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Provider 1093989667

NPI: 1093989667Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.4M

$10,364,884

Total Claims

251K

Beneficiaries

222K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+12%
2019
$1.6M
-10%
2020
$1.4M
+31%
2021
$1.9M
-25%
2022
$1.4M
-7%
2023
$1.3M
-3%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H1010) accounts for 40% of total spending.

H1010Normal range

$4.2M

49K claims · 40.4%

Your Cost: $84.70/claim|Median: $75.85
1.1× median
S4993Normal range

$2.6M

38K claims · 25.0%

Your Cost: $68.94/claim|Median: $46.61
1.5× median
99214Normal range

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

$739K

13K claims · 7.1%

Your Cost: $55.41/claim|Median: $53.41
1.0× median
99213Normal range

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

$594K

17K claims · 5.7%

Your Cost: $35.59/claim|Median: $37.81
0.9× median
J8499Top 25%

$329K

14K claims · 3.2%

Your Cost: $23.81/claim|Median: $1.99
12.0× median
A4267Top 25%

$324K

26K claims · 3.1%

Your Cost: $12.30/claim|Median: $7.86
1.6× median
87806Normal range

$222K

8,959 claims · 2.1%

Your Cost: $24.83/claim|Median: $20.54
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$165K

4,141 claims · 1.6%

Your Cost: $39.76/claim|Median: $40.11
1.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$153K

8,429 claims · 1.5%

Your Cost: $18.19/claim|Median: $41.92
0.4× median
99203Normal range

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

$151K

2,416 claims · 1.5%

Your Cost: $62.51/claim|Median: $57.85
1.1× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$142K

313 claims · 1.4%

Your Cost: $454.03/claim|Median: $786.43
0.6× median
99204Normal range

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

$126K

1,328 claims · 1.2%

Your Cost: $94.84/claim|Median: $84.03
1.1× median
99000Normal range

$91K

26K claims · 0.9%

Your Cost: $3.52/claim|Median: $2.30
1.5× median
87210Top 25%

$70K

13K claims · 0.7%

Your Cost: $5.54/claim|Median: $3.65
1.5× median
81025Top 10%

Urine pregnancy test

$68K

8,258 claims · 0.7%

Your Cost: $8.23/claim|Median: $4.81
1.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$62K

4,380 claims · 0.6%

Your Cost: $14.21/claim|Median: $12.93
1.1× median
Q0144Top 25%

$61K

3,382 claims · 0.6%

Your Cost: $17.99/claim|Median: $5.57
3.2× median
99212Normal range

Office/outpatient visit, low complexity

$54K

1,921 claims · 0.5%

Your Cost: $28.13/claim|Median: $25.06
1.1× median
J7304Normal range

$44K

243 claims · 0.4%

Your Cost: $179.64/claim|Median: $630.59
0.3× median
90651Top 5%

HPV vaccine, 9-valent

$42K

209 claims · 0.4%

Your Cost: $202.87/claim|Median: $8.93
22.7× median
11982Normal range

$40K

467 claims · 0.4%

Your Cost: $85.48/claim|Median: $90.51
0.9× median
J3490Normal range

Unclassified drugs

$33K

2,914 claims · 0.3%

Your Cost: $11.20/claim|Median: $5.70
2.0× median
11981Normal range

$20K

193 claims · 0.2%

Your Cost: $103.72/claim|Median: $117.16
0.9× median
86703Normal range

$14K

1,156 claims · 0.1%

Your Cost: $12.14/claim|Median: $10.37
1.2× median
81002Top 10%

Urinalysis, non-automated without microscopy

$13K

3,921 claims · 0.1%

Your Cost: $3.29/claim|Median: $2.00
1.6× median
58300Normal range

$10K

298 claims · 0.1%

Your Cost: $35.00/claim|Median: $74.77
0.5× median
87563Normal range

$6K

275 claims · 0.1%

Your Cost: $23.03/claim|Median: $16.98
1.4× median
J7297Normal range

$5K

81 claims · 0.0%

Your Cost: $62.96/claim|Median: $569.39
0.1× median
58301Normal range

$3K

77 claims · 0.0%

Your Cost: $38.79/claim|Median: $49.65
0.8× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$1K

45 claims · 0.0%

Your Cost: $25.34/claim|Median: $27.38
0.9× median
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