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

⚖️ Compare🖨️ Print Report

Provider 1538107875

NPI: 1538107875Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.3M

$16,302,229

Total Claims

1.4M

Beneficiaries

1.2M

1.2 claims/patient

Avg Cost/Claim

$11

Monthly Spending Trend

Yearly Spending

2018
$20K
+46%
2019
$30K
+823%
2020
$273K
+785%
2021
$2.4M
+92%
2022
$4.6M
+27%
2023
$5.9M
-48%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (74177 (CT abdomen and pelvis with contrast)) accounts for 26% of total spending.

74177Normal range

CT abdomen and pelvis with contrast

$4.2M

85K claims · 25.5%

Your Cost: $49.04/claim|Median: $65.76
0.7× median
71045Normal range

Chest X-ray, single view

$3.1M

732K claims · 19.1%

Your Cost: $4.25/claim|Median: $4.93
0.9× median
70450Normal range

CT head/brain without contrast

$2.7M

137K claims · 16.7%

Your Cost: $19.82/claim|Median: $45.53
0.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$959K

50K claims · 5.9%

Your Cost: $19.13/claim|Median: $36.79
0.5× median
71046Normal range

Chest X-ray, 2 views

$873K

132K claims · 5.4%

Your Cost: $6.63/claim|Median: $8.92
0.7× median
74176Normal range

CT abdomen and pelvis without contrast

$763K

18K claims · 4.7%

Your Cost: $41.79/claim|Median: $60.19
0.7× median
76705Normal range

Ultrasound, abdominal, limited

$601K

34K claims · 3.7%

Your Cost: $17.87/claim|Median: $23.81
0.8× median
74018Normal range

$467K

90K claims · 2.9%

Your Cost: $5.20/claim|Median: $7.00
0.7× median
70553Normal range

MRI brain without contrast, then with contrast

$267K

3,873 claims · 1.6%

Your Cost: $68.86/claim|Median: $133.68
0.5× median
72125Normal range

CT cervical spine without contrast

$190K

7,925 claims · 1.2%

Your Cost: $24.01/claim|Median: $32.30
0.7× median
70551Normal range

MRI brain without contrast

$188K

5,131 claims · 1.2%

Your Cost: $36.68/claim|Median: $85.39
0.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$184K

8,714 claims · 1.1%

Your Cost: $21.12/claim|Median: $47.65
0.4× median
71275Normal range

CT angiography, chest, with contrast

$157K

3,724 claims · 1.0%

Your Cost: $42.25/claim|Median: $92.96
0.5× median
93976Normal range

$152K

7,197 claims · 0.9%

Your Cost: $21.15/claim|Median: $42.06
0.5× median
77067Normal range

Screening mammography, bilateral, including CAD

$126K

7,634 claims · 0.8%

Your Cost: $16.44/claim|Median: $39.33
0.4× median
76819Normal range

Fetal biophysical profile with non-stress test

$120K

5,289 claims · 0.7%

Your Cost: $22.77/claim|Median: $49.45
0.5× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$99K

3,537 claims · 0.6%

Your Cost: $27.86/claim|Median: $58.16
0.5× median
76856Normal range

Ultrasound, pelvic, complete

$88K

4,476 claims · 0.5%

Your Cost: $19.59/claim|Median: $47.58
0.4× median
76770Normal range

Ultrasound, retroperitoneal, complete

$87K

3,789 claims · 0.5%

Your Cost: $22.92/claim|Median: $37.35
0.6× median
76700Normal range

Ultrasound, abdominal, complete

$84K

3,563 claims · 0.5%

Your Cost: $23.68/claim|Median: $50.69
0.5× median
73630Normal range

X-ray, foot, complete, minimum 3 views

$70K

13K claims · 0.4%

Your Cost: $5.30/claim|Median: $12.06
0.4× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$70K

5,560 claims · 0.4%

Your Cost: $12.64/claim|Median: $21.41
0.6× median
76830Normal range

Ultrasound, transvaginal

$68K

3,522 claims · 0.4%

Your Cost: $19.24/claim|Median: $57.47
0.3× median
73610Normal range

X-ray of ankle, complete, minimum three views

$67K

12K claims · 0.4%

Your Cost: $5.80/claim|Median: $13.55
0.4× median
74019Normal range

$41K

5,123 claims · 0.3%

Your Cost: $7.96/claim|Median: $9.82
0.8× median
73130Normal range

$38K

6,683 claims · 0.2%

Your Cost: $5.64/claim|Median: $10.69
0.5× median
71260Normal range

CT chest with contrast

$36K

959 claims · 0.2%

Your Cost: $37.82/claim|Median: $48.36
0.8× median
70498Normal range

$35K

933 claims · 0.2%

Your Cost: $37.62/claim|Median: $58.88
0.6× median
76506Normal range

$31K

3,417 claims · 0.2%

Your Cost: $9.20/claim|Median: $25.33
0.4× median
73562Normal range

$31K

5,455 claims · 0.2%

Your Cost: $5.68/claim|Median: $12.28
0.5× median
← All providersHow we detect fraud →