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Provider 1124588793

NPI: 1124588793Share
Active Billing Period:2019-10→2024-12(63 months)

Total Paid

$9.7M

$9,684,184

Total Claims

198K

Beneficiaries

127K

1.6 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2019
$9K
+2942%
2020
$272K
+662%
2021
$2.1M
+32%
2022
$2.7M
+12%
2023
$3.1M
-51%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (58558) accounts for 44% of total spending.

58558Normal range

$4.2M

19K claims · 43.6%

Your Cost: $221.24/claim|Median: $942.89
0.2× median
76830Normal range

Ultrasound, transvaginal

$1.5M

37K claims · 15.1%

Your Cost: $39.66/claim|Median: $57.47
0.7× median
99214Normal range

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

$1.3M

31K claims · 13.0%

Your Cost: $41.14/claim|Median: $53.41
0.8× median
76856Normal range

Ultrasound, pelvic, complete

$1.2M

30K claims · 12.2%

Your Cost: $39.76/claim|Median: $47.58
0.8× median
99204Normal range

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

$465K

8,438 claims · 4.8%

Your Cost: $55.16/claim|Median: $84.03
0.7× median
99213Normal range

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

$331K

12K claims · 3.4%

Your Cost: $27.28/claim|Median: $37.81
0.7× median
Q0091Normal range

$170K

13K claims · 1.8%

Your Cost: $12.92/claim|Median: $11.15
1.2× median
52000Normal range

$157K

3,912 claims · 1.6%

Your Cost: $40.13/claim|Median: $89.88
0.4× median
81025Normal range

Urine pregnancy test

$80K

26K claims · 0.8%

Your Cost: $3.12/claim|Median: $4.81
0.6× median
76857Normal range

Pelvic ultrasound, limited

$57K

4,281 claims · 0.6%

Your Cost: $13.31/claim|Median: $26.23
0.5× median
57425Normal range

$40K

173 claims · 0.4%

Your Cost: $229.51/claim|Median: $349.00
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$38K

634 claims · 0.4%

Your Cost: $59.61/claim|Median: $111.09
0.5× median
99152Top 5%

$34K

672 claims · 0.3%

Your Cost: $50.02/claim|Median: $7.34
6.8× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$27K

540 claims · 0.3%

Your Cost: $49.81/claim|Median: $41.92
1.2× median
58555Normal range

$25K

171 claims · 0.3%

Your Cost: $145.92/claim|Median: $145.92
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$21K

456 claims · 0.2%

Your Cost: $45.17/claim|Median: $74.09
0.6× median
99203Normal range

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

$13K

425 claims · 0.1%

Your Cost: $29.83/claim|Median: $57.85
0.5× median
58662Normal range

$12K

52 claims · 0.1%

Your Cost: $223.75/claim|Median: $457.94
0.5× median
58571Normal range

$11K

48 claims · 0.1%

Your Cost: $225.70/claim|Median: $1,679.33
0.1× median
52005Normal range

$9K

122 claims · 0.1%

Your Cost: $72.83/claim|Median: $120.56
0.6× median
87801Normal range

Infectious agent detection, amplified probe, multiple organisms

$9K

575 claims · 0.1%

Your Cost: $15.28/claim|Median: $38.79
0.4× median
93925Normal range

$8K

239 claims · 0.1%

Your Cost: $35.49/claim|Median: $54.12
0.7× median
58100Normal range

$8K

177 claims · 0.1%

Your Cost: $44.75/claim|Median: $54.64
0.8× median
57452Normal range

$7K

343 claims · 0.1%

Your Cost: $21.12/claim|Median: $67.79
0.3× median
58661Normal range

$6K

28 claims · 0.1%

Your Cost: $229.83/claim|Median: $1,598.21
0.1× median
56820Normal range

$5K

178 claims · 0.1%

Your Cost: $29.43/claim|Median: $75.55
0.4× median
57500Normal range

$5K

214 claims · 0.1%

Your Cost: $23.33/claim|Median: $28.52
0.8× median
81003Normal range

Urinalysis, automated without microscopy

$4K

4,742 claims · 0.0%

Your Cost: $0.95/claim|Median: $1.48
0.6× median
81002Normal range

Urinalysis, non-automated without microscopy

$4K

3,280 claims · 0.0%

Your Cost: $1.35/claim|Median: $2.00
0.7× median
99153Normal range

$4K

341 claims · 0.0%

Your Cost: $11.52/claim|Median: $5.60
2.1× median
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