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

⚖️ Compare🖨️ Print Report

Provider 1821120486

NPI: 1821120486Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,312,910

Total Claims

40K

Beneficiaries

24K

1.6 claims/patient

Avg Cost/Claim

$386

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-13%
2019
$1.7M
+70%
2020
$3.0M
-42%
2021
$1.7M
+51%
2022
$2.6M
-33%
2023
$1.7M
+52%
2024
$2.6M

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 18% of total spending.

99213Top 1%

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

$2.7M

6,019 claims · 17.8%

Your Cost: $452.82/claim|Median: $37.81
12.0× median
S9484Normal range

Crisis intervention mental health services, per hour

$2.4M

5,149 claims · 15.6%

Your Cost: $465.35/claim|Median: $249.51
1.9× median
99214Top 1%

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

$2.1M

5,399 claims · 13.5%

Your Cost: $383.82/claim|Median: $53.41
7.2× median
H2021Top 25%

Community-based wrap-around services, per 15 min

$1.3M

1,933 claims · 8.3%

Your Cost: $654.52/claim|Median: $169.11
3.9× median
99215Top 1%

Office/outpatient visit, high complexity

$1.1M

2,321 claims · 7.2%

Your Cost: $474.26/claim|Median: $74.09
6.4× median
H2011Normal range

Crisis intervention service, per 15 minutes

$918K

2,314 claims · 6.0%

Your Cost: $396.90/claim|Median: $215.80
1.8× median
90837Top 1%

Psychotherapy, 60 minutes

$687K

1,251 claims · 4.5%

Your Cost: $548.84/claim|Median: $85.66
6.4× median
H2015Top 10%

Comprehensive community support services, per 15 min

$661K

1,640 claims · 4.3%

Your Cost: $402.96/claim|Median: $96.24
4.2× median
80306Top 1%

$551K

966 claims · 3.6%

Your Cost: $570.50/claim|Median: $10.29
55.4× median
H0015Top 5%

Alcohol and/or drug abuse, intensive outpatient, per hour

$538K

677 claims · 3.5%

Your Cost: $794.40/claim|Median: $129.75
6.1× median
T1016Top 5%

Case management, each 15 min

$365K

678 claims · 2.4%

Your Cost: $538.72/claim|Median: $49.62
10.9× median
99212Top 1%

Office/outpatient visit, low complexity

$319K

586 claims · 2.1%

Your Cost: $543.87/claim|Median: $25.06
21.7× median
87635Top 1%

COVID-19 SARS-CoV-2 amplified probe detection

$241K

433 claims · 1.6%

Your Cost: $556.52/claim|Median: $39.70
14.0× median
90832Top 1%

Psychotherapy, 30 minutes

$177K

223 claims · 1.2%

Your Cost: $793.17/claim|Median: $41.28
19.2× median
80053Top 1%

Comprehensive metabolic panel

$169K

567 claims · 1.1%

Your Cost: $297.23/claim|Median: $7.24
41.1× median
99441Top 1%

Telephone E/M by physician, 5-10 min

$162K

251 claims · 1.1%

Your Cost: $646.44/claim|Median: $13.30
48.6× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$138K

616 claims · 0.9%

Your Cost: $223.45/claim|Median: $10.51
21.3× median
D0140Top 1%

Limited oral evaluation, problem focused

$127K

440 claims · 0.8%

Your Cost: $287.98/claim|Median: $27.07
10.6× median
D1110Top 1%

Prophylaxis, adult cleaning

$98K

792 claims · 0.6%

Your Cost: $123.20/claim|Median: $43.38
2.8× median
90471Top 1%

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

$77K

170 claims · 0.5%

Your Cost: $455.13/claim|Median: $9.80
46.4× median
99408Top 1%

$69K

113 claims · 0.5%

Your Cost: $610.90/claim|Median: $9.32
65.5× median
80305Top 1%

$68K

87 claims · 0.4%

Your Cost: $779.77/claim|Median: $7.44
104.8× median
T1007Top 5%

Alcohol/drug services, treatment plan review

$61K

120 claims · 0.4%

Your Cost: $504.18/claim|Median: $64.10
7.9× median
96372Top 1%

Therapeutic injection, subcutaneous/intramuscular

$51K

138 claims · 0.3%

Your Cost: $368.67/claim|Median: $9.56
38.6× median
0241UTop 1%

Proprietary lab analysis, genomic sequencing

$45K

48 claims · 0.3%

Your Cost: $927.50/claim|Median: $91.47
10.1× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$31K

359 claims · 0.2%

Your Cost: $87.54/claim|Median: $4.71
18.6× median
87880Top 1%

Streptococcus, Group A, rapid antigen detection

$26K

53 claims · 0.2%

Your Cost: $488.11/claim|Median: $11.48
42.5× median
H0046Normal range

Mental health services, not otherwise specified

$25K

168 claims · 0.2%

Your Cost: $151.77/claim|Median: $85.02
1.8× median
H0007Top 5%

$23K

24 claims · 0.1%

Your Cost: $945.00/claim|Median: $71.08
13.3× median
99442Top 1%

Telephone E/M by physician, 11-20 minutes

$23K

33 claims · 0.1%

Your Cost: $685.58/claim|Median: $22.44
30.6× median
← All providersHow we detect fraud →