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Provider 1013902923

NPI: 1013902923Share
Active Billing Period:2018-06→2024-12(75 months)

Total Paid

$14.7M

$14,681,554

Total Claims

397K

Beneficiaries

289K

1.4 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$423
+496895%
2019
$2.1M
+36%
2020
$2.9M
+11%
2021
$3.2M
-27%
2022
$2.3M
+12%
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 (H1000 (Prenatal care, at-risk assessment)) accounts for 69% of total spending.

H1000Normal range

Prenatal care, at-risk assessment

$10.2M

204K claims · 69.5%

Your Cost: $50.01/claim|Median: $50.36
1.0× median
59430Top 25%

$625K

5,210 claims · 4.3%

Your Cost: $119.93/claim|Median: $80.32
1.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$489K

5,067 claims · 3.3%

Your Cost: $96.53/claim|Median: $106.79
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$440K

7,915 claims · 3.0%

Your Cost: $55.55/claim|Median: $58.55
0.9× median
81420Normal range

Fetal chromosomal aneuploidy genomic sequence analysis

$438K

1,262 claims · 3.0%

Your Cost: $346.86/claim|Median: $358.21
1.0× median
59410Normal range

$336K

404 claims · 2.3%

Your Cost: $832.73/claim|Median: $781.64
1.1× median
99214Normal range

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

$281K

5,888 claims · 1.9%

Your Cost: $47.66/claim|Median: $53.41
0.9× median
99213Normal range

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

$211K

6,165 claims · 1.4%

Your Cost: $34.29/claim|Median: $37.81
0.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$157K

1,934 claims · 1.1%

Your Cost: $81.42/claim|Median: $74.78
1.1× median
76819Normal range

Fetal biophysical profile with non-stress test

$153K

4,211 claims · 1.0%

Your Cost: $36.45/claim|Median: $49.45
0.7× median
H1001Top 25%

$133K

1,194 claims · 0.9%

Your Cost: $111.68/claim|Median: $60.48
1.8× median
59025Normal range

Fetal non-stress test

$123K

4,224 claims · 0.8%

Your Cost: $29.12/claim|Median: $26.45
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$108K

7,357 claims · 0.7%

Your Cost: $14.65/claim|Median: $23.39
0.6× median
86762Top 25%

$92K

5,618 claims · 0.6%

Your Cost: $16.39/claim|Median: $9.97
1.6× median
59515Top 25%

$68K

67 claims · 0.5%

Your Cost: $1,012.63/claim|Median: $786.24
1.3× median
99204Normal range

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

$59K

720 claims · 0.4%

Your Cost: $81.29/claim|Median: $84.03
1.0× median
86702Normal range

$56K

8,579 claims · 0.4%

Your Cost: $6.51/claim|Median: $7.25
0.9× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$41K

2,208 claims · 0.3%

Your Cost: $18.50/claim|Median: $9.87
1.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$40K

7,569 claims · 0.3%

Your Cost: $5.24/claim|Median: $24.95
0.2× median
76830Normal range

Ultrasound, transvaginal

$35K

786 claims · 0.2%

Your Cost: $44.44/claim|Median: $57.47
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$34K

15K claims · 0.2%

Your Cost: $2.25/claim|Median: $4.71
0.5× median
76815Normal range

Ultrasound, pregnant uterus, limited

$33K

715 claims · 0.2%

Your Cost: $46.79/claim|Median: $36.79
1.3× median
86803Normal range

Hepatitis C antibody

$29K

5,971 claims · 0.2%

Your Cost: $4.87/claim|Median: $10.17
0.5× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$28K

914 claims · 0.2%

Your Cost: $30.73/claim|Median: $47.65
0.6× median
87653Normal range

$27K

3,103 claims · 0.2%

Your Cost: $8.70/claim|Median: $19.33
0.5× median
87086Normal range

Urine culture, colony count, with identification

$26K

9,282 claims · 0.2%

Your Cost: $2.80/claim|Median: $5.31
0.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$24K

323 claims · 0.2%

Your Cost: $75.49/claim|Median: $72.71
1.0× median
76821Normal range

$23K

879 claims · 0.2%

Your Cost: $26.45/claim|Median: $46.75
0.6× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$23K

360 claims · 0.2%

Your Cost: $63.01/claim|Median: $70.87
0.9× median
81025Normal range

Urine pregnancy test

$22K

6,856 claims · 0.1%

Your Cost: $3.17/claim|Median: $4.81
0.7× median
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