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Provider 1114264660

NPI: 1114264660Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$15.6M

$15,574,557

Total Claims

380K

Beneficiaries

358K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$2.9M
-5%
2019
$2.8M
-39%
2020
$1.7M
+20%
2021
$2.1M
+6%
2022
$2.2M
+2%
2023
$2.2M
-24%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99402) accounts for 19% of total spending.

99402Top 25%

$2.9M

45K claims · 18.9%

Your Cost: $64.97/claim|Median: $31.79
2.0× median
99401Top 5%

$2.9M

64K claims · 18.9%

Your Cost: $46.05/claim|Median: $16.53
2.8× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$2.2M

5,692 claims · 14.2%

Your Cost: $388.15/claim|Median: $786.43
0.5× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$1.7M

38K claims · 10.8%

Your Cost: $44.78/claim|Median: $24.95
1.8× median
87591Top 10%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.7M

38K claims · 10.8%

Your Cost: $44.77/claim|Median: $23.39
1.9× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$986K

51K claims · 6.3%

Your Cost: $19.37/claim|Median: $41.92
0.5× median
11981Normal range

$837K

5,660 claims · 5.4%

Your Cost: $147.81/claim|Median: $117.16
1.3× median
87389Top 25%

HIV-1 antigen with HIV-1 and HIV-2 antibodies

$575K

19K claims · 3.7%

Your Cost: $29.73/claim|Median: $18.03
1.6× median
81025Top 25%

Urine pregnancy test

$397K

59K claims · 2.6%

Your Cost: $6.73/claim|Median: $4.81
1.4× median
58300Normal range

$242K

2,844 claims · 1.6%

Your Cost: $85.26/claim|Median: $74.77
1.1× median
J7298Normal range

$236K

706 claims · 1.5%

Your Cost: $334.84/claim|Median: $751.11
0.4× median
J7297Normal range

$128K

711 claims · 0.8%

Your Cost: $180.32/claim|Median: $569.39
0.3× median
11976Top 25%

$124K

1,418 claims · 0.8%

Your Cost: $87.60/claim|Median: $57.06
1.5× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$115K

4,583 claims · 0.7%

Your Cost: $24.99/claim|Median: $21.08
1.2× median
J7300Normal range

$114K

492 claims · 0.7%

Your Cost: $232.03/claim|Median: $692.75
0.3× median
86592Top 25%

$78K

14K claims · 0.5%

Your Cost: $5.48/claim|Median: $3.35
1.6× median
58301Normal range

$71K

1,411 claims · 0.5%

Your Cost: $50.05/claim|Median: $49.65
1.0× median
87210Top 25%

$61K

12K claims · 0.4%

Your Cost: $5.16/claim|Median: $3.65
1.4× median
86803Top 25%

Hepatitis C antibody

$60K

3,510 claims · 0.4%

Your Cost: $17.01/claim|Median: $10.17
1.7× median
J0561Normal range

$19K

1,792 claims · 0.1%

Your Cost: $10.53/claim|Median: $96.49
0.1× median
11982Normal range

$17K

1,299 claims · 0.1%

Your Cost: $13.33/claim|Median: $90.51
0.1× median
J0696Normal range

$17K

4,504 claims · 0.1%

Your Cost: $3.67/claim|Median: $1.34
2.7× median
85018Top 10%

$11K

3,766 claims · 0.1%

Your Cost: $2.93/claim|Median: $1.71
1.7× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$8K

1,824 claims · 0.0%

Your Cost: $4.17/claim|Median: $5.50
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$6K

70 claims · 0.0%

Your Cost: $89.34/claim|Median: $74.09
1.2× median
86703Top 25%

$3K

227 claims · 0.0%

Your Cost: $15.19/claim|Median: $10.37
1.5× median
86780Top 25%

$1K

83 claims · 0.0%

Your Cost: $13.13/claim|Median: $9.83
1.3× median
86593Top 25%

$572

140 claims · 0.0%

Your Cost: $4.09/claim|Median: $2.84
1.4× median
83020Top 25%

$405

25 claims · 0.0%

Your Cost: $16.18/claim|Median: $9.42
1.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$0

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $9.56