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

⚖️ Compare🖨️ Print Report

Provider 1922266386

NPI: 1922266386Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$8,031,195

Total Claims

157K

Beneficiaries

133K

1.2 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$771K
+28%
2019
$987K
+12%
2020
$1.1M
+49%
2021
$1.6M
-16%
2022
$1.4M
-17%
2023
$1.1M
-14%
2024
$991K

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 72% of total spending.

99213Top 5%

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

$5.8M

62K claims · 71.7%

Your Cost: $93.59/claim|Median: $37.81
2.5× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$697K

5,288 claims · 8.7%

Your Cost: $131.78/claim|Median: $76.06
1.7× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$422K

3,449 claims · 5.3%

Your Cost: $122.45/claim|Median: $72.71
1.7× median
99212Top 25%

Office/outpatient visit, low complexity

$312K

5,725 claims · 3.9%

Your Cost: $54.51/claim|Median: $25.06
2.2× median
90471Top 25%

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

$176K

9,740 claims · 2.2%

Your Cost: $18.03/claim|Median: $9.80
1.8× median
90651Top 1%

HPV vaccine, 9-valent

$144K

551 claims · 1.8%

Your Cost: $260.92/claim|Median: $8.93
29.2× median
90756Top 5%

Influenza virus vaccine, quadrivalent

$142K

4,925 claims · 1.8%

Your Cost: $28.86/claim|Median: $14.34
2.0× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$120K

7,686 claims · 1.5%

Your Cost: $15.58/claim|Median: $9.70
1.6× median
90674Top 25%

$61K

2,202 claims · 0.8%

Your Cost: $27.92/claim|Median: $15.16
1.8× median
99203Top 5%

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

$39K

305 claims · 0.5%

Your Cost: $126.92/claim|Median: $57.85
2.2× median
G8510Normal range

$31K

6,316 claims · 0.4%

Your Cost: $4.91/claim|Median: $1.96
2.5× median
0012ATop 25%

COVID-19 vaccine admin, Moderna, 2nd dose

$24K

569 claims · 0.3%

Your Cost: $41.99/claim|Median: $33.85
1.2× median
0011ATop 25%

COVID-19 vaccine admin, Moderna, 1st dose

$22K

547 claims · 0.3%

Your Cost: $40.06/claim|Median: $25.93
1.5× median
36415Normal range

Collection of venous blood by venipuncture

$15K

18K claims · 0.2%

Your Cost: $0.84/claim|Median: $1.57
0.5× median
0013ATop 25%

$14K

335 claims · 0.2%

Your Cost: $41.68/claim|Median: $35.38
1.2× median
94010Top 10%

$10K

286 claims · 0.1%

Your Cost: $35.98/claim|Median: $18.11
2.0× median
90750Top 10%

$8K

44 claims · 0.1%

Your Cost: $175.71/claim|Median: $96.16
1.8× median
86580Top 10%

Tuberculosis (TB) skin test

$6K

596 claims · 0.1%

Your Cost: $9.81/claim|Median: $4.46
2.2× median
99406Top 10%

$5K

406 claims · 0.1%

Your Cost: $13.54/claim|Median: $6.53
2.1× median
0134ANormal range

$5K

136 claims · 0.1%

Your Cost: $37.04/claim|Median: $33.54
1.1× median
90661Top 5%

$4K

110 claims · 0.1%

Your Cost: $37.19/claim|Median: $14.37
2.6× median
99407Top 25%

$3K

157 claims · 0.0%

Your Cost: $21.87/claim|Median: $13.29
1.6× median
0064ATop 25%

$3K

73 claims · 0.0%

Your Cost: $41.49/claim|Median: $34.17
1.2× median
83014Normal range

$2K

376 claims · 0.0%

Your Cost: $6.36/claim|Median: $5.23
1.2× median
90658Normal range

$2K

119 claims · 0.0%

Your Cost: $13.57/claim|Median: $8.96
1.5× median
90732Top 25%

Pneumococcal vaccine (PPSV23)

$1K

13 claims · 0.0%

Your Cost: $101.34/claim|Median: $36.96
2.7× median
3079FTop 5%

$1K

213 claims · 0.0%

Your Cost: $5.15/claim|Median: $0.12
42.9× median
3074FTop 10%

$783

224 claims · 0.0%

Your Cost: $3.49/claim|Median: $0.11
31.8× median
3078FTop 10%

$460

170 claims · 0.0%

Your Cost: $2.71/claim|Median: $0.08
33.8× median
3044FTop 10%

$400

81 claims · 0.0%

Your Cost: $4.94/claim|Median: $0.16
30.9× median
← All providersHow we detect fraud →