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

⚖️ Compare🖨️ Print Report

Provider 1629076518

NPI: 1629076518Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.5M

$10,475,967

Total Claims

215K

Beneficiaries

205K

1.0 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+19%
2019
$1.4M
-4%
2020
$1.3M
+12%
2021
$1.5M
+25%
2022
$1.8M
+2%
2023
$1.8M
-14%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 25% of total spending.

99214Normal range

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

$2.6M

37K claims · 24.6%

Your Cost: $69.62/claim|Median: $53.41
1.3× median
99213Normal range

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

$2.2M

43K claims · 21.0%

Your Cost: $50.94/claim|Median: $37.81
1.3× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$1.1M

34K claims · 10.9%

Your Cost: $33.85/claim|Median: $17.85
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$990K

14K claims · 9.4%

Your Cost: $69.63/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$980K

13K claims · 9.4%

Your Cost: $73.76/claim|Median: $75.18
1.0× median
41115Top 25%

$806K

3,630 claims · 7.7%

Your Cost: $221.97/claim|Median: $128.76
1.7× median
40819Top 25%

$468K

1,803 claims · 4.5%

Your Cost: $259.40/claim|Median: $159.02
1.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$413K

5,684 claims · 3.9%

Your Cost: $72.63/claim|Median: $74.82
1.0× median
99204Normal range

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

$243K

2,225 claims · 2.3%

Your Cost: $109.05/claim|Median: $84.03
1.3× median
96110Top 10%

Developmental screening, per standardized instrument

$210K

8,783 claims · 2.0%

Your Cost: $23.86/claim|Median: $9.10
2.6× median
98929Top 10%

$122K

1,639 claims · 1.2%

Your Cost: $74.49/claim|Median: $37.08
2.0× median
87428Normal range

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

$49K

938 claims · 0.5%

Your Cost: $52.43/claim|Median: $39.63
1.3× median
99394Normal range

Preventive medicine, established patient, age 12-17

$49K

605 claims · 0.5%

Your Cost: $80.60/claim|Median: $80.15
1.0× median
99177Normal range

$37K

7,329 claims · 0.3%

Your Cost: $4.99/claim|Median: $3.74
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$30K

2,454 claims · 0.3%

Your Cost: $12.17/claim|Median: $11.48
1.1× median
92551Normal range

Screening audiometry, pure tone, air only

$26K

7,699 claims · 0.2%

Your Cost: $3.40/claim|Median: $6.61
0.5× median
92587Normal range

$20K

1,535 claims · 0.2%

Your Cost: $12.94/claim|Median: $19.24
0.7× median
99381Normal range

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

$18K

233 claims · 0.2%

Your Cost: $77.34/claim|Median: $73.46
1.1× median
90461Top 25%

Immunization admin, additional vaccine, counseling

$15K

407 claims · 0.1%

Your Cost: $36.04/claim|Median: $6.93
5.2× median
96160Normal range

Patient-focused health risk assessment

$14K

8,934 claims · 0.1%

Your Cost: $1.62/claim|Median: $2.10
0.8× median
87804Top 25%

Influenza virus detection, rapid test

$14K

550 claims · 0.1%

Your Cost: $24.57/claim|Median: $12.59
2.0× median
99212Normal range

Office/outpatient visit, low complexity

$12K

448 claims · 0.1%

Your Cost: $27.19/claim|Median: $25.06
1.1× median
99203Top 25%

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

$7K

84 claims · 0.1%

Your Cost: $79.49/claim|Median: $57.85
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$7K

76 claims · 0.1%

Your Cost: $87.29/claim|Median: $74.09
1.2× median
0072ATop 5%

$4K

58 claims · 0.0%

Your Cost: $71.46/claim|Median: $39.57
1.8× median
0071ATop 5%

$4K

56 claims · 0.0%

Your Cost: $70.36/claim|Median: $38.71
1.8× median
99383Normal range

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

$3K

37 claims · 0.0%

Your Cost: $86.07/claim|Median: $81.92
1.1× median
96161Normal range

$3K

2,989 claims · 0.0%

Your Cost: $1.01/claim|Median: $2.49
0.4× median
99493Normal range

$3K

28 claims · 0.0%

Your Cost: $96.02/claim|Median: $73.13
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$3K

631 claims · 0.0%

Your Cost: $4.00/claim|Median: $3.67
1.1× median
← All providersHow we detect fraud →