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Provider 1043304769

NPI: 1043304769Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,186,454

Total Claims

127K

Beneficiaries

118K

1.1 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$2.4M
-53%
2019
$1.1M
-58%
2020
$475K
+28%
2021
$609K
+122%
2022
$1.4M
+6%
2023
$1.4M
-43%
2024
$821K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99212 (Office/outpatient visit, low complexity)) accounts for 16% of total spending.

99212Top 25%

Office/outpatient visit, low complexity

$1.3M

24K claims · 16.0%

Your Cost: $53.53/claim|Median: $25.06
2.1× median
J7307Top 25%

Etonogestrel implant system, including implant and supplies

$1.1M

1,092 claims · 13.1%

Your Cost: $984.26/claim|Median: $786.43
1.3× median
J7298Normal range

$1.0M

1,331 claims · 12.8%

Your Cost: $787.35/claim|Median: $751.11
1.0× median
J3490Top 25%

Unclassified drugs

$717K

14K claims · 8.8%

Your Cost: $51.97/claim|Median: $5.70
9.1× median
S0199Normal range

$673K

1,858 claims · 8.2%

Your Cost: $362.36/claim|Median: $454.23
0.8× median
58300Normal range

$401K

3,929 claims · 4.9%

Your Cost: $102.17/claim|Median: $74.77
1.4× median
S4993Top 25%

$354K

2,717 claims · 4.3%

Your Cost: $130.21/claim|Median: $46.61
2.8× median
A4267Top 5%

$301K

14K claims · 3.7%

Your Cost: $21.02/claim|Median: $7.86
2.7× median
90651Top 5%

HPV vaccine, 9-valent

$293K

1,325 claims · 3.6%

Your Cost: $220.79/claim|Median: $8.93
24.7× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$267K

2,483 claims · 3.3%

Your Cost: $107.60/claim|Median: $40.11
2.7× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$223K

7,440 claims · 2.7%

Your Cost: $29.92/claim|Median: $24.95
1.2× median
11981Top 25%

$196K

908 claims · 2.4%

Your Cost: $215.99/claim|Median: $117.16
1.8× median
59840Normal range

$188K

1,180 claims · 2.3%

Your Cost: $158.90/claim|Median: $190.09
0.8× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$135K

7,411 claims · 1.7%

Your Cost: $18.28/claim|Median: $23.39
0.8× median
G9920Top 25%

$81K

3,031 claims · 1.0%

Your Cost: $26.62/claim|Median: $6.56
4.1× median
76830Normal range

Ultrasound, transvaginal

$71K

1,403 claims · 0.9%

Your Cost: $50.73/claim|Median: $57.47
0.9× median
S0190Normal range

$69K

1,223 claims · 0.8%

Your Cost: $56.45/claim|Median: $58.42
1.0× median
Q0144Top 10%

$65K

2,420 claims · 0.8%

Your Cost: $26.74/claim|Median: $5.57
4.8× median
76815Normal range

Ultrasound, pregnant uterus, limited

$60K

1,196 claims · 0.7%

Your Cost: $50.39/claim|Median: $36.79
1.4× median
58301Normal range

$59K

1,604 claims · 0.7%

Your Cost: $36.98/claim|Median: $49.65
0.7× median
87806Normal range

$58K

3,412 claims · 0.7%

Your Cost: $17.02/claim|Median: $20.54
0.8× median
11976Normal range

$54K

1,034 claims · 0.7%

Your Cost: $52.37/claim|Median: $57.06
0.9× median
99000Top 10%

$52K

2,714 claims · 0.6%

Your Cost: $19.13/claim|Median: $2.30
8.3× median
99213Normal range

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

$48K

1,511 claims · 0.6%

Your Cost: $31.78/claim|Median: $37.81
0.8× median
99211Top 10%

Office/outpatient visit, minimal complexity

$46K

823 claims · 0.6%

Your Cost: $55.47/claim|Median: $12.93
4.3× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$38K

658 claims · 0.5%

Your Cost: $58.14/claim|Median: $96.39
0.6× median
J7296Top 1%

Levonorgestrel intrauterine contraceptive system insertion

$38K

24 claims · 0.5%

Your Cost: $1,588.49/claim|Median: $860.31
1.8× median
01966Normal range

$36K

979 claims · 0.4%

Your Cost: $36.45/claim|Median: $80.99
0.5× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$32K

484 claims · 0.4%

Your Cost: $65.42/claim|Median: $47.65
1.4× median
J7300Normal range

$28K

39 claims · 0.3%

Your Cost: $730.44/claim|Median: $692.75
1.1× median
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