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

Provider 1730193244

NPI: 1730193244Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$13.0M

$12,997,526

Total Claims

593K

Beneficiaries

474K

1.3 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$79K
+25%
2019
$98K
+332%
2020
$425K
+587%
2021
$2.9M
+35%
2022
$3.9M
-19%
2023
$3.2M
-27%
2024
$2.3M

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 32% of total spending.

99213Normal range

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

$4.1M

176K claims · 31.6%

Your Cost: $23.36/claim|Median: $37.81
0.6× median
87428Top 5%

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

$1.7M

23K claims · 12.9%

Your Cost: $71.89/claim|Median: $39.63
1.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$910K

11K claims · 7.0%

Your Cost: $79.96/claim|Median: $74.82
1.1× median
87811Top 25%

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

$857K

22K claims · 6.6%

Your Cost: $38.48/claim|Median: $30.53
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$806K

11K claims · 6.2%

Your Cost: $75.18/claim|Median: $75.18
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$769K

8,903 claims · 5.9%

Your Cost: $86.43/claim|Median: $80.15
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$586K

8,076 claims · 4.5%

Your Cost: $72.54/claim|Median: $69.35
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$376K

30K claims · 2.9%

Your Cost: $12.50/claim|Median: $11.48
1.1× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$348K

45K claims · 2.7%

Your Cost: $7.80/claim|Median: $17.85
0.4× median
87804Normal range

Influenza virus detection, rapid test

$304K

29K claims · 2.3%

Your Cost: $10.53/claim|Median: $12.59
0.8× median
87426Top 25%

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

$242K

6,151 claims · 1.9%

Your Cost: $39.30/claim|Median: $30.04
1.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$231K

3,022 claims · 1.8%

Your Cost: $76.37/claim|Median: $65.64
1.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$179K

41K claims · 1.4%

Your Cost: $4.39/claim|Median: $4.71
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$162K

1,983 claims · 1.2%

Your Cost: $81.49/claim|Median: $72.71
1.1× median
99381Normal range

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

$136K

1,811 claims · 1.0%

Your Cost: $74.97/claim|Median: $73.46
1.0× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$119K

2,921 claims · 0.9%

Your Cost: $40.90/claim|Median: $39.70
1.0× median
96110Normal range

Developmental screening, per standardized instrument

$112K

14K claims · 0.9%

Your Cost: $8.20/claim|Median: $9.10
0.9× median
71046Top 25%

Chest X-ray, 2 views

$86K

4,841 claims · 0.7%

Your Cost: $17.84/claim|Median: $8.92
2.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$86K

11K claims · 0.7%

Your Cost: $7.89/claim|Median: $9.56
0.8× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$74K

1,432 claims · 0.6%

Your Cost: $51.42/claim|Median: $38.79
1.3× median
29515Normal range

$58K

1,028 claims · 0.4%

Your Cost: $56.68/claim|Median: $33.24
1.7× median
74018Top 25%

$54K

3,230 claims · 0.4%

Your Cost: $16.71/claim|Median: $7.00
2.4× median
99211Normal range

Office/outpatient visit, minimal complexity

$50K

7,011 claims · 0.4%

Your Cost: $7.20/claim|Median: $12.93
0.6× median
17110Top 25%

Destruction of benign lesions, up to fourteen

$48K

542 claims · 0.4%

Your Cost: $89.12/claim|Median: $59.25
1.5× median
90461Normal range

Immunization admin, additional vaccine, counseling

$47K

6,307 claims · 0.4%

Your Cost: $7.38/claim|Median: $6.93
1.1× median
90471Normal range

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

$43K

5,560 claims · 0.3%

Your Cost: $7.69/claim|Median: $9.80
0.8× median
29125Normal range

$40K

795 claims · 0.3%

Your Cost: $50.68/claim|Median: $28.04
1.8× median
99051Normal range

$37K

13K claims · 0.3%

Your Cost: $2.91/claim|Median: $7.89
0.4× median
90472Normal range

Immunization administration, each additional vaccine

$34K

4,479 claims · 0.3%

Your Cost: $7.66/claim|Median: $11.79
0.6× median
0071ANormal range

$33K

838 claims · 0.3%

Your Cost: $39.22/claim|Median: $38.71
1.0× median