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

⚖️ Compare🖨️ Print Report

Provider 1649363375

NPI: 1649363375Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,867,033

Total Claims

184K

Beneficiaries

168K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-14%
2019
$1.6M
-21%
2020
$1.3M
+26%
2021
$1.6M
-36%
2022
$1.0M
+64%
2023
$1.7M
+6%
2024
$1.8M

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 99% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$10.8M

87K claims · 99.0%

Your Cost: $124.35/claim|Median: $121.16
1.0× median
99213Normal range

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

$43K

28K claims · 0.4%

Your Cost: $1.54/claim|Median: $37.81
0.0× median
G9920Normal range

$11K

2,854 claims · 0.1%

Your Cost: $3.70/claim|Median: $6.56
0.6× median
0012ATop 5%

COVID-19 vaccine admin, Moderna, 2nd dose

$10K

147 claims · 0.1%

Your Cost: $67.00/claim|Median: $33.85
2.0× median
0011ATop 5%

COVID-19 vaccine admin, Moderna, 1st dose

$9K

131 claims · 0.1%

Your Cost: $67.00/claim|Median: $25.93
2.6× median
99214Normal range

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

$9K

15K claims · 0.1%

Your Cost: $0.57/claim|Median: $53.41
0.0× median
0001ATop 5%

COVID-19 vaccine admin, Pfizer, 1st dose

$6K

89 claims · 0.1%

Your Cost: $67.00/claim|Median: $33.72
2.0× median
0002ATop 5%

COVID-19 vaccine admin, Pfizer, 2nd dose

$5K

73 claims · 0.0%

Your Cost: $67.00/claim|Median: $36.70
1.8× median
G0467Normal range

Federally qualified health center visit, mental health

$4K

233 claims · 0.0%

Your Cost: $16.49/claim|Median: $21.91
0.8× median
99203Normal range

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

$3K

475 claims · 0.0%

Your Cost: $7.10/claim|Median: $57.85
0.1× median
99212Normal range

Office/outpatient visit, low complexity

$3K

4,852 claims · 0.0%

Your Cost: $0.62/claim|Median: $25.06
0.0× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$3K

130 claims · 0.0%

Your Cost: $22.23/claim|Median: $20.83
1.1× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$2K

193 claims · 0.0%

Your Cost: $11.27/claim|Median: $11.35
1.0× median
0004ATop 5%

$1K

21 claims · 0.0%

Your Cost: $67.00/claim|Median: $35.62
1.9× median
99401Normal range

$477

25 claims · 0.0%

Your Cost: $19.07/claim|Median: $16.53
1.2× median
86703Normal range

$379

896 claims · 0.0%

Your Cost: $0.42/claim|Median: $10.37
0.0× median
81025Normal range

Urine pregnancy test

$249

142 claims · 0.0%

Your Cost: $1.75/claim|Median: $4.81
0.4× median
G9919Normal range

$29

40 claims · 0.0%

Your Cost: $0.73/claim|Median: $8.66
0.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$18

721 claims · 0.0%

Your Cost: $0.03/claim|Median: $2.00
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$0

52 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
99201Normal range

Office/outpatient visit, new patient, straightforward

$0

13 claims · 0.0%

Your Cost: $0.00/claim|Median: $27.38
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$0

1,597 claims · 0.0%

Your Cost: $0.00/claim|Median: $5.50
98940Normal range

$0

176 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.55
99394Normal range

Preventive medicine, established patient, age 12-17

$0

304 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.15
92551Normal range

Screening audiometry, pure tone, air only

$0

921 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.61
1123FNormal range

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.49
99393Normal range

Preventive medicine, established patient, age 5-11

$0

290 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.82
99397Normal range

$0

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.92
90688Normal range

$0

32 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
1158FNormal range

$0

56 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.13
← All providersHow we detect fraud →