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

⚖️ Compare🖨️ Print Report

Provider 1811955024

NPI: 1811955024Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.6M

$8,557,246

Total Claims

355K

Beneficiaries

338K

1.1 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+1%
2019
$1.2M
-8%
2020
$1.1M
+14%
2021
$1.3M
+22%
2022
$1.5M
-23%
2023
$1.2M
-4%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (90460 (Immunization administration, first vaccine/toxoid, with counseling)) accounts for 20% of total spending.

90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$1.7M

39K claims · 19.9%

Your Cost: $43.78/claim|Median: $17.85
2.5× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.5M

21K claims · 18.0%

Your Cost: $72.12/claim|Median: $69.35
1.0× median
99213Normal range

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

$1.3M

35K claims · 15.0%

Your Cost: $36.79/claim|Median: $37.81
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.3M

17K claims · 14.7%

Your Cost: $74.18/claim|Median: $75.18
1.0× median
99214Normal range

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

$1.1M

19K claims · 12.7%

Your Cost: $57.38/claim|Median: $53.41
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$782K

10K claims · 9.1%

Your Cost: $74.95/claim|Median: $74.82
1.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$310K

4,112 claims · 3.6%

Your Cost: $75.30/claim|Median: $80.15
0.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$202K

1,963 claims · 2.4%

Your Cost: $102.65/claim|Median: $100.62
1.0× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$72K

1,052 claims · 0.8%

Your Cost: $68.30/claim|Median: $62.48
1.1× median
96110Normal range

Developmental screening, per standardized instrument

$58K

3,933 claims · 0.7%

Your Cost: $14.63/claim|Median: $9.10
1.6× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$45K

891 claims · 0.5%

Your Cost: $50.66/claim|Median: $37.22
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$35K

892 claims · 0.4%

Your Cost: $38.71/claim|Median: $39.70
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$23K

290 claims · 0.3%

Your Cost: $78.64/claim|Median: $74.09
1.1× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$22K

1,316 claims · 0.3%

Your Cost: $16.90/claim|Median: $28.46
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$20K

321 claims · 0.2%

Your Cost: $62.92/claim|Median: $63.65
1.0× median
G2023Normal range

Specimen collection for COVID-19 testing

$19K

3,286 claims · 0.2%

Your Cost: $5.78/claim|Median: $17.15
0.3× median
87804Normal range

Influenza virus detection, rapid test

$14K

1,402 claims · 0.2%

Your Cost: $10.30/claim|Median: $12.59
0.8× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$12K

4,610 claims · 0.1%

Your Cost: $2.54/claim|Median: $3.67
0.7× median
0071ANormal range

$10K

281 claims · 0.1%

Your Cost: $37.01/claim|Median: $38.71
1.0× median
99383Normal range

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

$10K

132 claims · 0.1%

Your Cost: $75.79/claim|Median: $81.92
0.9× median
0072ANormal range

$9K

242 claims · 0.1%

Your Cost: $38.88/claim|Median: $39.57
1.0× median
99212Normal range

Office/outpatient visit, low complexity

$7K

262 claims · 0.1%

Your Cost: $27.67/claim|Median: $25.06
1.1× median
99462Normal range

$7K

305 claims · 0.1%

Your Cost: $21.76/claim|Median: $27.49
0.8× median
96161Top 5%

$5K

293 claims · 0.1%

Your Cost: $17.99/claim|Median: $2.49
7.2× median
99173Top 25%

$4K

916 claims · 0.0%

Your Cost: $4.52/claim|Median: $2.16
2.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$4K

747 claims · 0.0%

Your Cost: $4.73/claim|Median: $4.71
1.0× median
99203Normal range

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

$3K

37 claims · 0.0%

Your Cost: $71.37/claim|Median: $57.85
1.2× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$2K

413 claims · 0.0%

Your Cost: $6.04/claim|Median: $11.48
0.5× median
90791Normal range

Psychiatric diagnostic evaluation

$2K

22 claims · 0.0%

Your Cost: $110.79/claim|Median: $99.21
1.1× median
54150Top 10%

$2K

12 claims · 0.0%

Your Cost: $181.08/claim|Median: $84.60
2.1× median
← All providersHow we detect fraud →