|Median: $81.92
1.3× median
99382Top 25%

Preventive visit, new patient, early childhood (1-4 yr)

$19K

182 claims · 0.1%

Your Cost: $104.01/claim|Median: $79.89
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$18K

4,365 claims · 0.1%

Your Cost: $4.20/claim|Median: $3.67
1.1× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$16K

260 claims · 0.1%

Your Cost: $60.63/claim|Median: $23.99
2.5× median
2015FNormal range

$15K

2,220 claims · 0.1%

Your Cost: $6.91/claim|Median: $8.51
0.8× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$12K

940 claims · 0.1%

Your Cost: $13.06/claim|Median: $10.88
1.2× median
85018Normal range

$11K

5,494 claims · 0.1%

Your Cost: $1.92/claim|Median: $1.71
1.1× median
36416Top 25%

$6K

1,832 claims · 0.0%

Your Cost: $3.55/claim|Median: $1.31
2.7× median
99384Top 25%

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

$6K

45 claims · 0.0%

Your Cost: $123.86/claim|Median: $83.63
1.5× median
← All providersHow we detect fraud →