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

⚖️ Compare🖨️ Print Report

Provider 1609965441

NPI: 1609965441Share
Active Billing Period:2018-01→2024-12(79 months)

Total Paid

$12.3M

$12,308,646

Total Claims

557K

Beneficiaries

351K

1.6 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$182K
+505%
2019
$1.1M
+3%
2020
$1.1M
+109%
2021
$2.4M
+10%
2022
$2.6M
+24%
2023
$3.2M
-49%
2024
$1.7M

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 37% of total spending.

99213Top 25%

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

$4.6M

84K claims · 37.3%

Your Cost: $54.72/claim|Median: $37.81
1.4× median
99214Top 25%

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

$3.5M

43K claims · 28.3%

Your Cost: $81.17/claim|Median: $53.41
1.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

13K claims · 8.5%

Your Cost: $80.65/claim|Median: $75.18
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$889K

55K claims · 7.2%

Your Cost: $16.05/claim|Median: $17.85
0.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$598K

10K claims · 4.9%

Your Cost: $59.30/claim|Median: $69.35
0.9× median
87428Normal range

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

$466K

17K claims · 3.8%

Your Cost: $27.33/claim|Median: $39.63
0.7× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$422K

17K claims · 3.4%

Your Cost: $24.51/claim|Median: $6.93
3.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$305K

3,880 claims · 2.5%

Your Cost: $78.72/claim|Median: $74.82
1.1× median
99072Normal range

$143K

136K claims · 1.2%

Your Cost: $1.05/claim|Median: $0.54
1.9× median
99215Normal range

Office/outpatient visit, high complexity

$67K

869 claims · 0.5%

Your Cost: $77.39/claim|Median: $74.09
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$60K

645 claims · 0.5%

Your Cost: $92.58/claim|Median: $80.15
1.2× median
99051Normal range

$26K

2,480 claims · 0.2%

Your Cost: $10.33/claim|Median: $7.89
1.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$25K

7,878 claims · 0.2%

Your Cost: $3.14/claim|Median: $7.18
0.4× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$21K

3,216 claims · 0.2%

Your Cost: $6.68/claim|Median: $11.48
0.6× median
99188Normal range

$20K

3,315 claims · 0.2%

Your Cost: $6.03/claim|Median: $12.80
0.5× median
99000Normal range

$20K

14K claims · 0.2%

Your Cost: $1.37/claim|Median: $2.30
0.6× median
94760Normal range

Pulse oximetry, single reading, noninvasive

$18K

16K claims · 0.2%

Your Cost: $1.16/claim|Median: $0.79
1.5× median
92551Normal range

Screening audiometry, pure tone, air only

$12K

18K claims · 0.1%

Your Cost: $0.65/claim|Median: $6.61
0.1× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$11K

27K claims · 0.1%

Your Cost: $0.42/claim|Median: $12.70
0.0× median
G0447Normal range

$10K

27K claims · 0.1%

Your Cost: $0.36/claim|Median: $5.19
0.1× median
G2211Normal range

$9K

13K claims · 0.1%

Your Cost: $0.70/claim|Median: $2.40
0.3× median
87804Normal range

Influenza virus detection, rapid test

$7K

1,221 claims · 0.1%

Your Cost: $5.87/claim|Median: $12.59
0.5× median
87426Normal range

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

$5K

816 claims · 0.0%

Your Cost: $5.79/claim|Median: $30.04
0.2× median
96110Normal range

Developmental screening, per standardized instrument

$4K

1,895 claims · 0.0%

Your Cost: $2.35/claim|Median: $9.10
0.3× median
96112Normal range

Developmental test administration

$4K

43 claims · 0.0%

Your Cost: $95.27/claim|Median: $102.95
0.9× median
87807Normal range

$4K

575 claims · 0.0%

Your Cost: $6.65/claim|Median: $10.06
0.7× median
96161Normal range

$4K

1,675 claims · 0.0%

Your Cost: $2.23/claim|Median: $2.49
0.9× median
36416Normal range

$4K

11K claims · 0.0%

Your Cost: $0.35/claim|Median: $1.31
0.3× median
99173Normal range

$4K

9,275 claims · 0.0%

Your Cost: $0.40/claim|Median: $2.16
0.2× median
85018Normal range

$3K

3,158 claims · 0.0%

Your Cost: $1.06/claim|Median: $1.71
0.6× median
← All providersHow we detect fraud →