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

⚖️ Compare🖨️ Print Report

Provider 1861513996

NPI: 1861513996Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.6M

$8,637,530

Total Claims

56K

Beneficiaries

39K

1.4 claims/patient

Avg Cost/Claim

$155

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+38%
2019
$3.9M
-73%
2020
$1.1M
-80%
2021
$218K
-24%
2022
$166K
+34%
2023
$223K
-31%
2024
$154K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 99% of total spending.

T1015Top 5%

Clinic visit/encounter, all-inclusive

$8.5M

26K claims · 98.8%

Your Cost: $331.21/claim|Median: $121.16
2.7× median
99214Normal range

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

$25K

6,952 claims · 0.3%

Your Cost: $3.67/claim|Median: $53.41
0.1× median
90747Normal range

$20K

551 claims · 0.2%

Your Cost: $37.20/claim|Median: $36.38
1.0× median
90734Top 10%

$17K

581 claims · 0.2%

Your Cost: $29.09/claim|Median: $6.40
4.5× median
99213Normal range

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

$14K

6,973 claims · 0.2%

Your Cost: $1.98/claim|Median: $37.81
0.1× median
99215Normal range

Office/outpatient visit, high complexity

$10K

4,056 claims · 0.1%

Your Cost: $2.46/claim|Median: $74.09
0.0× median
91200Normal range

$4K

368 claims · 0.0%

Your Cost: $10.91/claim|Median: $17.80
0.6× median
90674Normal range

$3K

1,307 claims · 0.0%

Your Cost: $2.61/claim|Median: $15.16
0.2× median
90670Top 25%

$3K

151 claims · 0.0%

Your Cost: $19.50/claim|Median: $5.94
3.3× median
87536Normal range

HIV-1 detection by nucleic acid, quantitative

$2K

95 claims · 0.0%

Your Cost: $25.16/claim|Median: $51.73
0.5× median
90732Normal range

Pneumococcal vaccine (PPSV23)

$2K

319 claims · 0.0%

Your Cost: $5.76/claim|Median: $36.96
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$2K

2,173 claims · 0.0%

Your Cost: $0.72/claim|Median: $25.06
0.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$1K

713 claims · 0.0%

Your Cost: $1.49/claim|Median: $9.56
0.2× median
90630Normal range

$1K

627 claims · 0.0%

Your Cost: $1.65/claim|Median: $11.50
0.1× median
90471Normal range

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

$1K

3,559 claims · 0.0%

Your Cost: $0.29/claim|Median: $9.80
0.0× median
90632Normal range

$558

47 claims · 0.0%

Your Cost: $11.87/claim|Median: $40.43
0.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$530

291 claims · 0.0%

Your Cost: $1.82/claim|Median: $40.11
0.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$341

645 claims · 0.0%

Your Cost: $0.53/claim|Median: $12.93
0.0× median
90472Normal range

Immunization administration, each additional vaccine

$201

438 claims · 0.0%

Your Cost: $0.46/claim|Median: $11.79
0.0× median
99203Normal range

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

$87

67 claims · 0.0%

Your Cost: $1.30/claim|Median: $57.85
0.0× median
99204Normal range

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

$70

39 claims · 0.0%

Your Cost: $1.79/claim|Median: $84.03
0.0× median
86360Normal range

$44

23 claims · 0.0%

Your Cost: $1.90/claim|Median: $26.97
0.1× median
90688Normal range

$0

37 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.00
90656Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $8.67
← All providersHow we detect fraud →