Saltzman Tanis Pittell Levin and Jacobson
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $1.7M (2018) to $15.5M (2019) — a 837% swing with $13.9M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 7 procedure codes: 99204 at 1.7× median, 69000 at 1.4× median.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 837% from 2018 to 2019.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $0.17 per claim for 1160F — 17.2× the national median of $0.01.
Bills $0.12 per claim for 2001F — 5.8× the national median of $0.02.
This is a statistical summary, not an accusation. See our methodology.
Compared to Pediatrics Peers
Total spending distribution among 14 providers in this specialty
This provider's total spending of $201.3M is at the 90th percentile among 14 Pediatrics providers.
Above 90th percentile for this specialty — higher spending than 12 of 14 peers
Total Paid
$201.3M
$201,288,692
Total Claims
19.1M
Beneficiaries
18.0M
1.1 claims/patient
Avg Cost/Claim
$11
#449 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Saltzman Tanis Pittell Levin and Jacobson is a Pediatrics provider based in Hollywood, FL. From the 2018–2024 period, this provider received $201.3M in Medicaid payments across 19.1M claims.
Why This Matters
This provider received $201.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 25,161 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
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 23% of total spending.
$46.4M
1.7M claims
$26.75
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$46.4M
1.7M claims · 23.1%
$40.7M
989K claims
$41.12
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$40.7M
989K claims · 20.2%
$29.8M
511K claims
$58.36
$75.18
Preventive medicine, established patient, age 1-4
$29.8M
511K claims · 14.8%
$25.8M
442K claims
$58.38
$69.35
Preventive medicine, established patient, infant (under 1)
$25.8M
442K claims · 12.8%
$20.9M
368K claims
$56.77
$74.82
Preventive medicine, established patient, age 5-11
$20.9M
368K claims · 10.4%
$12.1M
203K claims
$59.56
$80.15
Preventive medicine, established patient, age 12-17
$12.1M
203K claims · 6.0%
$8.1M
1.0M claims
$8.01
$17.85
Immunization administration, first vaccine/toxoid, with counseling
$8.1M
1.0M claims · 4.0%
$2.8M
444K claims · 1.4%
$2.2M
221K claims · 1.1%
$845K
6K claims
$144.03
$84.03
Office/outpatient visit, new patient, mod-high complexity
$845K
6K claims · 0.4%
$591K
5K claims
$130.64
$121.58
Office or other outpatient consultation, moderate complexity
$591K
5K claims · 0.3%
$585K
16K claims
$37.12
$62.48
Initial hospital or birthing center care, newborn, per day
$585K
16K claims · 0.3%
$568K
84K claims
$6.79
$9.80
Immunization administration, 1 vaccine, percutaneous/ID/SC/IM
$568K
84K claims · 0.3%
$564K
532K claims
$1.06
$6.93
Immunization admin, additional vaccine, counseling
$564K
532K claims · 0.3%
$512K
13K claims
$38.53
$37.22
Hospital discharge day management, 30 minutes or less
$512K
13K claims · 0.3%
$507K
248K claims
$2.05
$7.18
Influenza virus vaccine, quadrivalent, preservative-free, IM
$507K
248K claims · 0.3%
$464K
3K claims
$163.65
$54.68
Echocardiography, transthoracic, complete, with Doppler
$464K
3K claims · 0.2%
$458K
24K claims · 0.2%
$446K
264K claims
$1.69
$9.10
Developmental screening, per standardized instrument
$446K
264K claims · 0.2%
$376K
3K claims
$148.08
$112.83
Echocardiography, transthoracic, limited
$376K
3K claims · 0.2%
$343K
2.0M claims · 0.2%
$335K
8K claims
$43.83
$65.64
Influenza virus detection, reverse transcription, amplified probe
$335K
8K claims · 0.2%
$325K
132K claims · 0.2%
$325K
2.8M claims · 0.2%
$285K
44K claims · 0.1%
$267K
22K claims
$12.01
$28.46
Streptococcus Group A detection, nucleic acid, amplified probe
$267K
22K claims · 0.1%
$246K
124K claims · 0.1%
$218K
333K claims · 0.1%
$213K
4K claims
$55.53
$73.46
Preventive visit, new patient, infant (<1 yr)
$213K
4K claims · 0.1%
$209K
5K claims
$44.83
$134.97
Percutaneous allergy skin tests, each
$209K
5K claims · 0.1%
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