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Provider 1093145377

NPI: 1093145377Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.4M

$13,408,977

Total Claims

175K

Beneficiaries

146K

1.2 claims/patient

Avg Cost/Claim

$77

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+28%
2019
$1.5M
+15%
2020
$1.8M
+20%
2021
$2.1M
+7%
2022
$2.3M
+2%
2023
$2.3M
-9%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59426 (Antepartum care only, high risk, additional visits)) accounts for 25% of total spending.

59426Top 25%

Antepartum care only, high risk, additional visits

$3.3M

3,917 claims · 24.9%

Your Cost: $852.52/claim|Median: $122.30
7.0× median
59409Normal range

Vaginal delivery only

$2.9M

3,847 claims · 21.5%

Your Cost: $750.56/claim|Median: $619.91
1.2× median
59514Top 25%

Cesarean delivery only

$1.7M

1,981 claims · 12.4%

Your Cost: $840.27/claim|Median: $452.80
1.9× median
59425Top 5%

Antepartum care only, 4-6 visits

$739K

1,569 claims · 5.5%

Your Cost: $471.02/claim|Median: $63.63
7.4× median
59430Top 5%

$732K

3,370 claims · 5.5%

Your Cost: $217.19/claim|Median: $80.32
2.7× median
99213Normal range

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

$623K

13K claims · 4.6%

Your Cost: $48.61/claim|Median: $37.81
1.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$514K

6,408 claims · 3.8%

Your Cost: $80.27/claim|Median: $74.78
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$494K

7,600 claims · 3.7%

Your Cost: $65.06/claim|Median: $58.55
1.1× median
59025Normal range

Fetal non-stress test

$297K

11K claims · 2.2%

Your Cost: $27.83/claim|Median: $26.45
1.1× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$255K

2,647 claims · 1.9%

Your Cost: $96.30/claim|Median: $76.22
1.3× median
99395Normal range

Preventive medicine, established patient, age 18-39

$232K

2,935 claims · 1.7%

Your Cost: $79.03/claim|Median: $72.71
1.1× median
99203Normal range

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

$232K

3,654 claims · 1.7%

Your Cost: $63.45/claim|Median: $57.85
1.1× median
99204Normal range

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

$206K

2,270 claims · 1.5%

Your Cost: $90.82/claim|Median: $84.03
1.1× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$200K

2,854 claims · 1.5%

Your Cost: $70.16/claim|Median: $58.16
1.2× median
99214Normal range

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

$138K

2,109 claims · 1.0%

Your Cost: $65.61/claim|Median: $53.41
1.2× median
76815Normal range

Ultrasound, pregnant uterus, limited

$123K

2,515 claims · 0.9%

Your Cost: $49.01/claim|Median: $36.79
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$70K

2,339 claims · 0.5%

Your Cost: $30.12/claim|Median: $25.06
1.2× median
90715Top 10%

Tdap vaccine

$69K

2,099 claims · 0.5%

Your Cost: $33.09/claim|Median: $10.32
3.2× median
81025Top 25%

Urine pregnancy test

$69K

10K claims · 0.5%

Your Cost: $6.82/claim|Median: $4.81
1.4× median
76819Normal range

Fetal biophysical profile with non-stress test

$66K

1,302 claims · 0.5%

Your Cost: $50.45/claim|Median: $49.45
1.0× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$63K

1,160 claims · 0.5%

Your Cost: $54.64/claim|Median: $47.65
1.1× median
81002Normal range

Urinalysis, non-automated without microscopy

$63K

27K claims · 0.5%

Your Cost: $2.34/claim|Median: $2.00
1.2× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$54K

488 claims · 0.4%

Your Cost: $111.31/claim|Median: $87.82
1.3× median
76820Normal range

$43K

1,600 claims · 0.3%

Your Cost: $27.04/claim|Median: $31.79
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$41K

457 claims · 0.3%

Your Cost: $89.35/claim|Median: $76.06
1.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$37K

4,052 claims · 0.3%

Your Cost: $9.05/claim|Median: $9.56
0.9× median
J7300Normal range

$32K

42 claims · 0.2%

Your Cost: $754.47/claim|Median: $692.75
1.1× median
90471Normal range

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

$27K

2,443 claims · 0.2%

Your Cost: $10.96/claim|Median: $9.80
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$20K

524 claims · 0.2%

Your Cost: $39.05/claim|Median: $23.99
1.6× median
54150Normal range

$18K

312 claims · 0.1%

Your Cost: $56.46/claim|Median: $84.60
0.7× median
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