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

⚖️ Compare🖨️ Print Report

Provider 1952470411

NPI: 1952470411Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.6M

$10,560,732

Total Claims

154K

Beneficiaries

107K

1.4 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+6%
2019
$1.2M
+1%
2020
$1.2M
+25%
2021
$1.5M
-1%
2022
$1.5M
+36%
2023
$2.0M
+6%
2024
$2.1M

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 95% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$10.0M

64K claims · 94.6%

Your Cost: $155.33/claim|Median: $121.16
1.3× median
G0467Top 25%

Federally qualified health center visit, mental health

$355K

8,990 claims · 3.4%

Your Cost: $39.45/claim|Median: $21.91
1.8× median
G2025Top 25%

$53K

1,874 claims · 0.5%

Your Cost: $28.12/claim|Median: $15.63
1.8× median
99213Normal range

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

$35K

27K claims · 0.3%

Your Cost: $1.28/claim|Median: $37.81
0.0× median
99214Normal range

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

$28K

16K claims · 0.3%

Your Cost: $1.75/claim|Median: $53.41
0.0× median
G0470Normal range

Chronic care management services, FQHC/RHC

$21K

1,004 claims · 0.2%

Your Cost: $20.47/claim|Median: $45.95
0.4× median
90832Normal range

Psychotherapy, 30 minutes

$12K

6,614 claims · 0.1%

Your Cost: $1.82/claim|Median: $41.28
0.0× median
G0008Normal range

$8K

1,457 claims · 0.1%

Your Cost: $5.56/claim|Median: $2.54
2.2× median
80305Normal range

$7K

1,523 claims · 0.1%

Your Cost: $4.72/claim|Median: $7.44
0.6× median
90834Normal range

Psychotherapy, 45 minutes

$7K

8,052 claims · 0.1%

Your Cost: $0.87/claim|Median: $63.65
0.0× median
99215Normal range

Office/outpatient visit, high complexity

$3K

607 claims · 0.0%

Your Cost: $4.98/claim|Median: $74.09
0.1× median
0012ANormal range

COVID-19 vaccine admin, Moderna, 2nd dose

$3K

85 claims · 0.0%

Your Cost: $33.78/claim|Median: $33.85
1.0× median
0011ANormal range

COVID-19 vaccine admin, Moderna, 1st dose

$3K

84 claims · 0.0%

Your Cost: $33.35/claim|Median: $25.93
1.3× median
0004ANormal range

$3K

85 claims · 0.0%

Your Cost: $30.93/claim|Median: $35.62
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$2K

580 claims · 0.0%

Your Cost: $4.27/claim|Median: $24.34
0.2× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$2K

57 claims · 0.0%

Your Cost: $34.67/claim|Median: $33.72
1.0× median
0064ANormal range

$2K

79 claims · 0.0%

Your Cost: $24.45/claim|Median: $34.17
0.7× median
D0274Normal range

Bitewings, four radiographic images

$2K

660 claims · 0.0%

Your Cost: $2.61/claim|Median: $22.54
0.1× median
0031ANormal range

COVID-19 vaccine admin, J&J, single dose

$2K

51 claims · 0.0%

Your Cost: $33.63/claim|Median: $32.49
1.0× median
0072ANormal range

$2K

46 claims · 0.0%

Your Cost: $37.20/claim|Median: $39.57
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$1K

764 claims · 0.0%

Your Cost: $1.94/claim|Median: $27.07
0.1× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$1K

35 claims · 0.0%

Your Cost: $35.16/claim|Median: $36.70
1.0× median
99173Top 25%

$1K

222 claims · 0.0%

Your Cost: $5.17/claim|Median: $2.16
2.4× median
99212Normal range

Office/outpatient visit, low complexity

$1K

1,833 claims · 0.0%

Your Cost: $0.55/claim|Median: $25.06
0.0× median
0071ANormal range

$932

25 claims · 0.0%

Your Cost: $37.29/claim|Median: $38.71
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$923

713 claims · 0.0%

Your Cost: $1.29/claim|Median: $43.38
0.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$882

289 claims · 0.0%

Your Cost: $3.05/claim|Median: $76.06
0.0× median
D0603Normal range

$847

295 claims · 0.0%

Your Cost: $2.87/claim|Median: $6.54
0.4× median
90853Normal range

Group psychotherapy

$731

648 claims · 0.0%

Your Cost: $1.13/claim|Median: $25.02
0.0× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$731

634 claims · 0.0%

Your Cost: $1.15/claim|Median: $7.18
0.2× median
← All providersHow we detect fraud →