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

⚖️ Compare🖨️ Print Report

Provider 1710067020

NPI: 1710067020Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.2M

$9,223,311

Total Claims

568K

Beneficiaries

433K

1.3 claims/patient

Avg Cost/Claim

$16

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+17%
2019
$1.7M
-30%
2020
$1.2M
+2%
2021
$1.2M
+28%
2022
$1.6M
-33%
2023
$1.1M
-9%
2024
$963K

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 22% of total spending.

99213Normal range

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

$2.0M

45K claims · 22.0%

Your Cost: $45.08/claim|Median: $37.81
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.3M

66K claims · 14.0%

Your Cost: $19.77/claim|Median: $17.85
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$990K

13K claims · 10.7%

Your Cost: $75.40/claim|Median: $75.18
1.0× median
99393Normal range

Preventive medicine, established patient, age 5-11

$937K

13K claims · 10.2%

Your Cost: $73.73/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$707K

8,909 claims · 7.7%

Your Cost: $79.35/claim|Median: $80.15
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$668K

9,786 claims · 7.2%

Your Cost: $68.30/claim|Median: $69.35
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$457K

15K claims · 5.0%

Your Cost: $30.26/claim|Median: $25.06
1.2× median
96160Top 25%

Patient-focused health risk assessment

$261K

20K claims · 2.8%

Your Cost: $13.26/claim|Median: $2.10
6.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$214K

3,386 claims · 2.3%

Your Cost: $63.17/claim|Median: $65.64
1.0× median
96110Top 10%

Developmental screening, per standardized instrument

$176K

7,284 claims · 1.9%

Your Cost: $24.23/claim|Median: $9.10
2.7× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$173K

42K claims · 1.9%

Your Cost: $4.13/claim|Median: $3.67
1.1× median
85013Top 25%

$170K

35K claims · 1.8%

Your Cost: $4.94/claim|Median: $2.44
2.0× median
96161Top 5%

$138K

8,985 claims · 1.5%

Your Cost: $15.40/claim|Median: $2.49
6.2× median
99173Top 25%

$130K

25K claims · 1.4%

Your Cost: $5.17/claim|Median: $2.16
2.4× median
99381Normal range

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

$103K

1,327 claims · 1.1%

Your Cost: $77.88/claim|Median: $73.46
1.1× median
99214Normal range

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

$88K

1,293 claims · 1.0%

Your Cost: $68.20/claim|Median: $53.41
1.3× median
92551Normal range

Screening audiometry, pure tone, air only

$79K

11K claims · 0.9%

Your Cost: $7.34/claim|Median: $6.61
1.1× median
36416Normal range

$65K

42K claims · 0.7%

Your Cost: $1.54/claim|Median: $1.31
1.2× median
87804Normal range

Influenza virus detection, rapid test

$57K

4,597 claims · 0.6%

Your Cost: $12.51/claim|Median: $12.59
1.0× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$52K

2,061 claims · 0.6%

Your Cost: $25.31/claim|Median: $30.53
0.8× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$51K

6,255 claims · 0.5%

Your Cost: $8.11/claim|Median: $4.71
1.7× median
81002Normal range

Urinalysis, non-automated without microscopy

$49K

20K claims · 0.5%

Your Cost: $2.50/claim|Median: $2.00
1.3× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$46K

4,139 claims · 0.5%

Your Cost: $11.16/claim|Median: $11.48
1.0× median
3008FNormal range

$34K

30K claims · 0.4%

Your Cost: $1.13/claim|Median: $0.06
18.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$26K

580 claims · 0.3%

Your Cost: $45.38/claim|Median: $40.11
1.1× median
99203Normal range

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

$24K

368 claims · 0.3%

Your Cost: $65.15/claim|Median: $57.85
1.1× median
99383Normal range

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

$20K

238 claims · 0.2%

Your Cost: $82.65/claim|Median: $81.92
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$19K

9,714 claims · 0.2%

Your Cost: $1.93/claim|Median: $1.57
1.2× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$15K

514 claims · 0.2%

Your Cost: $30.13/claim|Median: $27.38
1.1× median
90651Normal range

HPV vaccine, 9-valent

$15K

5,538 claims · 0.2%

Your Cost: $2.69/claim|Median: $8.93
0.3× median
← All providersHow we detect fraud →