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Provider 1003280546

NPI: 1003280546Share
Active Billing Period:2018-10→2024-12(75 months)

Total Paid

$7.6M

$7,580,634

Total Claims

94K

Beneficiaries

73K

1.3 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$75K
+818%
2019
$687K
-9%
2020
$624K
+89%
2021
$1.2M
+38%
2022
$1.6M
+14%
2023
$1.9M
-19%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H1000 (Prenatal care, at-risk assessment)) accounts for 23% of total spending.

H1000Normal range

Prenatal care, at-risk assessment

$1.8M

30K claims · 23.1%

Your Cost: $59.30/claim|Median: $50.36
1.2× median
59410Normal range

$1.5M

1,604 claims · 19.4%

Your Cost: $914.78/claim|Median: $781.64
1.2× median
59515Normal range

$1.1M

1,147 claims · 14.2%

Your Cost: $941.17/claim|Median: $786.24
1.2× median
99213Normal range

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

$570K

15K claims · 7.5%

Your Cost: $38.84/claim|Median: $37.81
1.0× median
H1001Top 10%

$370K

2,353 claims · 4.9%

Your Cost: $157.42/claim|Median: $60.48
2.6× median
93975Top 25%

Duplex scan of arterial inflow and venous outflow, complete

$365K

1,921 claims · 4.8%

Your Cost: $190.07/claim|Median: $79.28
2.4× median
99203Normal range

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

$326K

4,337 claims · 4.3%

Your Cost: $75.14/claim|Median: $57.85
1.3× median
76830Normal range

Ultrasound, transvaginal

$324K

4,826 claims · 4.3%

Your Cost: $67.06/claim|Median: $57.47
1.2× median
59430Top 25%

$242K

1,977 claims · 3.2%

Your Cost: $122.43/claim|Median: $80.32
1.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$232K

2,969 claims · 3.1%

Your Cost: $78.18/claim|Median: $72.71
1.1× median
76856Normal range

Ultrasound, pelvic, complete

$195K

4,895 claims · 2.6%

Your Cost: $39.82/claim|Median: $47.58
0.8× median
J7297Normal range

$163K

237 claims · 2.1%

Your Cost: $686.15/claim|Median: $569.39
1.2× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$119K

1,473 claims · 1.6%

Your Cost: $80.81/claim|Median: $76.22
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$49K

601 claims · 0.6%

Your Cost: $81.81/claim|Median: $76.06
1.1× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$46K

348 claims · 0.6%

Your Cost: $131.78/claim|Median: $144.04
0.9× median
58300Normal range

$45K

487 claims · 0.6%

Your Cost: $93.10/claim|Median: $74.77
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$30K

1,154 claims · 0.4%

Your Cost: $26.41/claim|Median: $25.06
1.1× median
99204Top 25%

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

$27K

220 claims · 0.4%

Your Cost: $122.39/claim|Median: $84.03
1.5× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$27K

262 claims · 0.3%

Your Cost: $101.22/claim|Median: $87.82
1.2× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$25K

307 claims · 0.3%

Your Cost: $82.98/claim|Median: $58.16
1.4× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$21K

324 claims · 0.3%

Your Cost: $64.99/claim|Median: $58.55
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$21K

263 claims · 0.3%

Your Cost: $78.99/claim|Median: $74.78
1.1× median
99214Normal range

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

$15K

249 claims · 0.2%

Your Cost: $61.75/claim|Median: $53.41
1.2× median
99459Normal range

$12K

744 claims · 0.2%

Your Cost: $15.96/claim|Median: $13.55
1.2× median
58100Normal range

$10K

163 claims · 0.1%

Your Cost: $62.99/claim|Median: $54.64
1.2× median
58662Normal range

$9K

72 claims · 0.1%

Your Cost: $124.74/claim|Median: $457.94
0.3× median
95004Normal range

Percutaneous allergy skin tests, each

$9K

56 claims · 0.1%

Your Cost: $155.08/claim|Median: $134.97
1.1× median
58301Normal range

$6K

76 claims · 0.1%

Your Cost: $76.51/claim|Median: $49.65
1.5× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$5K

41 claims · 0.1%

Your Cost: $122.90/claim|Median: $96.39
1.3× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$5K

115 claims · 0.1%

Your Cost: $41.26/claim|Median: $37.22
1.1× median
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