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

⚖️ Compare🖨️ Print Report

Provider 1609290477

NPI: 1609290477Share
Active Billing Period:2018-03→2024-02(69 months)
Billing appears to have stoppedLast active: 2024-02

Total Paid

$7.7M

$7,744,031

Total Claims

531K

Beneficiaries

481K

1.1 claims/patient

Avg Cost/Claim

$15

Monthly Spending Trend

Yearly Spending

2018
$4K
+18836%
2019
$849K
+9%
2020
$928K
+87%
2021
$1.7M
-2%
2022
$1.7M
+49%
2023
$2.5M
-100%
2024
$8K

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 21% of total spending.

99213Normal range

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

$1.6M

49K claims · 20.8%

Your Cost: $32.64/claim|Median: $37.81
0.9× median
99214Normal range

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

$1.5M

31K claims · 19.5%

Your Cost: $49.23/claim|Median: $53.41
0.9× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

20K claims · 16.5%

Your Cost: $65.13/claim|Median: $75.18
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.2M

17K claims · 15.6%

Your Cost: $69.55/claim|Median: $69.35
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$794K

13K claims · 10.2%

Your Cost: $62.17/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$413K

6,343 claims · 5.3%

Your Cost: $65.15/claim|Median: $80.15
0.8× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$407K

43K claims · 5.2%

Your Cost: $9.54/claim|Median: $17.85
0.5× median
90670Top 25%

$180K

8,591 claims · 2.3%

Your Cost: $20.91/claim|Median: $5.94
3.5× median
99381Normal range

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

$53K

895 claims · 0.7%

Your Cost: $59.67/claim|Median: $73.46
0.8× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$41K

11K claims · 0.5%

Your Cost: $3.70/claim|Median: $7.18
0.5× median
99051Normal range

$40K

11K claims · 0.5%

Your Cost: $3.52/claim|Median: $7.89
0.4× median
99188Normal range

$25K

3,488 claims · 0.3%

Your Cost: $7.08/claim|Median: $12.80
0.6× median
99383Normal range

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

$21K

280 claims · 0.3%

Your Cost: $74.31/claim|Median: $81.92
0.9× median
90471Normal range

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

$20K

3,314 claims · 0.3%

Your Cost: $6.16/claim|Median: $9.80
0.6× median
90461Normal range

Immunization admin, additional vaccine, counseling

$18K

24K claims · 0.2%

Your Cost: $0.74/claim|Median: $6.93
0.1× median
83655Normal range

$16K

6,077 claims · 0.2%

Your Cost: $2.57/claim|Median: $10.49
0.2× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$11K

217 claims · 0.1%

Your Cost: $49.62/claim|Median: $65.64
0.8× median
85018Normal range

$9K

15K claims · 0.1%

Your Cost: $0.61/claim|Median: $1.71
0.4× median
99382Normal range

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

$8K

110 claims · 0.1%

Your Cost: $69.65/claim|Median: $79.89
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$8K

14K claims · 0.1%

Your Cost: $0.56/claim|Median: $9.10
0.1× median
36415Normal range

Collection of venous blood by venipuncture

$6K

6,474 claims · 0.1%

Your Cost: $0.90/claim|Median: $1.57
0.6× median
90716Normal range

$6K

3,571 claims · 0.1%

Your Cost: $1.58/claim|Median: $6.18
0.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$5K

416 claims · 0.1%

Your Cost: $12.20/claim|Median: $28.46
0.4× median
90472Normal range

Immunization administration, each additional vaccine

$5K

394 claims · 0.1%

Your Cost: $12.26/claim|Median: $11.79
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$4K

1,426 claims · 0.0%

Your Cost: $2.60/claim|Median: $11.48
0.2× median
1160FNormal range

$3K

42K claims · 0.0%

Your Cost: $0.08/claim|Median: $0.01
8.1× median
2001FNormal range

$3K

52K claims · 0.0%

Your Cost: $0.06/claim|Median: $0.02
3.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$3K

87 claims · 0.0%

Your Cost: $37.68/claim|Median: $62.48
0.6× median
90715Normal range

Tdap vaccine

$3K

336 claims · 0.0%

Your Cost: $9.11/claim|Median: $10.32
0.9× median
99384Normal range

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

$2K

37 claims · 0.0%

Your Cost: $60.08/claim|Median: $83.63
0.7× median
← All providersHow we detect fraud →