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

⚖️ Compare🖨️ Print Report

Provider 1629049127

NPI: 1629049127Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.5M

$8,518,980

Total Claims

149K

Beneficiaries

127K

1.2 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$928K
+4%
2019
$962K
-15%
2020
$814K
+49%
2021
$1.2M
+26%
2022
$1.5M
+7%
2023
$1.6M
-11%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 38% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$3.2M

33K claims · 37.7%

Your Cost: $98.05/claim|Median: $121.16
0.8× median
99213Top 5%

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

$2.0M

21K claims · 23.5%

Your Cost: $96.28/claim|Median: $37.81
2.5× median
99214Top 10%

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

$750K

7,410 claims · 8.8%

Your Cost: $101.27/claim|Median: $53.41
1.9× median
87636Normal range

Respiratory virus detection, 6-11 targets, nucleic acid

$477K

4,118 claims · 5.6%

Your Cost: $115.85/claim|Median: $97.61
1.2× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$396K

4,014 claims · 4.6%

Your Cost: $98.53/claim|Median: $75.18
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$335K

3,420 claims · 3.9%

Your Cost: $98.02/claim|Median: $69.35
1.4× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$327K

3,395 claims · 3.8%

Your Cost: $96.39/claim|Median: $74.82
1.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$248K

2,538 claims · 2.9%

Your Cost: $97.87/claim|Median: $80.15
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$239K

11K claims · 2.8%

Your Cost: $21.33/claim|Median: $17.85
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$122K

9,703 claims · 1.4%

Your Cost: $12.56/claim|Median: $11.48
1.1× median
87426Top 5%

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

$113K

2,272 claims · 1.3%

Your Cost: $49.82/claim|Median: $30.04
1.7× median
96127Top 25%

Brief emotional/behavioral assessment, per standardized instrument

$108K

15K claims · 1.3%

Your Cost: $7.46/claim|Median: $3.67
2.0× median
87804Normal range

Influenza virus detection, rapid test

$47K

3,167 claims · 0.6%

Your Cost: $14.81/claim|Median: $12.59
1.2× median
G9153Top 25%

$45K

750 claims · 0.5%

Your Cost: $60.31/claim|Median: $43.70
1.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$16K

1,659 claims · 0.2%

Your Cost: $9.59/claim|Median: $6.93
1.4× median
96110Normal range

Developmental screening, per standardized instrument

$15K

2,067 claims · 0.2%

Your Cost: $7.12/claim|Median: $9.10
0.8× median
81003Normal range

Urinalysis, automated without microscopy

$13K

6,962 claims · 0.2%

Your Cost: $1.92/claim|Median: $1.48
1.3× median
83655Normal range

$13K

1,182 claims · 0.2%

Your Cost: $10.88/claim|Median: $10.49
1.0× median
99499Top 10%

Unlisted evaluation and management service

$11K

140 claims · 0.1%

Your Cost: $75.00/claim|Median: $30.88
2.4× median
80061Normal range

Lipid panel

$5K

491 claims · 0.1%

Your Cost: $10.98/claim|Median: $8.41
1.3× median
96161Top 25%

$5K

951 claims · 0.1%

Your Cost: $5.40/claim|Median: $2.49
2.2× median
87807Normal range

$5K

515 claims · 0.1%

Your Cost: $9.80/claim|Median: $10.06
1.0× median
81002Top 5%

Urinalysis, non-automated without microscopy

$5K

1,084 claims · 0.1%

Your Cost: $4.22/claim|Median: $2.00
2.1× median
85018Normal range

$4K

1,722 claims · 0.0%

Your Cost: $2.11/claim|Median: $1.71
1.2× median
96160Normal range

Patient-focused health risk assessment

$3K

1,558 claims · 0.0%

Your Cost: $2.11/claim|Median: $2.10
1.0× median
99215Top 25%

Office/outpatient visit, high complexity

$1K

13 claims · 0.0%

Your Cost: $108.46/claim|Median: $74.09
1.5× median
0072ANormal range

$480

12 claims · 0.0%

Your Cost: $40.00/claim|Median: $39.57
1.0× median
90651Normal range

HPV vaccine, 9-valent

$264

241 claims · 0.0%

Your Cost: $1.10/claim|Median: $8.93
0.1× median
90710Normal range

MMRV vaccine

$221

517 claims · 0.0%

Your Cost: $0.43/claim|Median: $7.00
0.1× median
92552Normal range

Pure tone audiometry, air only, each ear

$202

1,191 claims · 0.0%

Your Cost: $0.17/claim|Median: $12.63
0.0× median
← All providersHow we detect fraud →