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

⚖️ Compare🖨️ Print Report

Provider 1740583095

NPI: 1740583095Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.4M

$17,358,546

Total Claims

338K

Beneficiaries

248K

1.4 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+2%
2019
$2.3M
+9%
2020
$2.6M
+5%
2021
$2.7M
-19%
2022
$2.2M
+24%
2023
$2.7M
-5%
2024
$2.6M

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 80% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$14.0M

123K claims · 80.5%

Your Cost: $113.30/claim|Median: $121.16
0.9× median
G0467Top 25%

Federally qualified health center visit, mental health

$1.4M

20K claims · 8.0%

Your Cost: $68.37/claim|Median: $21.91
3.1× median
99213Normal range

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

$926K

86K claims · 5.3%

Your Cost: $10.72/claim|Median: $37.81
0.3× median
99212Normal range

Office/outpatient visit, low complexity

$552K

71K claims · 3.2%

Your Cost: $7.73/claim|Median: $25.06
0.3× median
99214Normal range

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

$236K

14K claims · 1.4%

Your Cost: $16.40/claim|Median: $53.41
0.3× median
99203Normal range

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

$113K

4,425 claims · 0.7%

Your Cost: $25.60/claim|Median: $57.85
0.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$67K

4,616 claims · 0.4%

Your Cost: $14.57/claim|Median: $40.11
0.4× median
99204Normal range

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

$57K

1,679 claims · 0.3%

Your Cost: $34.07/claim|Median: $84.03
0.4× median
99396Normal range

Preventive medicine, established patient, age 40-64

$14K

350 claims · 0.1%

Your Cost: $40.17/claim|Median: $76.06
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$10K

296 claims · 0.1%

Your Cost: $33.05/claim|Median: $111.09
0.3× median
G2025Normal range

$9K

1,477 claims · 0.1%

Your Cost: $6.01/claim|Median: $15.63
0.4× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$7K

245 claims · 0.0%

Your Cost: $27.24/claim|Median: $121.58
0.2× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$6K

583 claims · 0.0%

Your Cost: $9.61/claim|Median: $27.38
0.4× median
98940Normal range

$3K

180 claims · 0.0%

Your Cost: $16.63/claim|Median: $14.55
1.1× median
G0511Normal range

RHC/FQHC visit, psychiatric collaborative care model

$2K

2,737 claims · 0.0%

Your Cost: $0.70/claim|Median: $11.35
0.1× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$819

49 claims · 0.0%

Your Cost: $16.72/claim|Median: $20.83
0.8× median
99283Normal range

Emergency dept visit, moderate complexity

$478

27 claims · 0.0%

Your Cost: $17.70/claim|Median: $42.48
0.4× median
11721Normal range

$0

31 claims · 0.0%

Your Cost: $0.01/claim|Median: $8.56
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

2,125 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56
0.0× median
90471Normal range

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

$0

403 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.80
82948Normal range

$0

21 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.78
90658Normal range

$0

50 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.96
64400Normal range

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $114.91
J3420Normal range

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$0

732 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.04
69210Normal range

$0

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.74
90715Normal range

Tdap vaccine

$0

140 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.32
64520Normal range

$0

120 claims · 0.0%

Your Cost: $0.00/claim|Median: $81.58
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

35 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
90472Normal range

Immunization administration, each additional vaccine

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.79
90732Normal range

Pneumococcal vaccine (PPSV23)

$0

192 claims · 0.0%

Your Cost: $0.00/claim|Median: $36.96
← All providersHow we detect fraud →