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

⚖️ Compare🖨️ Print Report

Provider 1942384888

NPI: 1942384888Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$17.6M

$17,572,590

Total Claims

485K

Beneficiaries

470K

1.0 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-1%
2019
$2.6M
-31%
2020
$1.8M
+15%
2021
$2.1M
+49%
2022
$3.1M
-3%
2023
$3.0M
-20%
2024
$2.4M

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 50% of total spending.

99213Top 25%

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

$8.8M

129K claims · 50.1%

Your Cost: $68.12/claim|Median: $37.81
1.8× median
99214Top 25%

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

$1.6M

17K claims · 9.2%

Your Cost: $96.40/claim|Median: $53.41
1.8× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.5M

16K claims · 8.3%

Your Cost: $90.90/claim|Median: $74.82
1.2× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$1.4M

14K claims · 7.9%

Your Cost: $100.75/claim|Median: $80.15
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$1.0M

12K claims · 6.0%

Your Cost: $89.20/claim|Median: $75.18
1.2× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$902K

44K claims · 5.1%

Your Cost: $20.52/claim|Median: $17.85
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$668K

8,282 claims · 3.8%

Your Cost: $80.63/claim|Median: $69.35
1.2× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$201K

2,005 claims · 1.1%

Your Cost: $100.08/claim|Median: $72.71
1.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$197K

13K claims · 1.1%

Your Cost: $15.41/claim|Median: $6.93
2.2× median
36415Top 25%

Collection of venous blood by venipuncture

$174K

48K claims · 1.0%

Your Cost: $3.62/claim|Median: $1.57
2.3× median
92558Normal range

$147K

17K claims · 0.8%

Your Cost: $8.75/claim|Median: $6.67
1.3× median
99188Top 25%

$115K

5,994 claims · 0.7%

Your Cost: $19.16/claim|Median: $12.80
1.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$104K

26K claims · 0.6%

Your Cost: $4.04/claim|Median: $3.67
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$83K

2,151 claims · 0.5%

Your Cost: $38.40/claim|Median: $25.06
1.5× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$82K

16K claims · 0.5%

Your Cost: $5.19/claim|Median: $12.70
0.4× median
90651Top 25%

HPV vaccine, 9-valent

$77K

1,814 claims · 0.4%

Your Cost: $42.37/claim|Median: $8.93
4.7× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$60K

5,293 claims · 0.3%

Your Cost: $11.42/claim|Median: $11.48
1.0× median
99381Normal range

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

$55K

676 claims · 0.3%

Your Cost: $81.72/claim|Median: $73.46
1.1× median
90620Top 25%

$49K

1,508 claims · 0.3%

Your Cost: $32.71/claim|Median: $6.49
5.0× median
90734Top 25%

$42K

1,847 claims · 0.2%

Your Cost: $22.74/claim|Median: $6.40
3.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$39K

11K claims · 0.2%

Your Cost: $3.72/claim|Median: $7.18
0.5× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$35K

2,535 claims · 0.2%

Your Cost: $13.85/claim|Median: $10.88
1.3× median
86580Top 25%

Tuberculosis (TB) skin test

$34K

4,694 claims · 0.2%

Your Cost: $7.34/claim|Median: $4.46
1.6× median
96160Normal range

Patient-focused health risk assessment

$31K

15K claims · 0.2%

Your Cost: $2.13/claim|Median: $2.10
1.0× median
90471Top 25%

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

$20K

1,348 claims · 0.1%

Your Cost: $14.90/claim|Median: $9.80
1.5× median
92551Normal range

Screening audiometry, pure tone, air only

$19K

2,469 claims · 0.1%

Your Cost: $7.54/claim|Median: $6.61
1.1× median
90677Normal range

$19K

1,042 claims · 0.1%

Your Cost: $17.77/claim|Median: $12.96
1.4× median
90670Normal range

$15K

2,031 claims · 0.1%

Your Cost: $7.15/claim|Median: $5.94
1.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$11K

544 claims · 0.1%

Your Cost: $19.83/claim|Median: $12.93
1.5× median
99173Normal range

$9K

7,323 claims · 0.1%

Your Cost: $1.29/claim|Median: $2.16
0.6× median
← All providersHow we detect fraud →