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Provider 1124201280

NPI: 1124201280Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.4M

$12,431,779

Total Claims

241K

Beneficiaries

194K

1.2 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+17%
2019
$1.8M
-12%
2020
$1.6M
+26%
2021
$2.0M
-3%
2022
$1.9M
+5%
2023
$2.0M
-16%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 38% of total spending.

99213Top 25%

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

$4.8M

71K claims · 38.4%

Your Cost: $67.10/claim|Median: $37.81
1.8× median
59409Top 10%

Vaginal delivery only

$2.0M

1,965 claims · 16.1%

Your Cost: $1,017.95/claim|Median: $619.91
1.6× median
99214Top 25%

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

$844K

9,143 claims · 6.8%

Your Cost: $92.33/claim|Median: $53.41
1.7× median
76819Normal range

Fetal biophysical profile with non-stress test

$635K

9,506 claims · 5.1%

Your Cost: $66.79/claim|Median: $49.45
1.4× median
99212Top 25%

Office/outpatient visit, low complexity

$568K

15K claims · 4.6%

Your Cost: $38.52/claim|Median: $25.06
1.5× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$553K

7,206 claims · 4.4%

Your Cost: $76.68/claim|Median: $47.65
1.6× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$483K

5,577 claims · 3.9%

Your Cost: $86.68/claim|Median: $58.55
1.5× median
76830Top 25%

Ultrasound, transvaginal

$324K

3,483 claims · 2.6%

Your Cost: $92.98/claim|Median: $57.47
1.6× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$291K

2,023 claims · 2.3%

Your Cost: $143.63/claim|Median: $106.79
1.3× median
99203Top 25%

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

$258K

2,880 claims · 2.1%

Your Cost: $89.45/claim|Median: $57.85
1.5× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$235K

2,231 claims · 1.9%

Your Cost: $105.11/claim|Median: $72.71
1.4× median
81002Top 10%

Urinalysis, non-automated without microscopy

$225K

69K claims · 1.8%

Your Cost: $3.28/claim|Median: $2.00
1.6× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$176K

2,556 claims · 1.4%

Your Cost: $69.04/claim|Median: $36.79
1.9× median
59514Top 10%

Cesarean delivery only

$171K

189 claims · 1.4%

Your Cost: $905.49/claim|Median: $452.80
2.0× median
76820Normal range

$151K

3,987 claims · 1.2%

Your Cost: $37.76/claim|Median: $31.79
1.2× median
81025Top 25%

Urine pregnancy test

$124K

17K claims · 1.0%

Your Cost: $7.50/claim|Median: $4.81
1.6× median
59430Top 25%

$123K

887 claims · 1.0%

Your Cost: $138.53/claim|Median: $80.32
1.7× median
99215Top 25%

Office/outpatient visit, high complexity

$106K

947 claims · 0.9%

Your Cost: $112.12/claim|Median: $74.09
1.5× median
H0002Normal range

Behavioral health screening

$85K

3,883 claims · 0.7%

Your Cost: $21.97/claim|Median: $38.77
0.6× median
99204Top 25%

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

$78K

564 claims · 0.6%

Your Cost: $139.03/claim|Median: $84.03
1.7× median
54150Normal range

$47K

545 claims · 0.4%

Your Cost: $85.73/claim|Median: $84.60
1.0× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$25K

243 claims · 0.2%

Your Cost: $103.63/claim|Median: $74.78
1.4× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$21K

317 claims · 0.2%

Your Cost: $65.61/claim|Median: $40.11
1.6× median
59025Normal range

Fetal non-stress test

$20K

730 claims · 0.2%

Your Cost: $27.72/claim|Median: $26.45
1.0× median
58558Normal range

$20K

25 claims · 0.2%

Your Cost: $788.40/claim|Median: $942.89
0.8× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$20K

176 claims · 0.2%

Your Cost: $111.65/claim|Median: $76.22
1.5× median
A4550Normal range

$15K

3,138 claims · 0.1%

Your Cost: $4.68/claim|Median: $4.85
1.0× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$8K

50 claims · 0.1%

Your Cost: $169.55/claim|Median: $111.09
1.5× median
99080Top 5%

$8K

42 claims · 0.1%

Your Cost: $190.48/claim|Median: $6.15
31.0× median
96160Top 25%

Patient-focused health risk assessment

$6K

574 claims · 0.0%

Your Cost: $10.29/claim|Median: $2.10
4.9× median
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