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PINON PERINATAL INC

Obstetrics & Gynecology, Maternal & Fetal Medicine·ALBUQUERQUE, NM·NPI: 1093829210Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$24.4M

$24,444,814

Total Claims

228K

Beneficiaries

189K

1.2 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-4%
2019
$2.8M
+1%
2020
$2.8M
+12%
2021
$3.2M
+7%
2022
$3.4M
+24%
2023
$4.2M
+20%
2024
$5.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 33 distinct procedure codes. The top code (76819 (Fetal biophysical profile with non-stress test)) accounts for 19% of total spending.

76819Top 5%

Fetal biophysical profile with non-stress test

$4.7M

42K claims · 19.3%

Your Cost: $112.13/claim|Median: $49.45
2.3× median
76820Top 5%

$4.3M

45K claims · 17.5%

Your Cost: $94.19/claim|Median: $31.79
3.0× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$3.9M

31K claims · 16.0%

Your Cost: $128.15/claim|Median: $74.78
1.7× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$2.1M

23K claims · 8.8%

Your Cost: $93.27/claim|Median: $36.79
2.5× median
76811Top 5%

Ultrasound, pregnant uterus, detailed, single fetus

$2.0M

8,716 claims · 8.3%

Your Cost: $232.08/claim|Median: $106.79
2.2× median
76825Top 25%

$1.4M

6,805 claims · 5.9%

Your Cost: $212.13/claim|Median: $103.74
2.0× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$1.3M

13K claims · 5.4%

Your Cost: $98.75/claim|Median: $47.65
2.1× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$1.0M

9,108 claims · 4.3%

Your Cost: $114.64/claim|Median: $58.16
2.0× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$666K

6,512 claims · 2.7%

Your Cost: $102.26/claim|Median: $70.87
1.4× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$549K

3,196 claims · 2.2%

Your Cost: $171.79/claim|Median: $121.58
1.4× median
99213Top 25%

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

$472K

7,375 claims · 1.9%

Your Cost: $63.94/claim|Median: $37.81
1.7× median
99215Top 10%

Office/outpatient visit, high complexity

$462K

2,870 claims · 1.9%

Your Cost: $160.84/claim|Median: $74.09
2.2× median
99214Top 25%

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

$398K

4,019 claims · 1.6%

Your Cost: $99.11/claim|Median: $53.41
1.9× median
76827Top 10%

$235K

2,062 claims · 1.0%

Your Cost: $114.06/claim|Median: $39.58
2.9× median
93325Normal range

$203K

9,100 claims · 0.8%

Your Cost: $22.26/claim|Median: $14.61
1.5× median
99245Top 10%

Office consultation, high complexity

$199K

842 claims · 0.8%

Your Cost: $236.75/claim|Median: $143.30
1.7× median
76826Top 25%

$132K

1,092 claims · 0.5%

Your Cost: $120.77/claim|Median: $77.33
1.6× median
76818Top 10%

$112K

875 claims · 0.5%

Your Cost: $127.78/claim|Median: $68.15
1.9× median
90833Top 5%

Psychotherapy, 30 min, add-on to E/M service

$31K

395 claims · 0.1%

Your Cost: $78.74/claim|Median: $38.83
2.0× median
76828Top 5%

$27K

311 claims · 0.1%

Your Cost: $86.49/claim|Median: $30.36
2.8× median
90792Top 25%

Psychiatric diagnostic evaluation with medical services

$22K

121 claims · 0.1%

Your Cost: $180.52/claim|Median: $108.91
1.7× median
81002Normal range

Urinalysis, non-automated without microscopy

$12K

5,301 claims · 0.0%

Your Cost: $2.26/claim|Median: $2.00
1.1× median
99417Normal range

$11K

292 claims · 0.0%

Your Cost: $36.23/claim|Median: $34.90
1.0× median
36415Top 25%

Collection of venous blood by venipuncture

$9K

2,471 claims · 0.0%

Your Cost: $3.70/claim|Median: $1.57
2.4× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$9K

52 claims · 0.0%

Your Cost: $170.92/claim|Median: $58.55
2.9× median
76821Top 5%

$9K

81 claims · 0.0%

Your Cost: $106.12/claim|Median: $46.75
2.3× median
99204Top 5%

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

$7K

41 claims · 0.0%

Your Cost: $170.51/claim|Median: $84.03
2.0× median
99243Top 10%

Office or other outpatient consultation, low complexity

$6K

43 claims · 0.0%

Your Cost: $133.17/claim|Median: $82.43
1.6× median
99072Top 25%

$5K

747 claims · 0.0%

Your Cost: $6.64/claim|Median: $0.54
12.3× median
82962Top 25%

Blood glucose test by monitoring device

$4K

1,477 claims · 0.0%

Your Cost: $3.04/claim|Median: $1.40
2.2× median
99415Top 25%

$799

57 claims · 0.0%

Your Cost: $14.03/claim|Median: $5.25
2.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$276

20 claims · 0.0%

Your Cost: $13.82/claim|Median: $9.56
1.4× median
36416Normal range

$28

72 claims · 0.0%

Your Cost: $0.39/claim|Median: $1.31
0.3× median

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