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

⚖️ Compare🖨️ Print Report

Provider 1992990410

NPI: 1992990410Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.9M

$7,916,318

Total Claims

289K

Beneficiaries

256K

1.1 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$859K
+23%
2019
$1.1M
-8%
2020
$971K
+32%
2021
$1.3M
+11%
2022
$1.4M
-10%
2023
$1.3M
-19%
2024
$1.0M

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 29% of total spending.

99213Top 25%

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

$2.3M

40K claims · 28.9%

Your Cost: $57.67/claim|Median: $37.81
1.5× median
99214Top 25%

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

$895K

11K claims · 11.3%

Your Cost: $84.73/claim|Median: $53.41
1.6× median
99393Normal range

Preventive medicine, established patient, age 5-11

$536K

9,785 claims · 6.8%

Your Cost: $54.82/claim|Median: $74.82
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$487K

8,955 claims · 6.2%

Your Cost: $54.43/claim|Median: $75.18
0.7× median
99394Normal range

Preventive medicine, established patient, age 12-17

$439K

8,001 claims · 5.6%

Your Cost: $54.93/claim|Median: $80.15
0.7× median
99401Top 25%

$415K

16K claims · 5.2%

Your Cost: $26.16/claim|Median: $16.53
1.6× median
90460Top 25%

Immunization administration, first vaccine/toxoid, with counseling

$400K

11K claims · 5.1%

Your Cost: $34.82/claim|Median: $17.85
2.0× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$373K

6,713 claims · 4.7%

Your Cost: $55.61/claim|Median: $69.35
0.8× median
90700Top 10%

$99K

5,899 claims · 1.3%

Your Cost: $16.83/claim|Median: $4.56
3.7× median
90648Top 10%

$98K

5,707 claims · 1.2%

Your Cost: $17.21/claim|Median: $4.08
4.2× median
87804Top 25%

Influenza virus detection, rapid test

$96K

5,378 claims · 1.2%

Your Cost: $17.89/claim|Median: $12.59
1.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$92K

5,143 claims · 1.2%

Your Cost: $17.87/claim|Median: $6.93
2.6× median
87426Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay

$89K

4,058 claims · 1.1%

Your Cost: $22.02/claim|Median: $30.04
0.7× median
90670Top 25%

$88K

5,031 claims · 1.1%

Your Cost: $17.50/claim|Median: $5.94
2.9× median
90651Normal range

HPV vaccine, 9-valent

$81K

4,501 claims · 1.0%

Your Cost: $17.92/claim|Median: $8.93
2.0× median
99173Normal range

$79K

20K claims · 1.0%

Your Cost: $3.88/claim|Median: $2.16
1.8× median
99203Top 25%

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

$76K

925 claims · 1.0%

Your Cost: $81.82/claim|Median: $57.85
1.4× median
90633Top 10%

$75K

4,398 claims · 0.9%

Your Cost: $16.96/claim|Median: $3.56
4.8× median
96110Normal range

Developmental screening, per standardized instrument

$74K

9,084 claims · 0.9%

Your Cost: $8.19/claim|Median: $9.10
0.9× median
90713Top 25%

Poliovirus vaccine (IPV)

$74K

4,505 claims · 0.9%

Your Cost: $16.48/claim|Median: $5.41
3.0× median
92551Normal range

Screening audiometry, pure tone, air only

$74K

20K claims · 0.9%

Your Cost: $3.63/claim|Median: $6.61
0.5× median
Q3014Normal range

Telehealth originating site facility fee

$72K

4,075 claims · 0.9%

Your Cost: $17.56/claim|Median: $15.37
1.1× median
90658Top 25%

$71K

4,177 claims · 0.9%

Your Cost: $16.97/claim|Median: $8.96
1.9× median
90887Normal range

Interpretation/explanation of results

$67K

2,279 claims · 0.8%

Your Cost: $29.48/claim|Median: $47.55
0.6× median
90680Top 25%

$59K

3,462 claims · 0.7%

Your Cost: $17.13/claim|Median: $5.58
3.1× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$55K

4,579 claims · 0.7%

Your Cost: $12.10/claim|Median: $11.48
1.1× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$54K

5,070 claims · 0.7%

Your Cost: $10.57/claim|Median: $5.50
1.9× median
90716Top 25%

$52K

3,093 claims · 0.7%

Your Cost: $16.88/claim|Median: $6.18
2.7× median
99212Normal range

Office/outpatient visit, low complexity

$52K

1,501 claims · 0.7%

Your Cost: $34.77/claim|Median: $25.06
1.4× median
90707Top 25%

MMR vaccine

$51K

3,060 claims · 0.6%

Your Cost: $16.74/claim|Median: $5.76
2.9× median
← All providersHow we detect fraud →