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

⚖️ Compare🖨️ Print Report

Provider 1477609865

NPI: 1477609865Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.5M

$15,533,614

Total Claims

525K

Beneficiaries

460K

1.1 claims/patient

Avg Cost/Claim

$30

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+11%
2019
$2.5M
-25%
2020
$1.9M
+22%
2021
$2.3M
-2%
2022
$2.3M
+14%
2023
$2.6M
-34%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 45% of total spending.

99214Normal range

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

$7.0M

170K claims · 45.3%

Your Cost: $41.37/claim|Median: $53.41
0.8× median
99213Normal range

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

$3.1M

101K claims · 19.7%

Your Cost: $30.33/claim|Median: $37.81
0.8× median
99204Normal range

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

$520K

7,254 claims · 3.3%

Your Cost: $71.64/claim|Median: $84.03
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$449K

21K claims · 2.9%

Your Cost: $20.88/claim|Median: $25.06
0.8× median
93010Normal range

Electrocardiogram, interpretation and report only

$341K

58K claims · 2.2%

Your Cost: $5.89/claim|Median: $5.60
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$329K

9,923 claims · 2.1%

Your Cost: $33.12/claim|Median: $54.68
0.6× median
59410Normal range

$306K

436 claims · 2.0%

Your Cost: $702.79/claim|Median: $781.64
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$206K

3,965 claims · 1.3%

Your Cost: $51.96/claim|Median: $72.71
0.7× median
99203Normal range

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

$200K

4,610 claims · 1.3%

Your Cost: $43.40/claim|Median: $57.85
0.8× median
95806Normal range

$198K

2,093 claims · 1.3%

Your Cost: $94.47/claim|Median: $64.51
1.5× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$181K

12K claims · 1.2%

Your Cost: $14.86/claim|Median: $23.99
0.6× median
01967Normal range

Anesthesia, neuraxial labor analgesia/delivery

$149K

582 claims · 1.0%

Your Cost: $255.99/claim|Median: $283.78
0.9× median
74177Normal range

CT abdomen and pelvis with contrast

$135K

2,491 claims · 0.9%

Your Cost: $54.38/claim|Median: $65.76
0.8× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$112K

2,913 claims · 0.7%

Your Cost: $38.62/claim|Median: $74.78
0.5× median
97597Normal range

$109K

6,807 claims · 0.7%

Your Cost: $15.98/claim|Median: $21.22
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$102K

1,943 claims · 0.7%

Your Cost: $52.62/claim|Median: $69.35
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$100K

3,598 claims · 0.6%

Your Cost: $27.67/claim|Median: $58.55
0.5× median
90960Normal range

End-stage renal disease services, per month, age 20+

$99K

2,052 claims · 0.6%

Your Cost: $48.23/claim|Median: $52.76
0.9× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$95K

929 claims · 0.6%

Your Cost: $102.37/claim|Median: $233.73
0.4× median
76830Normal range

Ultrasound, transvaginal

$94K

3,600 claims · 0.6%

Your Cost: $26.19/claim|Median: $57.47
0.5× median
95811Normal range

Sleep study with CPAP titration, polysomnography

$72K

736 claims · 0.5%

Your Cost: $98.32/claim|Median: $255.03
0.4× median
71046Normal range

Chest X-ray, 2 views

$70K

10K claims · 0.4%

Your Cost: $6.73/claim|Median: $8.92
0.8× median
74176Normal range

CT abdomen and pelvis without contrast

$67K

1,256 claims · 0.4%

Your Cost: $52.96/claim|Median: $60.19
0.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$65K

2,822 claims · 0.4%

Your Cost: $23.14/claim|Median: $39.33
0.6× median
70450Normal range

CT head/brain without contrast

$65K

2,891 claims · 0.4%

Your Cost: $22.42/claim|Median: $45.53
0.5× median
99392Normal range

Preventive medicine, established patient, age 1-4

$60K

1,017 claims · 0.4%

Your Cost: $59.18/claim|Median: $75.18
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$56K

608 claims · 0.4%

Your Cost: $92.77/claim|Median: $151.68
0.6× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$49K

2,387 claims · 0.3%

Your Cost: $20.68/claim|Median: $17.85
1.2× median
70553Normal range

MRI brain without contrast, then with contrast

$49K

721 claims · 0.3%

Your Cost: $68.17/claim|Median: $133.68
0.5× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$49K

1,422 claims · 0.3%

Your Cost: $34.23/claim|Median: $58.16
0.6× median
← All providersHow we detect fraud →