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

⚖️ Compare🖨️ Print Report

Provider 1821079088

NPI: 1821079088Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.9M

$17,859,287

Total Claims

327K

Beneficiaries

255K

1.3 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+24%
2019
$2.9M
-41%
2020
$1.7M
+17%
2021
$2.0M
-4%
2022
$1.9M
+44%
2023
$2.8M
+54%
2024
$4.3M

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 97% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$17.3M

126K claims · 97.1%

Your Cost: $138.11/claim|Median: $121.16
1.1× median
D0999Normal range

Unspecified diagnostic procedure, by report

$292K

3,398 claims · 1.6%

Your Cost: $85.81/claim|Median: $101.33
0.8× median
99213Normal range

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

$94K

46K claims · 0.5%

Your Cost: $2.02/claim|Median: $37.81
0.1× median
99214Normal range

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

$37K

9,928 claims · 0.2%

Your Cost: $3.73/claim|Median: $53.41
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$8K

5,112 claims · 0.0%

Your Cost: $1.63/claim|Median: $74.82
0.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$8K

4,540 claims · 0.0%

Your Cost: $1.75/claim|Median: $75.18
0.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$7K

3,797 claims · 0.0%

Your Cost: $1.80/claim|Median: $80.15
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$7K

1,887 claims · 0.0%

Your Cost: $3.52/claim|Median: $76.06
0.0× median
99212Normal range

Office/outpatient visit, low complexity

$7K

19K claims · 0.0%

Your Cost: $0.35/claim|Median: $25.06
0.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$6K

2,875 claims · 0.0%

Your Cost: $1.93/claim|Median: $69.35
0.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$5K

1,501 claims · 0.0%

Your Cost: $3.24/claim|Median: $72.71
0.0× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$4K

136 claims · 0.0%

Your Cost: $27.84/claim|Median: $33.85
0.8× median
0502FNormal range

$3K

6,157 claims · 0.0%

Your Cost: $0.54/claim|Median: $44.10
0.0× median
99204Normal range

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

$3K

229 claims · 0.0%

Your Cost: $11.84/claim|Median: $84.03
0.1× median
99203Normal range

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

$2K

1,600 claims · 0.0%

Your Cost: $1.38/claim|Median: $57.85
0.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$2K

116 claims · 0.0%

Your Cost: $18.17/claim|Median: $25.93
0.7× median
90677Normal range

$2K

522 claims · 0.0%

Your Cost: $3.67/claim|Median: $12.96
0.3× median
96110Normal range

Developmental screening, per standardized instrument

$2K

1,687 claims · 0.0%

Your Cost: $1.10/claim|Median: $9.10
0.1× median
99383Normal range

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

$2K

312 claims · 0.0%

Your Cost: $5.57/claim|Median: $81.92
0.1× median
90671Normal range

$2K

181 claims · 0.0%

Your Cost: $9.39/claim|Median: $8.59
1.1× median
90715Normal range

Tdap vaccine

$1K

1,743 claims · 0.0%

Your Cost: $0.84/claim|Median: $10.32
0.1× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$1K

683 claims · 0.0%

Your Cost: $2.10/claim|Median: $7.18
0.3× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$1K

115 claims · 0.0%

Your Cost: $12.11/claim|Median: $87.82
0.1× median
90633Normal range

$1K

2,016 claims · 0.0%

Your Cost: $0.68/claim|Median: $3.56
0.2× median
0500FNormal range

$1K

229 claims · 0.0%

Your Cost: $5.50/claim|Median: $39.34
0.1× median
90680Normal range

$1K

1,560 claims · 0.0%

Your Cost: $0.79/claim|Median: $5.58
0.1× median
90651Normal range

HPV vaccine, 9-valent

$1K

1,175 claims · 0.0%

Your Cost: $1.03/claim|Median: $8.93
0.1× median
90697Normal range

$1K

505 claims · 0.0%

Your Cost: $1.99/claim|Median: $7.24
0.3× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$938

178 claims · 0.0%

Your Cost: $5.27/claim|Median: $76.22
0.1× median
90698Normal range

$917

1,824 claims · 0.0%

Your Cost: $0.50/claim|Median: $6.32
0.1× median
← All providersHow we detect fraud →