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

⚖️ Compare🖨️ Print Report

Provider 1932340890

NPI: 1932340890Share
Active Billing Period:2018-01→2024-12(81 months)

Total Paid

$9.3M

$9,280,147

Total Claims

115K

Beneficiaries

105K

1.1 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-18%
2019
$1.5M
-13%
2020
$1.3M
+6%
2021
$1.4M
-6%
2022
$1.3M
-48%
2023
$696K
+53%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 91% of total spending.

T1015Top 10%

Clinic visit/encounter, all-inclusive

$8.5M

36K claims · 91.1%

Your Cost: $236.18/claim|Median: $121.16
1.9× median
99213Normal range

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

$156K

24K claims · 1.7%

Your Cost: $6.61/claim|Median: $37.81
0.2× median
59425Normal range

Antepartum care only, 4-6 visits

$129K

1,770 claims · 1.4%

Your Cost: $72.88/claim|Median: $63.63
1.1× median
99214Normal range

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

$97K

14K claims · 1.0%

Your Cost: $6.89/claim|Median: $53.41
0.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$39K

868 claims · 0.4%

Your Cost: $44.88/claim|Median: $74.82
0.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$39K

701 claims · 0.4%

Your Cost: $55.48/claim|Median: $80.15
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$36K

829 claims · 0.4%

Your Cost: $43.72/claim|Median: $75.18
0.6× median
G2025Top 25%

$34K

1,308 claims · 0.4%

Your Cost: $26.35/claim|Median: $15.63
1.7× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$34K

2,872 claims · 0.4%

Your Cost: $11.87/claim|Median: $7.18
1.7× median
G0467Normal range

Federally qualified health center visit, mental health

$27K

7,015 claims · 0.3%

Your Cost: $3.80/claim|Median: $21.91
0.2× median
97803Top 25%

Medical nutrition therapy, reassessment, group, thirty minutes

$25K

405 claims · 0.3%

Your Cost: $60.64/claim|Median: $24.33
2.5× median
96110Top 5%

Developmental screening, per standardized instrument

$21K

319 claims · 0.2%

Your Cost: $65.27/claim|Median: $9.10
7.2× median
99212Normal range

Office/outpatient visit, low complexity

$20K

3,950 claims · 0.2%

Your Cost: $5.08/claim|Median: $25.06
0.2× median
92551Normal range

Screening audiometry, pure tone, air only

$20K

3,360 claims · 0.2%

Your Cost: $5.97/claim|Median: $6.61
0.9× median
97802Top 10%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$18K

157 claims · 0.2%

Your Cost: $117.12/claim|Median: $12.70
9.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$16K

670 claims · 0.2%

Your Cost: $24.57/claim|Median: $69.35
0.4× median
90837Normal range

Psychotherapy, 60 minutes

$11K

414 claims · 0.1%

Your Cost: $26.75/claim|Median: $85.66
0.3× median
90651Top 25%

HPV vaccine, 9-valent

$11K

473 claims · 0.1%

Your Cost: $22.78/claim|Median: $8.93
2.6× median
90715Top 25%

Tdap vaccine

$10K

445 claims · 0.1%

Your Cost: $22.34/claim|Median: $10.32
2.2× median
90750Normal range

$9K

122 claims · 0.1%

Your Cost: $70.49/claim|Median: $96.16
0.7× median
99442Normal range

Telephone E/M by physician, 11-20 minutes

$9K

261 claims · 0.1%

Your Cost: $32.93/claim|Median: $22.44
1.5× median
90670Normal range

$8K

644 claims · 0.1%

Your Cost: $11.68/claim|Median: $5.94
2.0× median
0969Normal range

$7K

105 claims · 0.1%

Your Cost: $70.84/claim|Median: $73.78
1.0× median
99188Top 25%

$5K

252 claims · 0.1%

Your Cost: $21.62/claim|Median: $12.80
1.7× median
90648Normal range

$5K

572 claims · 0.0%

Your Cost: $8.01/claim|Median: $4.08
2.0× median
90471Normal range

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

$4K

420 claims · 0.0%

Your Cost: $9.18/claim|Median: $9.80
0.9× median
90682Top 25%

$3K

67 claims · 0.0%

Your Cost: $52.21/claim|Median: $34.72
1.5× median
90734Normal range

$3K

290 claims · 0.0%

Your Cost: $11.95/claim|Median: $6.40
1.9× median
90723Normal range

DTaP-HepB-IPV vaccine

$2K

276 claims · 0.0%

Your Cost: $8.26/claim|Median: $5.78
1.4× median
81002Normal range

Urinalysis, non-automated without microscopy

$2K

5,706 claims · 0.0%

Your Cost: $0.39/claim|Median: $2.00
0.2× median
← All providersHow we detect fraud →