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Provider 1043533383

NPI: 1043533383Share
Active Billing Period:2018-01→2024-04(76 months)
Billing appears to have stoppedLast active: 2024-04

Total Paid

$9.1M

$9,077,743

Total Claims

216K

Beneficiaries

181K

1.2 claims/patient

Avg Cost/Claim

$42

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+99%
2019
$3.0M
-22%
2020
$2.4M
-19%
2021
$1.9M
-95%
2022
$95K
-7%
2023
$89K
-82%
2024
$16K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 36% of total spending.

99213Normal range

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

$3.3M

66K claims · 36.3%

Your Cost: $49.75/claim|Median: $37.81
1.3× median
99214Normal range

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

$2.9M

47K claims · 31.4%

Your Cost: $61.31/claim|Median: $53.41
1.1× median
59025Normal range

Fetal non-stress test

$408K

20K claims · 4.5%

Your Cost: $20.58/claim|Median: $26.45
0.8× median
76830Top 10%

Ultrasound, transvaginal

$367K

3,117 claims · 4.0%

Your Cost: $117.72/claim|Median: $57.47
2.0× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$288K

2,107 claims · 3.2%

Your Cost: $136.86/claim|Median: $74.78
1.8× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$262K

2,525 claims · 2.9%

Your Cost: $103.72/claim|Median: $58.55
1.8× median
99212Normal range

Office/outpatient visit, low complexity

$152K

4,849 claims · 1.7%

Your Cost: $31.34/claim|Median: $25.06
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$146K

1,892 claims · 1.6%

Your Cost: $77.30/claim|Median: $69.35
1.1× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$146K

1,554 claims · 1.6%

Your Cost: $93.96/claim|Median: $47.65
2.0× median
90460Top 10%

Immunization administration, first vaccine/toxoid, with counseling

$131K

2,948 claims · 1.4%

Your Cost: $44.30/claim|Median: $17.85
2.5× median
G0101Top 25%

Cervical/vaginal cancer screening; pelvic exam

$128K

3,942 claims · 1.4%

Your Cost: $32.51/claim|Median: $21.28
1.5× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$127K

1,145 claims · 1.4%

Your Cost: $110.50/claim|Median: $70.87
1.6× median
99392Normal range

Preventive medicine, established patient, age 1-4

$116K

1,361 claims · 1.3%

Your Cost: $85.09/claim|Median: $75.18
1.1× median
01967Top 25%

Anesthesia, neuraxial labor analgesia/delivery

$116K

246 claims · 1.3%

Your Cost: $470.33/claim|Median: $283.78
1.7× median
76818Top 25%

$105K

1,139 claims · 1.2%

Your Cost: $92.09/claim|Median: $68.15
1.4× median
99203Normal range

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

$75K

1,029 claims · 0.8%

Your Cost: $72.98/claim|Median: $57.85
1.3× median
Q0091Normal range

$43K

2,350 claims · 0.5%

Your Cost: $18.18/claim|Median: $11.15
1.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$39K

429 claims · 0.4%

Your Cost: $90.26/claim|Median: $80.15
1.1× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$39K

429 claims · 0.4%

Your Cost: $90.04/claim|Median: $74.82
1.2× median
90471Top 25%

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

$33K

1,831 claims · 0.4%

Your Cost: $17.78/claim|Median: $9.80
1.8× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$32K

611 claims · 0.3%

Your Cost: $51.76/claim|Median: $40.11
1.3× median
59514Normal range

Cesarean delivery only

$22K

154 claims · 0.2%

Your Cost: $141.31/claim|Median: $452.80
0.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$15K

373 claims · 0.2%

Your Cost: $40.30/claim|Median: $39.70
1.0× median
81025Normal range

Urine pregnancy test

$14K

3,057 claims · 0.2%

Your Cost: $4.58/claim|Median: $4.81
1.0× median
87804Normal range

Influenza virus detection, rapid test

$14K

2,071 claims · 0.2%

Your Cost: $6.59/claim|Median: $12.59
0.5× median
87880Normal range

Streptococcus, Group A, rapid antigen detection

$14K

1,934 claims · 0.1%

Your Cost: $7.03/claim|Median: $11.48
0.6× median
90472Normal range

Immunization administration, each additional vaccine

$13K

774 claims · 0.1%

Your Cost: $16.53/claim|Median: $11.79
1.4× median
99204Top 25%

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

$12K

110 claims · 0.1%

Your Cost: $112.27/claim|Median: $84.03
1.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$11K

621 claims · 0.1%

Your Cost: $18.30/claim|Median: $36.79
0.5× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$9K

60 claims · 0.1%

Your Cost: $154.60/claim|Median: $106.79
1.4× median
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