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Provider 1073669040

NPI: 1073669040Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.7M

$15,726,503

Total Claims

584K

Beneficiaries

558K

1.0 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-42%
2019
$1.7M
+25%
2020
$2.1M
+7%
2021
$2.3M
-23%
2022
$1.8M
+67%
2023
$3.0M
-35%
2024
$1.9M

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 16% of total spending.

99213Top 10%

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

$2.5M

36K claims · 16.1%

Your Cost: $71.45/claim|Median: $37.81
1.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$2.4M

92K claims · 15.3%

Your Cost: $26.20/claim|Median: $24.95
1.1× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$2.2M

92K claims · 13.9%

Your Cost: $23.80/claim|Median: $23.39
1.0× median
J3490Normal range

Unclassified drugs

$1.2M

51K claims · 7.8%

Your Cost: $23.82/claim|Median: $5.70
4.2× median
99214Top 10%

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

$1.0M

10K claims · 6.6%

Your Cost: $102.68/claim|Median: $53.41
1.9× median
S4993Top 25%

$858K

7,955 claims · 5.5%

Your Cost: $107.91/claim|Median: $46.61
2.3× median
87806Normal range

$810K

44K claims · 5.2%

Your Cost: $18.56/claim|Median: $20.54
0.9× median
99212Top 10%

Office/outpatient visit, low complexity

$762K

13K claims · 4.8%

Your Cost: $58.53/claim|Median: $25.06
2.3× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$635K

31K claims · 4.0%

Your Cost: $20.27/claim|Median: $21.08
1.0× median
99203Top 5%

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

$631K

3,178 claims · 4.0%

Your Cost: $198.44/claim|Median: $57.85
3.4× median
99211Top 25%

Office/outpatient visit, minimal complexity

$578K

16K claims · 3.7%

Your Cost: $37.19/claim|Median: $12.93
2.9× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$501K

4,353 claims · 3.2%

Your Cost: $115.08/claim|Median: $40.11
2.9× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$223K

385 claims · 1.4%

Your Cost: $578.20/claim|Median: $786.43
0.7× median
81025Normal range

Urine pregnancy test

$183K

46K claims · 1.2%

Your Cost: $4.01/claim|Median: $4.81
0.8× median
A4267Normal range

$135K

32K claims · 0.9%

Your Cost: $4.22/claim|Median: $7.86
0.5× median
Q3014Normal range

Telehealth originating site facility fee

$132K

7,805 claims · 0.8%

Your Cost: $16.97/claim|Median: $15.37
1.1× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$120K

1,326 claims · 0.8%

Your Cost: $90.72/claim|Median: $27.38
3.3× median
99000Normal range

$113K

32K claims · 0.7%

Your Cost: $3.55/claim|Median: $2.30
1.5× median
S5199Normal range

Personal care item, NOS, each

$82K

12K claims · 0.5%

Your Cost: $6.74/claim|Median: $10.82
0.6× median
S0199Normal range

$81K

228 claims · 0.5%

Your Cost: $356.27/claim|Median: $454.23
0.8× median
59840Normal range

$70K

643 claims · 0.4%

Your Cost: $108.67/claim|Median: $190.09
0.6× median
99204Top 5%

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

$66K

295 claims · 0.4%

Your Cost: $223.36/claim|Median: $84.03
2.7× median
11981Normal range

$64K

388 claims · 0.4%

Your Cost: $163.72/claim|Median: $117.16
1.4× median
S5000Normal range

Prescription drug, generic

$37K

6,676 claims · 0.2%

Your Cost: $5.55/claim|Median: $7.47
0.7× median
S9445Normal range

$34K

2,638 claims · 0.2%

Your Cost: $12.71/claim|Median: $12.72
1.0× median
83986Normal range

$33K

14K claims · 0.2%

Your Cost: $2.36/claim|Median: $2.70
0.9× median
58300Normal range

$33K

518 claims · 0.2%

Your Cost: $63.10/claim|Median: $74.77
0.8× median
87210Normal range

$25K

9,392 claims · 0.2%

Your Cost: $2.71/claim|Median: $3.65
0.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$20K

411 claims · 0.1%

Your Cost: $49.07/claim|Median: $47.65
1.0× median
11976Normal range

$17K

426 claims · 0.1%

Your Cost: $40.81/claim|Median: $57.06
0.7× median
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