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

⚖️ Compare🖨️ Print Report

Provider 1861735383

NPI: 1861735383Share
Active Billing Period:2018-01→2024-02(74 months)
Billing appears to have stoppedLast active: 2024-02

Total Paid

$10.4M

$10,379,564

Total Claims

721K

Beneficiaries

559K

1.3 claims/patient

Avg Cost/Claim

$14

Monthly Spending Trend

Yearly Spending

2018
$30K
+8274%
2019
$2.5M
-31%
2020
$1.7M
+38%
2021
$2.4M
-31%
2022
$1.6M
+28%
2023
$2.1M
-99%
2024
$12K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 25% of total spending.

99214Normal range

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

$2.6M

50K claims · 25.3%

Your Cost: $52.81/claim|Median: $53.41
1.0× median
99213Normal range

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

$2.2M

81K claims · 21.2%

Your Cost: $27.27/claim|Median: $37.81
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.9M

26K claims · 18.2%

Your Cost: $71.67/claim|Median: $75.18
1.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.7M

22K claims · 16.3%

Your Cost: $77.95/claim|Median: $69.35
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$921K

16K claims · 8.9%

Your Cost: $58.76/claim|Median: $74.82
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$352K

6,615 claims · 3.4%

Your Cost: $53.14/claim|Median: $80.15
0.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$279K

51K claims · 2.7%

Your Cost: $5.52/claim|Median: $17.85
0.3× median
99051Normal range

$57K

23K claims · 0.6%

Your Cost: $2.51/claim|Median: $7.89
0.3× median
90670Normal range

$57K

13K claims · 0.5%

Your Cost: $4.20/claim|Median: $5.94
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$39K

14K claims · 0.4%

Your Cost: $2.86/claim|Median: $7.18
0.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$25K

31K claims · 0.2%

Your Cost: $0.82/claim|Median: $6.93
0.1× median
99383Top 25%

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

$24K

234 claims · 0.2%

Your Cost: $104.64/claim|Median: $81.92
1.3× median
90471Normal range

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

$23K

4,380 claims · 0.2%

Your Cost: $5.17/claim|Median: $9.80
0.5× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$15K

348 claims · 0.1%

Your Cost: $44.20/claim|Median: $65.64
0.7× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$13K

319 claims · 0.1%

Your Cost: $41.56/claim|Median: $62.48
0.7× median
83655Normal range

$11K

7,439 claims · 0.1%

Your Cost: $1.52/claim|Median: $10.49
0.1× median
3008FNormal range

$10K

40K claims · 0.1%

Your Cost: $0.26/claim|Median: $0.06
4.3× median
99188Normal range

$10K

2,966 claims · 0.1%

Your Cost: $3.46/claim|Median: $12.80
0.3× median
99203Normal range

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

$10K

249 claims · 0.1%

Your Cost: $39.61/claim|Median: $57.85
0.7× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$9K

202 claims · 0.1%

Your Cost: $46.76/claim|Median: $73.46
0.6× median
90716Normal range

$9K

5,522 claims · 0.1%

Your Cost: $1.57/claim|Median: $6.18
0.3× median
99382Normal range

Preventive visit, new patient, early childhood (1-4 yr)

$8K

108 claims · 0.1%

Your Cost: $77.36/claim|Median: $79.89
1.0× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$8K

185 claims · 0.1%

Your Cost: $45.15/claim|Median: $37.22
1.2× median
85018Normal range

$7K

17K claims · 0.1%

Your Cost: $0.43/claim|Median: $1.71
0.3× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$6K

512 claims · 0.1%

Your Cost: $12.27/claim|Median: $28.46
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$6K

206 claims · 0.1%

Your Cost: $28.60/claim|Median: $25.06
1.1× median
90472Normal range

Immunization administration, each additional vaccine

$5K

705 claims · 0.0%

Your Cost: $6.67/claim|Median: $11.79
0.6× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$5K

2,616 claims · 0.0%

Your Cost: $1.76/claim|Median: $11.48
0.2× median
36415Normal range

Collection of venous blood by venipuncture

$4K

9,188 claims · 0.0%

Your Cost: $0.46/claim|Median: $1.57
0.3× median
1160FNormal range

$4K

54K claims · 0.0%

Your Cost: $0.07/claim|Median: $0.01
7.3× median
← All providersHow we detect fraud →