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

⚖️ Compare🖨️ Print Report

Provider 1497790042

NPI: 1497790042Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.0M

$14,021,621

Total Claims

846K

Beneficiaries

686K

1.2 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+35%
2019
$2.0M
-12%
2020
$1.8M
+24%
2021
$2.2M
+14%
2022
$2.5M
+4%
2023
$2.6M
-37%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (80047) accounts for 7% of total spending.

80047Top 10%

$995K

33K claims · 7.1%

Your Cost: $29.81/claim|Median: $6.12
4.9× median
70450Top 25%

CT head/brain without contrast

$720K

8,353 claims · 5.1%

Your Cost: $86.15/claim|Median: $45.53
1.9× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$688K

6,610 claims · 4.9%

Your Cost: $104.02/claim|Median: $91.47
1.1× median
74177Normal range

CT abdomen and pelvis with contrast

$654K

5,235 claims · 4.7%

Your Cost: $124.95/claim|Median: $65.76
1.9× median
11042Top 25%

Debridement, subcutaneous tissue, first 20 sq cm

$606K

4,591 claims · 4.3%

Your Cost: $131.96/claim|Median: $36.13
3.7× median
72148Top 25%

MRI lumbar spine without contrast

$444K

2,141 claims · 3.2%

Your Cost: $207.41/claim|Median: $101.03
2.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$432K

4,406 claims · 3.1%

Your Cost: $98.15/claim|Median: $54.68
1.8× median
71275Top 25%

CT angiography, chest, with contrast

$379K

2,073 claims · 2.7%

Your Cost: $182.63/claim|Median: $92.96
2.0× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$333K

47K claims · 2.4%

Your Cost: $7.11/claim|Median: $4.71
1.5× median
80048Top 10%

Basic metabolic panel

$315K

13K claims · 2.2%

Your Cost: $23.86/claim|Median: $5.78
4.1× median
Q9967Top 5%

Low osmolar contrast material, 300-399 mg iodine/ml, per ml

$287K

2,719 claims · 2.0%

Your Cost: $105.39/claim|Median: $3.42
30.8× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$272K

27K claims · 1.9%

Your Cost: $9.92/claim|Median: $7.50
1.3× median
36415Top 25%

Collection of venous blood by venipuncture

$267K

53K claims · 1.9%

Your Cost: $5.01/claim|Median: $1.57
3.2× median
97110Normal range

Therapeutic exercises, each 15 min

$260K

8,418 claims · 1.9%

Your Cost: $30.84/claim|Median: $24.49
1.3× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$256K

6,070 claims · 1.8%

Your Cost: $42.20/claim|Median: $54.77
0.8× median
80307Top 25%

Drug test, presumptive, by chemistry analyzers

$238K

4,288 claims · 1.7%

Your Cost: $55.54/claim|Median: $35.43
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$230K

3,555 claims · 1.6%

Your Cost: $64.80/claim|Median: $60.19
1.1× median
72125Top 25%

CT cervical spine without contrast

$210K

1,895 claims · 1.5%

Your Cost: $110.92/claim|Median: $32.30
3.4× median
71046Normal range

Chest X-ray, 2 views

$209K

14K claims · 1.5%

Your Cost: $14.63/claim|Median: $8.92
1.6× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$196K

2,720 claims · 1.4%

Your Cost: $72.01/claim|Median: $79.28
0.9× median
J2785Top 25%

$181K

1,319 claims · 1.3%

Your Cost: $136.91/claim|Median: $61.83
2.2× median
87631Normal range

Respiratory virus detection, 3-5 targets, multiplex

$162K

2,158 claims · 1.2%

Your Cost: $75.01/claim|Median: $65.45
1.1× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$157K

1,981 claims · 1.1%

Your Cost: $79.22/claim|Median: $100.62
0.8× median
78452Normal range

Myocardial perfusion imaging, SPECT, multiple studies

$156K

1,632 claims · 1.1%

Your Cost: $95.86/claim|Median: $106.14
0.9× median
87651Top 10%

Streptococcus Group A detection, nucleic acid, amplified probe

$137K

3,031 claims · 1.0%

Your Cost: $45.11/claim|Median: $28.46
1.6× median
80076Top 25%

Hepatic function panel

$133K

13K claims · 0.9%

Your Cost: $10.42/claim|Median: $4.59
2.3× median
T1015Normal range

Clinic visit/encounter, all-inclusive

$128K

11K claims · 0.9%

Your Cost: $11.20/claim|Median: $121.16
0.1× median
70551Top 25%

MRI brain without contrast

$122K

592 claims · 0.9%

Your Cost: $206.24/claim|Median: $85.39
2.4× median
84703Top 25%

Human chorionic gonadotropin (hCG) quantitative blood test

$119K

13K claims · 0.8%

Your Cost: $9.12/claim|Median: $4.20
2.2× median
80051Top 25%

Electrolyte panel blood test

$108K

6,059 claims · 0.8%

Your Cost: $17.89/claim|Median: $1.56
11.5× median
← All providersHow we detect fraud →