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Provider 1043263189

NPI: 1043263189Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.1M

$9,054,115

Total Claims

226K

Beneficiaries

210K

1.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-63%
2019
$734K
+20%
2020
$883K
+49%
2021
$1.3M
-50%
2022
$660K
+97%
2023
$1.3M
+70%
2024
$2.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J7307 (Etonogestrel implant system, including implant and supplies)) accounts for 13% of total spending.

J7307Normal range

Etonogestrel implant system, including implant and supplies

$1.2M

1,491 claims · 13.0%

Your Cost: $788.62/claim|Median: $786.43
1.0× median
99213Top 25%

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

$923K

15K claims · 10.2%

Your Cost: $60.19/claim|Median: $37.81
1.6× median
S4993Normal range

$659K

6,663 claims · 7.3%

Your Cost: $98.84/claim|Median: $46.61
2.1× median
99214Top 25%

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

$645K

6,791 claims · 7.1%

Your Cost: $95.01/claim|Median: $53.41
1.8× median
J3490Normal range

Unclassified drugs

$592K

23K claims · 6.5%

Your Cost: $25.95/claim|Median: $5.70
4.6× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$521K

5,593 claims · 5.8%

Your Cost: $93.12/claim|Median: $40.11
2.3× median
J7304Normal range

$440K

602 claims · 4.9%

Your Cost: $731.17/claim|Median: $630.59
1.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$413K

19K claims · 4.6%

Your Cost: $22.07/claim|Median: $12.93
1.7× median
99212Top 10%

Office/outpatient visit, low complexity

$401K

6,954 claims · 4.4%

Your Cost: $57.60/claim|Median: $25.06
2.3× median
99203Top 5%

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

$364K

1,812 claims · 4.0%

Your Cost: $200.76/claim|Median: $57.85
3.5× median
11981Normal range

$272K

1,545 claims · 3.0%

Your Cost: $175.89/claim|Median: $117.16
1.5× median
87806Normal range

$262K

16K claims · 2.9%

Your Cost: $16.85/claim|Median: $20.54
0.8× median
J7300Normal range

$234K

356 claims · 2.6%

Your Cost: $658.64/claim|Median: $692.75
1.0× median
99204Top 1%

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

$233K

984 claims · 2.6%

Your Cost: $236.90/claim|Median: $84.03
2.8× median
J7298Normal range

$228K

348 claims · 2.5%

Your Cost: $656.33/claim|Median: $751.11
0.9× median
58300Normal range

$228K

2,830 claims · 2.5%

Your Cost: $80.57/claim|Median: $74.77
1.1× median
S0199Normal range

$217K

871 claims · 2.4%

Your Cost: $249.67/claim|Median: $454.23
0.5× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$162K

2,280 claims · 1.8%

Your Cost: $71.20/claim|Median: $27.38
2.6× median
90651Top 1%

HPV vaccine, 9-valent

$145K

580 claims · 1.6%

Your Cost: $250.86/claim|Median: $8.93
28.1× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$103K

1,976 claims · 1.1%

Your Cost: $52.31/claim|Median: $96.39
0.5× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$85K

5,025 claims · 0.9%

Your Cost: $16.96/claim|Median: $21.08
0.8× median
11976Normal range

$83K

1,527 claims · 0.9%

Your Cost: $54.45/claim|Median: $57.06
1.0× median
A4267Normal range

$73K

12K claims · 0.8%

Your Cost: $6.33/claim|Median: $7.86
0.8× median
99402Normal range

$64K

2,015 claims · 0.7%

Your Cost: $31.76/claim|Median: $31.79
1.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$55K

12K claims · 0.6%

Your Cost: $4.56/claim|Median: $24.95
0.2× median
76815Normal range

Ultrasound, pregnant uterus, limited

$54K

2,279 claims · 0.6%

Your Cost: $23.61/claim|Median: $36.79
0.6× median
58301Normal range

$51K

2,057 claims · 0.6%

Your Cost: $24.65/claim|Median: $49.65
0.5× median
99401Normal range

$41K

2,162 claims · 0.5%

Your Cost: $19.07/claim|Median: $16.53
1.2× median
99403Normal range

$34K

774 claims · 0.4%

Your Cost: $44.45/claim|Median: $47.11
0.9× median
81025Normal range

Urine pregnancy test

$34K

15K claims · 0.4%

Your Cost: $2.26/claim|Median: $4.81
0.5× median
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