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Provider 1053364034

NPI: 1053364034Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,014,711

Total Claims

132K

Beneficiaries

122K

1.1 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-27%
2019
$1.1M
-1%
2020
$1.1M
+40%
2021
$1.6M
-36%
2022
$1.0M
+28%
2023
$1.3M
-5%
2024
$1.3M

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

1,349 claims · 12.9%

Your Cost: $859.69/claim|Median: $786.43
1.1× median
S0199Top 5%

$961K

1,297 claims · 10.7%

Your Cost: $740.98/claim|Median: $454.23
1.6× median
J7304Normal range

$867K

993 claims · 9.6%

Your Cost: $873.42/claim|Median: $630.59
1.4× median
99213Top 5%

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

$821K

7,621 claims · 9.1%

Your Cost: $107.76/claim|Median: $37.81
2.9× median
99214Top 5%

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

$763K

4,702 claims · 8.5%

Your Cost: $162.34/claim|Median: $53.41
3.0× median
J3490Top 25%

Unclassified drugs

$678K

17K claims · 7.5%

Your Cost: $38.77/claim|Median: $5.70
6.8× median
S4993Top 25%

$652K

5,382 claims · 7.2%

Your Cost: $121.14/claim|Median: $46.61
2.6× median
99212Top 10%

Office/outpatient visit, low complexity

$410K

5,479 claims · 4.6%

Your Cost: $74.91/claim|Median: $25.06
3.0× median
99211Top 25%

Office/outpatient visit, minimal complexity

$383K

10K claims · 4.2%

Your Cost: $37.49/claim|Median: $12.93
2.9× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$350K

2,596 claims · 3.9%

Your Cost: $134.76/claim|Median: $40.11
3.4× median
99203Top 1%

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

$312K

1,398 claims · 3.5%

Your Cost: $223.20/claim|Median: $57.85
3.9× median
11981Normal range

$255K

1,375 claims · 2.8%

Your Cost: $185.12/claim|Median: $117.16
1.6× median
87806Top 25%

$245K

9,550 claims · 2.7%

Your Cost: $25.68/claim|Median: $20.54
1.3× median
11976Top 25%

$198K

2,800 claims · 2.2%

Your Cost: $70.73/claim|Median: $57.06
1.2× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$159K

2,009 claims · 1.8%

Your Cost: $79.04/claim|Median: $27.38
2.9× median
A4267Top 25%

$144K

11K claims · 1.6%

Your Cost: $13.63/claim|Median: $7.86
1.7× median
99204Top 1%

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

$139K

547 claims · 1.5%

Your Cost: $254.56/claim|Median: $84.03
3.0× median
S0190Normal range

$72K

1,191 claims · 0.8%

Your Cost: $60.35/claim|Median: $58.42
1.0× median
58300Normal range

$56K

598 claims · 0.6%

Your Cost: $94.02/claim|Median: $74.77
1.3× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$52K

1,727 claims · 0.6%

Your Cost: $30.21/claim|Median: $21.08
1.4× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$42K

525 claims · 0.5%

Your Cost: $79.08/claim|Median: $36.79
2.1× median
99401Normal range

$36K

1,868 claims · 0.4%

Your Cost: $19.07/claim|Median: $16.53
1.2× median
S9445Normal range

$30K

2,386 claims · 0.3%

Your Cost: $12.72/claim|Median: $12.72
1.0× median
J7303Top 25%

$28K

105 claims · 0.3%

Your Cost: $270.56/claim|Median: $125.58
2.2× median
99000Normal range

$27K

7,432 claims · 0.3%

Your Cost: $3.65/claim|Median: $2.30
1.6× median
81025Normal range

Urine pregnancy test

$27K

8,518 claims · 0.3%

Your Cost: $3.12/claim|Median: $4.81
0.6× median
99402Normal range

$18K

557 claims · 0.2%

Your Cost: $31.79/claim|Median: $31.79
1.0× median
58301Normal range

$17K

424 claims · 0.2%

Your Cost: $40.99/claim|Median: $49.65
0.8× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$16K

5,244 claims · 0.2%

Your Cost: $3.06/claim|Median: $28.63
0.1× median
83986Normal range

$16K

5,329 claims · 0.2%

Your Cost: $2.95/claim|Median: $2.70
1.1× median
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