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Provider 1063659134

NPI: 1063659134Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,413,401

Total Claims

150K

Beneficiaries

92K

1.6 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$383K
+35%
2019
$515K
+210%
2020
$1.6M
+11%
2021
$1.8M
+20%
2022
$2.1M
-3%
2023
$2.1M
-3%
2024
$2.0M

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 33% of total spending.

99213Top 10%

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

$3.4M

47K claims · 32.9%

Your Cost: $72.38/claim|Median: $37.81
1.9× median
59409Normal range

Vaginal delivery only

$1.3M

2,005 claims · 12.6%

Your Cost: $654.47/claim|Median: $619.91
1.1× median
76818Normal range

$1.0M

15K claims · 9.9%

Your Cost: $67.12/claim|Median: $68.15
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$728K

12K claims · 7.0%

Your Cost: $62.87/claim|Median: $58.55
1.1× median
76820Normal range

$590K

20K claims · 5.7%

Your Cost: $29.64/claim|Median: $31.79
0.9× median
59514Top 25%

Cesarean delivery only

$462K

698 claims · 4.4%

Your Cost: $662.37/claim|Median: $452.80
1.5× median
59430Top 5%

$455K

1,978 claims · 4.4%

Your Cost: $229.78/claim|Median: $80.32
2.9× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$372K

6,709 claims · 3.6%

Your Cost: $55.49/claim|Median: $47.65
1.2× median
99214Normal range

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

$273K

3,694 claims · 2.6%

Your Cost: $73.81/claim|Median: $53.41
1.4× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$262K

3,290 claims · 2.5%

Your Cost: $79.50/claim|Median: $74.78
1.1× median
76830Normal range

Ultrasound, transvaginal

$246K

3,383 claims · 2.4%

Your Cost: $72.77/claim|Median: $57.47
1.3× median
76819Normal range

Fetal biophysical profile with non-stress test

$236K

4,317 claims · 2.3%

Your Cost: $54.57/claim|Median: $49.45
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$196K

2,501 claims · 1.9%

Your Cost: $78.41/claim|Median: $72.71
1.1× median
76815Normal range

Ultrasound, pregnant uterus, limited

$136K

2,861 claims · 1.3%

Your Cost: $47.60/claim|Median: $36.79
1.3× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$122K

1,953 claims · 1.2%

Your Cost: $62.22/claim|Median: $58.16
1.1× median
54150Normal range

$113K

1,665 claims · 1.1%

Your Cost: $68.04/claim|Median: $84.60
0.8× median
99212Normal range

Office/outpatient visit, low complexity

$102K

3,225 claims · 1.0%

Your Cost: $31.62/claim|Median: $25.06
1.3× median
58558Normal range

$93K

154 claims · 0.9%

Your Cost: $603.96/claim|Median: $942.89
0.6× median
81025Top 25%

Urine pregnancy test

$39K

5,152 claims · 0.4%

Your Cost: $7.55/claim|Median: $4.81
1.6× median
90715Normal range

Tdap vaccine

$34K

1,669 claims · 0.3%

Your Cost: $20.56/claim|Median: $10.32
2.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$34K

735 claims · 0.3%

Your Cost: $45.63/claim|Median: $40.11
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$26K

318 claims · 0.3%

Your Cost: $82.89/claim|Median: $76.06
1.1× median
99215Normal range

Office/outpatient visit, high complexity

$25K

253 claims · 0.2%

Your Cost: $98.07/claim|Median: $74.09
1.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$18K

306 claims · 0.2%

Your Cost: $57.93/claim|Median: $39.33
1.5× median
99203Normal range

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

$17K

242 claims · 0.2%

Your Cost: $68.54/claim|Median: $57.85
1.2× median
99204Normal range

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

$14K

140 claims · 0.1%

Your Cost: $99.29/claim|Median: $84.03
1.2× median
81002Top 25%

Urinalysis, non-automated without microscopy

$12K

3,984 claims · 0.1%

Your Cost: $2.96/claim|Median: $2.00
1.5× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$11K

1,349 claims · 0.1%

Your Cost: $7.82/claim|Median: $9.56
0.8× median
77063Normal range

Screening digital breast tomosynthesis, bilateral

$4K

304 claims · 0.0%

Your Cost: $14.47/claim|Median: $21.41
0.7× median
J2790Normal range

$4K

68 claims · 0.0%

Your Cost: $62.58/claim|Median: $61.58
1.0× median
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