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

⚖️ Compare🖨️ Print Report

Provider 1760095806

NPI: 1760095806Share
Active Billing Period:2020-12→2024-12(49 months)

Total Paid

$15.9M

$15,930,342

Total Claims

191K

Beneficiaries

165K

1.2 claims/patient

Avg Cost/Claim

$84

Monthly Spending Trend

Yearly Spending

2020
$12K
+5541%
2021
$677K
-52%
2022
$328K
+1260%
2023
$4.5M
+135%
2024
$10.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99223 (Initial hospital care, per day, high complexity)) accounts for 18% of total spending.

99223Top 1%

Initial hospital care, per day, high complexity

$2.8M

11K claims · 17.7%

Your Cost: $263.19/claim|Median: $67.32
3.9× median
99236Top 5%

Observation care same day admit and discharge

$2.7M

11K claims · 17.2%

Your Cost: $241.58/claim|Median: $128.23
1.9× median
99291Top 10%

Critical care, first 30-74 minutes

$1.5M

6,344 claims · 9.7%

Your Cost: $244.21/claim|Median: $101.24
2.4× median
01967Top 25%

Anesthesia, neuraxial labor analgesia/delivery

$1.3M

2,663 claims · 8.3%

Your Cost: $498.96/claim|Median: $283.78
1.8× median
00170Top 25%

Anesthesia for intraoral procedures

$903K

3,529 claims · 5.7%

Your Cost: $255.85/claim|Median: $132.89
1.9× median
74177Normal range

CT abdomen and pelvis with contrast

$645K

6,209 claims · 4.0%

Your Cost: $103.82/claim|Median: $65.76
1.6× median
70450Normal range

CT head/brain without contrast

$643K

9,535 claims · 4.0%

Your Cost: $67.41/claim|Median: $45.53
1.5× median
99239Top 1%

Hospital discharge day management, more than 30 minutes

$499K

3,407 claims · 3.1%

Your Cost: $146.53/claim|Median: $43.85
3.3× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$336K

3,719 claims · 2.1%

Your Cost: $90.35/claim|Median: $37.22
2.4× median
99220Normal range

$324K

8,912 claims · 2.0%

Your Cost: $36.39/claim|Median: $73.56
0.5× median
71045Top 25%

Chest X-ray, single view

$319K

36K claims · 2.0%

Your Cost: $8.93/claim|Median: $4.93
1.8× median
77067Normal range

Screening mammography, bilateral, including CAD

$300K

6,357 claims · 1.9%

Your Cost: $47.16/claim|Median: $39.33
1.2× median
99214Top 10%

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

$224K

2,139 claims · 1.4%

Your Cost: $104.50/claim|Median: $53.41
2.0× median
77063Top 25%

Screening digital breast tomosynthesis, bilateral

$217K

5,870 claims · 1.4%

Your Cost: $36.96/claim|Median: $21.41
1.7× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$192K

1,415 claims · 1.2%

Your Cost: $135.71/claim|Median: $35.30
3.8× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$183K

1,271 claims · 1.1%

Your Cost: $144.10/claim|Median: $51.25
2.8× median
99217Normal range

$176K

6,198 claims · 1.1%

Your Cost: $28.46/claim|Median: $31.89
0.9× median
71046Normal range

Chest X-ray, 2 views

$167K

12K claims · 1.0%

Your Cost: $14.04/claim|Median: $8.92
1.6× median
74176Normal range

CT abdomen and pelvis without contrast

$152K

1,832 claims · 1.0%

Your Cost: $83.17/claim|Median: $60.19
1.4× median
99213Normal range

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

$149K

2,790 claims · 0.9%

Your Cost: $53.54/claim|Median: $37.81
1.4× median
99235Top 5%

$129K

506 claims · 0.8%

Your Cost: $255.55/claim|Median: $110.13
2.3× median
00731Normal range

$125K

1,315 claims · 0.8%

Your Cost: $94.97/claim|Median: $64.75
1.5× median
00104Top 25%

$122K

1,284 claims · 0.8%

Your Cost: $94.72/claim|Median: $51.82
1.8× median
70551Normal range

MRI brain without contrast

$118K

966 claims · 0.7%

Your Cost: $122.16/claim|Median: $85.39
1.4× median
99219Normal range

$90K

2,784 claims · 0.6%

Your Cost: $32.22/claim|Median: $63.35
0.5× median
99204Top 5%

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

$89K

503 claims · 0.6%

Your Cost: $176.47/claim|Median: $84.03
2.1× median
76705Normal range

Ultrasound, abdominal, limited

$88K

1,903 claims · 0.6%

Your Cost: $46.28/claim|Median: $23.81
1.9× median
76642Normal range

$82K

1,900 claims · 0.5%

Your Cost: $43.35/claim|Median: $32.06
1.4× median
70553Normal range

MRI brain without contrast, then with contrast

$67K

292 claims · 0.4%

Your Cost: $230.64/claim|Median: $133.68
1.7× median
71275Normal range

CT angiography, chest, with contrast

$67K

1,421 claims · 0.4%

Your Cost: $46.84/claim|Median: $92.96
0.5× median
← All providersHow we detect fraud →