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

⚖️ Compare🖨️ Print Report

Provider 1679529051

NPI: 1679529051Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.5M

$9,525,661

Total Claims

516K

Beneficiaries

351K

1.5 claims/patient

Avg Cost/Claim

$18

Monthly Spending Trend

Yearly Spending

2018
$944K
+14%
2019
$1.1M
-13%
2020
$937K
+30%
2021
$1.2M
+69%
2022
$2.1M
-17%
2023
$1.7M
-9%
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 22% of total spending.

99214Top 25%

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

$2.1M

26K claims · 22.0%

Your Cost: $81.36/claim|Median: $53.41
1.5× median
99199Top 25%

Unlisted special service, procedure, or report

$1.8M

237K claims · 18.5%

Your Cost: $7.47/claim|Median: $5.39
1.4× median
99213Top 25%

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

$877K

16K claims · 9.2%

Your Cost: $55.52/claim|Median: $37.81
1.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$687K

8,648 claims · 7.2%

Your Cost: $79.41/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$676K

8,176 claims · 7.1%

Your Cost: $82.65/claim|Median: $74.82
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$669K

8,024 claims · 7.0%

Your Cost: $83.34/claim|Median: $75.18
1.1× median
90472Top 10%

Immunization administration, each additional vaccine

$453K

13K claims · 4.8%

Your Cost: $33.70/claim|Median: $11.79
2.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$448K

5,277 claims · 4.7%

Your Cost: $84.85/claim|Median: $80.15
1.1× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$403K

22K claims · 4.2%

Your Cost: $18.54/claim|Median: $9.80
1.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$149K

4,559 claims · 1.6%

Your Cost: $32.66/claim|Median: $57.30
0.6× median
U0002Normal range

COVID-19 lab test, non-CDC, nucleic acid

$148K

3,300 claims · 1.6%

Your Cost: $44.74/claim|Median: $34.62
1.3× median
96110Normal range

Developmental screening, per standardized instrument

$148K

17K claims · 1.5%

Your Cost: $8.81/claim|Median: $9.10
1.0× median
87804Top 25%

Influenza virus detection, rapid test

$144K

6,046 claims · 1.5%

Your Cost: $23.76/claim|Median: $12.59
1.9× median
99408Normal range

$108K

5,280 claims · 1.1%

Your Cost: $20.53/claim|Median: $9.32
2.2× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$84K

18K claims · 0.9%

Your Cost: $4.72/claim|Median: $3.67
1.3× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$72K

1,036 claims · 0.8%

Your Cost: $69.18/claim|Median: $62.48
1.1× median
D1206Normal range

Topical application of fluoride varnish

$65K

4,548 claims · 0.7%

Your Cost: $14.37/claim|Median: $18.12
0.8× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$62K

1,110 claims · 0.6%

Your Cost: $55.62/claim|Median: $37.22
1.5× median
90474Top 10%

$60K

3,148 claims · 0.6%

Your Cost: $18.97/claim|Median: $8.42
2.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$51K

4,083 claims · 0.5%

Your Cost: $12.59/claim|Median: $11.48
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$34K

894 claims · 0.4%

Your Cost: $38.28/claim|Median: $25.06
1.5× median
99050Top 25%

$32K

1,612 claims · 0.3%

Your Cost: $20.13/claim|Median: $11.81
1.7× median
90651Normal range

HPV vaccine, 9-valent

$30K

2,970 claims · 0.3%

Your Cost: $10.08/claim|Median: $8.93
1.1× median
83718Top 25%

HDL cholesterol, lipoprotein blood test

$30K

3,488 claims · 0.3%

Your Cost: $8.48/claim|Median: $6.11
1.4× median
87807Top 25%

$20K

1,559 claims · 0.2%

Your Cost: $12.68/claim|Median: $10.06
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$19K

177 claims · 0.2%

Your Cost: $109.87/claim|Median: $74.09
1.5× median
99381Normal range

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

$19K

231 claims · 0.2%

Your Cost: $83.09/claim|Median: $73.46
1.1× median
99401Normal range

$16K

840 claims · 0.2%

Your Cost: $19.64/claim|Median: $16.53
1.2× median
82465Top 25%

$16K

3,486 claims · 0.2%

Your Cost: $4.50/claim|Median: $3.41
1.3× median
96161Normal range

$15K

4,737 claims · 0.2%

Your Cost: $3.16/claim|Median: $2.49
1.3× median
← All providersHow we detect fraud →