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

⚖️ Compare🖨️ Print Report

Provider 1871660407

NPI: 1871660407Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.7M

$11,718,367

Total Claims

469K

Beneficiaries

447K

1.1 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$732K
+41%
2019
$1.0M
+4%
2020
$1.1M
+59%
2021
$1.7M
+33%
2022
$2.3M
+18%
2023
$2.7M
-18%
2024
$2.2M

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 30% of total spending.

99213Normal range

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

$3.5M

86K claims · 29.5%

Your Cost: $40.38/claim|Median: $37.81
1.1× median
99214Normal range

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

$2.0M

36K claims · 17.2%

Your Cost: $55.79/claim|Median: $53.41
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$1.3M

53K claims · 11.0%

Your Cost: $24.33/claim|Median: $17.85
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$708K

14K claims · 6.0%

Your Cost: $51.34/claim|Median: $69.35
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$704K

13K claims · 6.0%

Your Cost: $53.51/claim|Median: $75.18
0.7× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$559K

16K claims · 4.8%

Your Cost: $34.38/claim|Median: $30.53
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$539K

9,374 claims · 4.6%

Your Cost: $57.50/claim|Median: $74.82
0.8× median
96110Top 25%

Developmental screening, per standardized instrument

$351K

19K claims · 3.0%

Your Cost: $18.30/claim|Median: $9.10
2.0× median
99394Normal range

Preventive medicine, established patient, age 12-17

$318K

5,187 claims · 2.7%

Your Cost: $61.23/claim|Median: $80.15
0.8× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$229K

22K claims · 2.0%

Your Cost: $10.41/claim|Median: $11.48
0.9× median
92551Top 25%

Screening audiometry, pure tone, air only

$228K

22K claims · 1.9%

Your Cost: $10.17/claim|Median: $6.61
1.5× median
90461Normal range

Immunization admin, additional vaccine, counseling

$216K

19K claims · 1.8%

Your Cost: $11.60/claim|Median: $6.93
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$199K

5,874 claims · 1.7%

Your Cost: $33.84/claim|Median: $25.06
1.4× median
90671Top 10%

$157K

1,067 claims · 1.3%

Your Cost: $146.71/claim|Median: $8.59
17.1× median
90619Top 5%

$61K

608 claims · 0.5%

Your Cost: $100.52/claim|Median: $8.36
12.0× median
92587Normal range

$56K

2,920 claims · 0.5%

Your Cost: $19.20/claim|Median: $19.24
1.0× median
99203Normal range

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

$52K

763 claims · 0.4%

Your Cost: $68.57/claim|Median: $57.85
1.2× median
99173Normal range

$49K

20K claims · 0.4%

Your Cost: $2.39/claim|Median: $2.16
1.1× median
90677Top 10%

$47K

323 claims · 0.4%

Your Cost: $145.91/claim|Median: $12.96
11.3× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$46K

9,777 claims · 0.4%

Your Cost: $4.69/claim|Median: $7.18
0.7× median
36416Top 10%

$38K

4,609 claims · 0.3%

Your Cost: $8.16/claim|Median: $1.31
6.2× median
90670Normal range

$35K

2,967 claims · 0.3%

Your Cost: $11.91/claim|Median: $5.94
2.0× median
87804Normal range

Influenza virus detection, rapid test

$34K

3,858 claims · 0.3%

Your Cost: $8.94/claim|Median: $12.59
0.7× median
87426Top 25%

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

$34K

888 claims · 0.3%

Your Cost: $38.70/claim|Median: $30.04
1.3× median
90651Top 25%

HPV vaccine, 9-valent

$30K

707 claims · 0.3%

Your Cost: $42.12/claim|Median: $8.93
4.7× median
99051Normal range

$27K

14K claims · 0.2%

Your Cost: $1.95/claim|Median: $7.89
0.2× median
90716Top 25%

$27K

1,511 claims · 0.2%

Your Cost: $17.67/claim|Median: $6.18
2.9× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$25K

11K claims · 0.2%

Your Cost: $2.36/claim|Median: $3.67
0.6× median
90707Normal range

MMR vaccine

$20K

2,143 claims · 0.2%

Your Cost: $9.16/claim|Median: $5.76
1.6× median
90700Normal range

$19K

7,893 claims · 0.2%

Your Cost: $2.37/claim|Median: $4.56
0.5× median
← All providersHow we detect fraud →