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

⚖️ Compare🖨️ Print Report

Provider 1831151331

NPI: 1831151331Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.6M

$7,582,639

Total Claims

164K

Beneficiaries

144K

1.1 claims/patient

Avg Cost/Claim

$46

Monthly Spending Trend

Yearly Spending

2018
$935K
+16%
2019
$1.1M
-21%
2020
$856K
+47%
2021
$1.3M
+8%
2022
$1.4M
-14%
2023
$1.2M
-22%
2024
$916K

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 44% of total spending.

99213Top 25%

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

$3.4M

55K claims · 44.2%

Your Cost: $61.44/claim|Median: $37.81
1.6× median
99214Top 25%

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

$859K

8,833 claims · 11.3%

Your Cost: $97.29/claim|Median: $53.41
1.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$650K

9,081 claims · 8.6%

Your Cost: $71.63/claim|Median: $69.35
1.0× median
99392Normal range

Preventive medicine, established patient, age 1-4

$545K

7,490 claims · 7.2%

Your Cost: $72.78/claim|Median: $75.18
1.0× median
90670Top 5%

$283K

5,503 claims · 3.7%

Your Cost: $51.46/claim|Median: $5.94
8.7× median
90460Top 5%

Immunization administration, first vaccine/toxoid, with counseling

$276K

5,333 claims · 3.6%

Your Cost: $51.82/claim|Median: $17.85
2.9× median
90698Top 5%

$223K

6,386 claims · 2.9%

Your Cost: $34.91/claim|Median: $6.32
5.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$210K

2,857 claims · 2.8%

Your Cost: $73.50/claim|Median: $74.82
1.0× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$180K

15K claims · 2.4%

Your Cost: $11.73/claim|Median: $11.48
1.0× median
90461Top 5%

Immunization admin, additional vaccine, counseling

$164K

2,838 claims · 2.2%

Your Cost: $57.93/claim|Median: $6.93
8.4× median
87804Normal range

Influenza virus detection, rapid test

$160K

16K claims · 2.1%

Your Cost: $9.92/claim|Median: $12.59
0.8× median
87426Normal range

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

$111K

4,459 claims · 1.5%

Your Cost: $24.91/claim|Median: $30.04
0.8× median
90680Top 5%

$79K

2,372 claims · 1.0%

Your Cost: $33.44/claim|Median: $5.58
6.0× median
90651Top 5%

HPV vaccine, 9-valent

$71K

342 claims · 0.9%

Your Cost: $208.56/claim|Median: $8.93
23.4× median
90716Top 5%

$62K

704 claims · 0.8%

Your Cost: $87.88/claim|Median: $6.18
14.2× median
90677Top 25%

$49K

548 claims · 0.6%

Your Cost: $89.70/claim|Median: $12.96
6.9× median
99394Normal range

Preventive medicine, established patient, age 12-17

$41K

439 claims · 0.5%

Your Cost: $94.50/claim|Median: $80.15
1.2× median
90688Top 25%

$41K

2,313 claims · 0.5%

Your Cost: $17.63/claim|Median: $9.00
2.0× median
90707Top 5%

MMR vaccine

$37K

696 claims · 0.5%

Your Cost: $53.21/claim|Median: $5.76
9.2× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$29K

3,489 claims · 0.4%

Your Cost: $8.29/claim|Median: $4.71
1.8× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$23K

1,238 claims · 0.3%

Your Cost: $18.44/claim|Median: $7.18
2.6× median
87807Normal range

$18K

1,847 claims · 0.2%

Your Cost: $9.94/claim|Median: $10.06
1.0× median
90633Top 1%

$16K

563 claims · 0.2%

Your Cost: $27.72/claim|Median: $3.56
7.8× median
90734Top 1%

$15K

152 claims · 0.2%

Your Cost: $96.62/claim|Median: $6.40
15.1× median
90744Top 5%

$14K

719 claims · 0.2%

Your Cost: $19.56/claim|Median: $5.00
3.9× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$13K

137 claims · 0.2%

Your Cost: $98.20/claim|Median: $100.62
1.0× median
90619Top 1%

$11K

75 claims · 0.1%

Your Cost: $143.68/claim|Median: $8.36
17.2× median
83655Top 25%

$8K

558 claims · 0.1%

Your Cost: $13.46/claim|Median: $10.49
1.3× median
90715Top 25%

Tdap vaccine

$4K

156 claims · 0.1%

Your Cost: $28.52/claim|Median: $10.32
2.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$4K

35 claims · 0.0%

Your Cost: $103.91/claim|Median: $91.47
1.1× median
← All providersHow we detect fraud →