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Provider 1093819492

NPI: 1093819492Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.5M

$11,524,727

Total Claims

161K

Beneficiaries

132K

1.2 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+19%
2019
$2.1M
-15%
2020
$1.8M
-12%
2021
$1.5M
+4%
2022
$1.6M
-7%
2023
$1.5M
-9%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (76816 (Ultrasound, pregnant uterus, follow-up)) accounts for 19% of total spending.

76816Top 25%

Ultrasound, pregnant uterus, follow-up

$2.2M

25K claims · 19.2%

Your Cost: $89.39/claim|Median: $58.55
1.5× median
99213Top 25%

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

$2.0M

34K claims · 17.2%

Your Cost: $58.80/claim|Median: $37.81
1.6× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.6M

11K claims · 13.8%

Your Cost: $149.14/claim|Median: $106.79
1.4× median
76819Top 25%

Fetal biophysical profile with non-stress test

$1.5M

21K claims · 12.9%

Your Cost: $70.47/claim|Median: $49.45
1.4× median
76825Top 25%

$1.0M

5,102 claims · 9.0%

Your Cost: $203.02/claim|Median: $103.74
2.0× median
76820Normal range

$801K

21K claims · 6.9%

Your Cost: $38.19/claim|Median: $31.79
1.2× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$572K

7,783 claims · 5.0%

Your Cost: $73.49/claim|Median: $47.65
1.5× median
99214Top 25%

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

$531K

6,165 claims · 4.6%

Your Cost: $86.09/claim|Median: $53.41
1.6× median
76821Top 25%

$264K

3,591 claims · 2.3%

Your Cost: $73.40/claim|Median: $46.75
1.6× median
93325Normal range

$257K

11K claims · 2.2%

Your Cost: $23.25/claim|Median: $14.61
1.6× median
76828Normal range

$168K

3,961 claims · 1.5%

Your Cost: $42.36/claim|Median: $30.36
1.4× median
99242Top 25%

Office consultation, low complexity

$142K

1,946 claims · 1.2%

Your Cost: $73.06/claim|Median: $57.97
1.3× median
76818Normal range

$110K

1,243 claims · 1.0%

Your Cost: $88.34/claim|Median: $68.15
1.3× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$94K

1,481 claims · 0.8%

Your Cost: $63.63/claim|Median: $36.79
1.7× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$56K

560 claims · 0.5%

Your Cost: $100.38/claim|Median: $58.16
1.7× median
99243Top 25%

Office or other outpatient consultation, low complexity

$56K

552 claims · 0.5%

Your Cost: $100.64/claim|Median: $82.43
1.2× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$49K

496 claims · 0.4%

Your Cost: $99.69/claim|Median: $70.87
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$47K

1,285 claims · 0.4%

Your Cost: $36.40/claim|Median: $25.06
1.5× median
99241Normal range

Office consultation, straightforward

$33K

848 claims · 0.3%

Your Cost: $38.79/claim|Median: $36.49
1.1× median
96160Top 10%

Patient-focused health risk assessment

$7K

498 claims · 0.1%

Your Cost: $14.45/claim|Median: $2.10
6.9× median
76827Normal range

$5K

105 claims · 0.0%

Your Cost: $50.78/claim|Median: $39.58
1.3× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$5K

182 claims · 0.0%

Your Cost: $28.26/claim|Median: $27.38
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$5K

1,270 claims · 0.0%

Your Cost: $3.76/claim|Median: $9.56
0.4× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$5K

41 claims · 0.0%

Your Cost: $110.94/claim|Median: $74.78
1.5× median
36415Normal range

Collection of venous blood by venipuncture

$4K

1,525 claims · 0.0%

Your Cost: $2.53/claim|Median: $1.57
1.6× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$2K

13 claims · 0.0%

Your Cost: $162.57/claim|Median: $121.58
1.3× median
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