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FORT SANDERS PERINATAL CENTER

Obstetrics & Gynecology, Maternal & Fetal Medicine·KNOXVILLE, TN·NPI: 1003811381Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$46.5M

$46,502,204

Total Claims

685K

Beneficiaries

442K

1.6 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$4.2M
+21%
2019
$5.1M
+54%
2020
$7.8M
-16%
2021
$6.6M
+21%
2022
$7.9M
-4%
2023
$7.6M
-3%
2024
$7.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (76816 (Ultrasound, pregnant uterus, follow-up)) accounts for 15% of total spending.

76816Top 25%

Ultrasound, pregnant uterus, follow-up

$6.8M

77K claims · 14.7%

Your Cost: $89.02/claim|Median: $58.55
1.5× median
76820Top 25%

$5.2M

85K claims · 11.2%

Your Cost: $61.77/claim|Median: $31.79
1.9× median
76819Top 25%

Fetal biophysical profile with non-stress test

$5.2M

62K claims · 11.2%

Your Cost: $84.10/claim|Median: $49.45
1.7× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$5.1M

3,097 claims · 11.0%

Your Cost: $1,646.31/claim|Median: $1,482.45
1.1× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$4.1M

22K claims · 8.7%

Your Cost: $186.39/claim|Median: $106.79
1.7× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$3.1M

34K claims · 6.7%

Your Cost: $89.92/claim|Median: $47.65
1.9× median
99213Normal range

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

$2.2M

43K claims · 4.7%

Your Cost: $50.13/claim|Median: $37.81
1.3× median
G0108Top 25%

Diabetes self-management training, individual

$1.7M

26K claims · 3.6%

Your Cost: $65.28/claim|Median: $35.89
1.8× median
76818Top 25%

$1.5M

13K claims · 3.2%

Your Cost: $110.87/claim|Median: $68.15
1.6× median
76830Top 25%

Ultrasound, transvaginal

$1.4M

15K claims · 2.9%

Your Cost: $91.45/claim|Median: $57.47
1.6× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$1.3M

16K claims · 2.8%

Your Cost: $80.07/claim|Median: $36.79
2.2× median
59510Normal range

$1.2M

735 claims · 2.7%

Your Cost: $1,684.40/claim|Median: $1,543.20
1.1× median
99214Top 25%

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

$1.2M

15K claims · 2.6%

Your Cost: $79.71/claim|Median: $53.41
1.5× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$897K

8,836 claims · 1.9%

Your Cost: $101.53/claim|Median: $58.16
1.7× median
59426Normal range

Antepartum care only, high risk, additional visits

$890K

1,329 claims · 1.9%

Your Cost: $669.88/claim|Median: $122.30
5.5× median
59025Normal range

Fetal non-stress test

$841K

22K claims · 1.8%

Your Cost: $39.07/claim|Median: $26.45
1.5× median
76825Top 25%

$799K

4,077 claims · 1.7%

Your Cost: $195.92/claim|Median: $103.74
1.9× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$485K

5,233 claims · 1.0%

Your Cost: $92.70/claim|Median: $70.87
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$345K

3,027 claims · 0.7%

Your Cost: $114.13/claim|Median: $74.09
1.5× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$289K

3,010 claims · 0.6%

Your Cost: $95.97/claim|Median: $72.71
1.3× median
99203Top 25%

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

$276K

3,366 claims · 0.6%

Your Cost: $81.98/claim|Median: $57.85
1.4× median
93325Top 10%

$260K

3,638 claims · 0.6%

Your Cost: $71.34/claim|Median: $14.61
4.9× median
99212Normal range

Office/outpatient visit, low complexity

$227K

7,575 claims · 0.5%

Your Cost: $30.00/claim|Median: $25.06
1.2× median
59410Normal range

$149K

175 claims · 0.3%

Your Cost: $849.92/claim|Median: $781.64
1.1× median
90715Top 5%

Tdap vaccine

$141K

2,951 claims · 0.3%

Your Cost: $47.84/claim|Median: $10.32
4.6× median
59409Normal range

Vaginal delivery only

$141K

186 claims · 0.3%

Your Cost: $756.66/claim|Median: $619.91
1.2× median
54150Top 10%

$128K

677 claims · 0.3%

Your Cost: $188.93/claim|Median: $84.60
2.2× median
81025Normal range

Urine pregnancy test

$95K

16K claims · 0.2%

Your Cost: $5.93/claim|Median: $4.81
1.2× median
36415Normal range

Collection of venous blood by venipuncture

$82K

34K claims · 0.2%

Your Cost: $2.37/claim|Median: $1.57
1.5× median
99204Top 25%

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

$53K

388 claims · 0.1%

Your Cost: $135.70/claim|Median: $84.03
1.6× median
99396Normal range

Preventive medicine, established patient, age 40-64

$48K

538 claims · 0.1%

Your Cost: $89.73/claim|Median: $76.06
1.2× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$44K

4,303 claims · 0.1%

Your Cost: $10.22/claim|Median: $9.80
1.0× median
99459Top 25%

$43K

2,166 claims · 0.1%

Your Cost: $19.79/claim|Median: $13.55
1.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$35K

6,265 claims · 0.1%

Your Cost: $5.54/claim|Median: $3.67
1.5× median
87210Normal range

$29K

8,194 claims · 0.1%

Your Cost: $3.60/claim|Median: $3.65
1.0× median
76856Top 25%

Ultrasound, pelvic, complete

$25K

245 claims · 0.1%

Your Cost: $100.05/claim|Median: $47.58
2.1× median
59425Top 10%

Antepartum care only, 4-6 visits

$22K

60 claims · 0.0%

Your Cost: $367.36/claim|Median: $63.63
5.8× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$22K

1,178 claims · 0.0%

Your Cost: $18.60/claim|Median: $9.56
1.9× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$21K

444 claims · 0.0%

Your Cost: $47.23/claim|Median: $40.11
1.2× median
0500FNormal range

$19K

3,317 claims · 0.0%

Your Cost: $5.76/claim|Median: $39.34
0.1× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$16K

231 claims · 0.0%

Your Cost: $71.30/claim|Median: $37.22
1.9× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$15K

739 claims · 0.0%

Your Cost: $20.54/claim|Median: $7.18
2.9× median
81002Top 25%

Urinalysis, non-automated without microscopy

$12K

4,435 claims · 0.0%

Your Cost: $2.80/claim|Median: $2.00
1.4× median
76821Top 10%

$12K

126 claims · 0.0%

Your Cost: $91.91/claim|Median: $46.75
2.0× median
J2790Normal range

$11K

147 claims · 0.0%

Your Cost: $72.34/claim|Median: $61.58
1.2× median
76826Normal range

$9K

84 claims · 0.0%

Your Cost: $109.71/claim|Median: $77.33
1.4× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$8K

73 claims · 0.0%

Your Cost: $105.26/claim|Median: $76.22
1.4× median
58300Normal range

$6K

90 claims · 0.0%

Your Cost: $67.52/claim|Median: $74.77
0.9× median
99239Top 5%

Hospital discharge day management, more than 30 minutes

$5K

46 claims · 0.0%

Your Cost: $112.91/claim|Median: $43.85
2.6× median
82274Normal range

$4K

649 claims · 0.0%

Your Cost: $6.43/claim|Median: $12.83
0.5× median

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