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

⚖️ Compare🖨️ Print Report

Provider 1770532681

NPI: 1770532681Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,307,857

Total Claims

252K

Beneficiaries

227K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$976K
+19%
2019
$1.2M
-15%
2020
$985K
+23%
2021
$1.2M
+6%
2022
$1.3M
+13%
2023
$1.4M
-14%
2024
$1.2M

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 34% of total spending.

99213Normal range

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

$2.8M

65K claims · 34.1%

Your Cost: $43.63/claim|Median: $37.81
1.2× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$1.9M

20K claims · 22.5%

Your Cost: $95.40/claim|Median: $121.16
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$662K

14K claims · 8.0%

Your Cost: $47.10/claim|Median: $75.18
0.6× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$654K

14K claims · 7.9%

Your Cost: $46.89/claim|Median: $69.35
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$368K

7,435 claims · 4.4%

Your Cost: $49.55/claim|Median: $74.82
0.7× median
99214Normal range

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

$301K

4,559 claims · 3.6%

Your Cost: $65.96/claim|Median: $53.41
1.2× median
87804Top 25%

Influenza virus detection, rapid test

$206K

12K claims · 2.5%

Your Cost: $17.88/claim|Median: $12.59
1.4× median
90670Top 25%

$157K

8,961 claims · 1.9%

Your Cost: $17.50/claim|Median: $5.94
2.9× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$135K

12K claims · 1.6%

Your Cost: $11.30/claim|Median: $11.48
1.0× median
87426Normal range

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

$130K

5,575 claims · 1.6%

Your Cost: $23.36/claim|Median: $30.04
0.8× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$128K

15K claims · 1.5%

Your Cost: $8.71/claim|Median: $4.71
1.8× median
90723Top 25%

DTaP-HepB-IPV vaccine

$125K

7,820 claims · 1.5%

Your Cost: $15.97/claim|Median: $5.78
2.8× median
90647Top 10%

$118K

7,434 claims · 1.4%

Your Cost: $15.84/claim|Median: $4.31
3.7× median
90680Top 25%

$108K

6,809 claims · 1.3%

Your Cost: $15.87/claim|Median: $5.58
2.8× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$61K

3,519 claims · 0.7%

Your Cost: $17.42/claim|Median: $7.18
2.4× median
83655Top 25%

$40K

3,031 claims · 0.5%

Your Cost: $13.17/claim|Median: $10.49
1.3× median
87807Normal range

$38K

4,171 claims · 0.5%

Your Cost: $9.21/claim|Median: $10.06
0.9× median
36416Normal range

$37K

18K claims · 0.4%

Your Cost: $2.11/claim|Median: $1.31
1.6× median
90633Top 10%

$36K

2,305 claims · 0.4%

Your Cost: $15.71/claim|Median: $3.56
4.4× median
99212Normal range

Office/outpatient visit, low complexity

$35K

1,821 claims · 0.4%

Your Cost: $19.24/claim|Median: $25.06
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$35K

686 claims · 0.4%

Your Cost: $50.73/claim|Median: $80.15
0.6× median
99215Top 25%

Office/outpatient visit, high complexity

$33K

294 claims · 0.4%

Your Cost: $112.25/claim|Median: $74.09
1.5× median
81002Top 25%

Urinalysis, non-automated without microscopy

$27K

10K claims · 0.3%

Your Cost: $2.63/claim|Median: $2.00
1.3× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$25K

727 claims · 0.3%

Your Cost: $34.62/claim|Median: $65.64
0.5× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$24K

586 claims · 0.3%

Your Cost: $41.15/claim|Median: $38.79
1.1× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$20K

397 claims · 0.2%

Your Cost: $49.41/claim|Median: $17.85
2.8× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$14K

70 claims · 0.2%

Your Cost: $196.38/claim|Median: $169.17
1.2× median
90677Normal range

$12K

870 claims · 0.1%

Your Cost: $13.26/claim|Median: $12.96
1.0× median
99203Normal range

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

$10K

464 claims · 0.1%

Your Cost: $21.99/claim|Median: $57.85
0.4× median
90671Normal range

$10K

730 claims · 0.1%

Your Cost: $13.17/claim|Median: $8.59
1.5× median
← All providersHow we detect fraud →