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

⚖️ Compare🖨️ Print Report

Provider 1497812721

NPI: 1497812721Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.0M

$11,951,330

Total Claims

454K

Beneficiaries

427K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$732K
+0%
2019
$735K
-18%
2020
$602K
+325%
2021
$2.6M
+20%
2022
$3.1M
-29%
2023
$2.2M
-4%
2024
$2.1M

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 52% of total spending.

99213Top 25%

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

$6.2M

96K claims · 52.2%

Your Cost: $64.93/claim|Median: $37.81
1.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.5M

23K claims · 12.9%

Your Cost: $67.83/claim|Median: $69.35
1.0× median
99214Top 25%

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

$1.2M

15K claims · 10.1%

Your Cost: $81.49/claim|Median: $53.41
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.2M

18K claims · 9.9%

Your Cost: $67.07/claim|Median: $75.18
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$389K

8,269 claims · 3.3%

Your Cost: $47.10/claim|Median: $74.82
0.6× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$235K

10K claims · 2.0%

Your Cost: $22.72/claim|Median: $28.46
0.8× median
90471Normal range

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

$143K

47K claims · 1.2%

Your Cost: $3.01/claim|Median: $9.80
0.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$109K

4,025 claims · 0.9%

Your Cost: $27.14/claim|Median: $80.15
0.3× median
96110Normal range

Developmental screening, per standardized instrument

$79K

38K claims · 0.7%

Your Cost: $2.09/claim|Median: $9.10
0.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$73K

1,788 claims · 0.6%

Your Cost: $40.84/claim|Median: $65.64
0.6× median
99051Normal range

$72K

16K claims · 0.6%

Your Cost: $4.40/claim|Median: $7.89
0.6× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$69K

1,033 claims · 0.6%

Your Cost: $66.48/claim|Median: $62.48
1.1× median
90461Normal range

Immunization admin, additional vaccine, counseling

$61K

4,697 claims · 0.5%

Your Cost: $12.92/claim|Median: $6.93
1.9× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$55K

996 claims · 0.5%

Your Cost: $55.50/claim|Median: $37.22
1.5× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$49K

2,915 claims · 0.4%

Your Cost: $16.73/claim|Median: $39.70
0.4× median
90472Normal range

Immunization administration, each additional vaccine

$49K

21K claims · 0.4%

Your Cost: $2.28/claim|Median: $11.79
0.2× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$41K

14K claims · 0.3%

Your Cost: $2.93/claim|Median: $7.18
0.4× median
99203Normal range

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

$33K

439 claims · 0.3%

Your Cost: $75.81/claim|Median: $57.85
1.3× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$31K

5,727 claims · 0.3%

Your Cost: $5.49/claim|Median: $17.85
0.3× median
91307Top 5%

$24K

818 claims · 0.2%

Your Cost: $28.99/claim|Median: $0.01
2899.2× median
17110Normal range

Destruction of benign lesions, up to fourteen

$23K

375 claims · 0.2%

Your Cost: $61.28/claim|Median: $59.25
1.0× median
99381Normal range

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

$23K

464 claims · 0.2%

Your Cost: $48.96/claim|Median: $73.46
0.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$22K

14K claims · 0.2%

Your Cost: $1.54/claim|Median: $3.67
0.4× median
99463Normal range

$21K

261 claims · 0.2%

Your Cost: $78.81/claim|Median: $78.46
1.0× median
99383Normal range

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

$15K

321 claims · 0.1%

Your Cost: $46.29/claim|Median: $81.92
0.6× median
90474Normal range

$13K

4,623 claims · 0.1%

Your Cost: $2.76/claim|Median: $8.42
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$11K

326 claims · 0.1%

Your Cost: $33.51/claim|Median: $25.06
1.3× median
99382Normal range

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

$11K

232 claims · 0.1%

Your Cost: $46.78/claim|Median: $79.89
0.6× median
99177Normal range

$11K

18K claims · 0.1%

Your Cost: $0.57/claim|Median: $3.74
0.2× median
99188Normal range

$9K

3,935 claims · 0.1%

Your Cost: $2.36/claim|Median: $12.80
0.2× median
← All providersHow we detect fraud →