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Provider 1083868269

NPI: 1083868269Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.5M

$8,474,155

Total Claims

204K

Beneficiaries

160K

1.3 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$538K
+154%
2019
$1.4M
-4%
2020
$1.3M
+14%
2021
$1.5M
-1%
2022
$1.5M
-5%
2023
$1.4M
-40%
2024
$852K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59425 (Antepartum care only, 4-6 visits)) accounts for 24% of total spending.

59425Normal range

Antepartum care only, 4-6 visits

$2.0M

27K claims · 23.6%

Your Cost: $74.11/claim|Median: $63.63
1.2× median
59426Normal range

Antepartum care only, high risk, additional visits

$1.6M

23K claims · 19.4%

Your Cost: $72.15/claim|Median: $122.30
0.6× median
99214Normal range

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

$1.3M

21K claims · 15.8%

Your Cost: $64.30/claim|Median: $53.41
1.2× median
99213Normal range

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

$978K

22K claims · 11.5%

Your Cost: $44.26/claim|Median: $37.81
1.2× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$267K

3,501 claims · 3.2%

Your Cost: $76.31/claim|Median: $69.35
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$219K

3,477 claims · 2.6%

Your Cost: $62.92/claim|Median: $58.55
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$196K

2,579 claims · 2.3%

Your Cost: $76.04/claim|Median: $75.18
1.0× median
76830Normal range

Ultrasound, transvaginal

$163K

2,417 claims · 1.9%

Your Cost: $67.47/claim|Median: $57.47
1.2× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$154K

5,908 claims · 1.8%

Your Cost: $26.02/claim|Median: $21.08
1.2× median
87799Normal range

$120K

3,746 claims · 1.4%

Your Cost: $32.13/claim|Median: $21.87
1.5× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$118K

2,400 claims · 1.4%

Your Cost: $49.04/claim|Median: $47.65
1.0× median
87512Top 25%

$117K

3,746 claims · 1.4%

Your Cost: $31.24/claim|Median: $23.49
1.3× median
87481Normal range

$107K

4,139 claims · 1.3%

Your Cost: $25.82/claim|Median: $22.38
1.2× median
87482Top 25%

$96K

3,765 claims · 1.1%

Your Cost: $25.57/claim|Median: $11.99
2.1× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$95K

835 claims · 1.1%

Your Cost: $113.57/claim|Median: $106.79
1.1× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$80K

4,323 claims · 0.9%

Your Cost: $18.61/claim|Median: $24.95
0.7× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$68K

3,854 claims · 0.8%

Your Cost: $17.52/claim|Median: $23.39
0.7× median
90472Top 25%

Immunization administration, each additional vaccine

$63K

3,110 claims · 0.7%

Your Cost: $20.18/claim|Median: $11.79
1.7× median
36415Top 25%

Collection of venous blood by venipuncture

$60K

19K claims · 0.7%

Your Cost: $3.11/claim|Median: $1.57
2.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$59K

1,160 claims · 0.7%

Your Cost: $50.78/claim|Median: $74.78
0.7× median
90670Top 10%

$57K

2,337 claims · 0.7%

Your Cost: $24.40/claim|Median: $5.94
4.1× median
90471Normal range

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

$55K

4,564 claims · 0.6%

Your Cost: $12.00/claim|Median: $9.80
1.2× median
99204Normal range

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

$47K

579 claims · 0.6%

Your Cost: $81.15/claim|Median: $84.03
1.0× median
59409Normal range

Vaginal delivery only

$37K

459 claims · 0.4%

Your Cost: $81.28/claim|Median: $619.91
0.1× median
81513Normal range

$34K

374 claims · 0.4%

Your Cost: $91.78/claim|Median: $71.32
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$32K

1,060 claims · 0.4%

Your Cost: $29.80/claim|Median: $72.71
0.4× median
59430Normal range

$30K

632 claims · 0.4%

Your Cost: $47.73/claim|Median: $80.32
0.6× median
59025Normal range

Fetal non-stress test

$28K

1,182 claims · 0.3%

Your Cost: $23.66/claim|Median: $26.45
0.9× median
90698Normal range

$21K

2,031 claims · 0.3%

Your Cost: $10.53/claim|Median: $6.32
1.7× median
90680Top 25%

$20K

1,755 claims · 0.2%

Your Cost: $11.20/claim|Median: $5.58
2.0× median
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