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

⚖️ Compare🖨️ Print Report

Provider 1891090510

NPI: 1891090510Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.0M

$10,991,652

Total Claims

481K

Beneficiaries

410K

1.2 claims/patient

Avg Cost/Claim

$23

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+7%
2019
$1.4M
-9%
2020
$1.3M
+23%
2021
$1.6M
+17%
2022
$1.9M
+2%
2023
$1.9M
-21%
2024
$1.5M

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 37% of total spending.

99213Normal range

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

$4.0M

100K claims · 36.7%

Your Cost: $40.22/claim|Median: $37.81
1.1× median
99214Normal range

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

$1.1M

28K claims · 10.4%

Your Cost: $41.53/claim|Median: $53.41
0.8× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$672K

40K claims · 6.1%

Your Cost: $16.88/claim|Median: $23.99
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$405K

10K claims · 3.7%

Your Cost: $38.99/claim|Median: $75.18
0.5× median
99393Normal range

Preventive medicine, established patient, age 5-11

$367K

9,699 claims · 3.3%

Your Cost: $37.82/claim|Median: $74.82
0.5× median
99223Normal range

Initial hospital care, per day, high complexity

$365K

8,259 claims · 3.3%

Your Cost: $44.14/claim|Median: $67.32
0.7× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$363K

8,799 claims · 3.3%

Your Cost: $41.26/claim|Median: $69.35
0.6× median
90471Normal range

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

$334K

28K claims · 3.0%

Your Cost: $11.73/claim|Median: $9.80
1.2× median
90472Top 25%

Immunization administration, each additional vaccine

$262K

13K claims · 2.4%

Your Cost: $20.32/claim|Median: $11.79
1.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$251K

6,407 claims · 2.3%

Your Cost: $39.12/claim|Median: $80.15
0.5× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$238K

11K claims · 2.2%

Your Cost: $21.25/claim|Median: $17.85
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$234K

6,505 claims · 2.1%

Your Cost: $35.95/claim|Median: $51.25
0.7× median
96110Top 10%

Developmental screening, per standardized instrument

$203K

7,142 claims · 1.8%

Your Cost: $28.46/claim|Median: $9.10
3.1× median
99215Normal range

Office/outpatient visit, high complexity

$189K

3,806 claims · 1.7%

Your Cost: $49.59/claim|Median: $74.09
0.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$174K

6,176 claims · 1.6%

Your Cost: $28.24/claim|Median: $12.93
2.2× median
99233Normal range

Subsequent hospital care, per day, high complexity

$157K

12K claims · 1.4%

Your Cost: $12.70/claim|Median: $35.30
0.4× median
99308Normal range

Nursing facility care, subsequent, straightforward

$152K

23K claims · 1.4%

Your Cost: $6.62/claim|Median: $9.79
0.7× median
90677Top 10%

$147K

1,045 claims · 1.3%

Your Cost: $140.74/claim|Median: $12.96
10.9× median
92551Top 25%

Screening audiometry, pure tone, air only

$134K

12K claims · 1.2%

Your Cost: $11.40/claim|Median: $6.61
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$118K

4,151 claims · 1.1%

Your Cost: $28.42/claim|Median: $25.06
1.1× median
99188Normal range

$85K

5,452 claims · 0.8%

Your Cost: $15.53/claim|Median: $12.80
1.2× median
90619Top 5%

$75K

612 claims · 0.7%

Your Cost: $122.59/claim|Median: $8.36
14.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$56K

8,182 claims · 0.5%

Your Cost: $6.81/claim|Median: $9.56
0.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$55K

10K claims · 0.5%

Your Cost: $5.42/claim|Median: $7.18
0.8× median
87811Top 25%

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

$54K

1,432 claims · 0.5%

Your Cost: $37.96/claim|Median: $30.53
1.2× median
G0447Normal range

$48K

4,770 claims · 0.4%

Your Cost: $10.12/claim|Median: $5.19
2.0× median
90461Normal range

Immunization admin, additional vaccine, counseling

$48K

2,485 claims · 0.4%

Your Cost: $19.17/claim|Median: $6.93
2.8× median
99309Normal range

Nursing facility care, subsequent, low complexity

$40K

2,752 claims · 0.4%

Your Cost: $14.68/claim|Median: $14.00
1.0× median
99254Normal range

$35K

363 claims · 0.3%

Your Cost: $97.77/claim|Median: $81.43
1.2× median
90960Normal range

End-stage renal disease services, per month, age 20+

$35K

956 claims · 0.3%

Your Cost: $36.38/claim|Median: $52.76
0.7× median
← All providersHow we detect fraud →