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Provider 1134214380

NPI: 1134214380Share
Active Billing Period:2018-01→2020-12(36 months)
Billing appears to have stoppedLast active: 2020-12

Total Paid

$9.1M

$9,132,817

Total Claims

195K

Beneficiaries

159K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$80K
+5833%
2019
$4.8M
-10%
2020
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H1000 (Prenatal care, at-risk assessment)) accounts for 36% of total spending.

H1000Normal range

Prenatal care, at-risk assessment

$3.3M

64K claims · 36.5%

Your Cost: $52.07/claim|Median: $50.36
1.0× median
59410Top 25%

$2.3M

2,374 claims · 25.1%

Your Cost: $965.13/claim|Median: $781.64
1.2× median
H1001Top 25%

$587K

5,498 claims · 6.4%

Your Cost: $106.81/claim|Median: $60.48
1.8× median
59515Normal range

$576K

573 claims · 6.3%

Your Cost: $1,005.25/claim|Median: $786.24
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$301K

9,666 claims · 3.3%

Your Cost: $31.09/claim|Median: $25.06
1.2× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$277K

3,931 claims · 3.0%

Your Cost: $70.43/claim|Median: $58.16
1.2× median
81025Top 25%

Urine pregnancy test

$261K

39K claims · 2.9%

Your Cost: $6.69/claim|Median: $4.81
1.4× median
99213Normal range

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

$259K

8,106 claims · 2.8%

Your Cost: $31.97/claim|Median: $37.81
0.8× median
85018Top 5%

$232K

13K claims · 2.5%

Your Cost: $18.18/claim|Median: $1.71
10.6× median
59430Normal range

$228K

4,407 claims · 2.5%

Your Cost: $51.71/claim|Median: $80.32
0.6× median
59025Normal range

Fetal non-stress test

$136K

8,238 claims · 1.5%

Your Cost: $16.55/claim|Median: $26.45
0.6× median
81002Top 5%

Urinalysis, non-automated without microscopy

$121K

10K claims · 1.3%

Your Cost: $11.63/claim|Median: $2.00
5.8× median
76818Normal range

$113K

2,811 claims · 1.2%

Your Cost: $40.12/claim|Median: $68.15
0.6× median
99214Normal range

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

$69K

1,673 claims · 0.8%

Your Cost: $41.42/claim|Median: $53.41
0.8× median
99395Normal range

Preventive medicine, established patient, age 18-39

$62K

1,136 claims · 0.7%

Your Cost: $54.86/claim|Median: $72.71
0.8× median
82947Top 10%

Blood glucose level test

$60K

8,351 claims · 0.7%

Your Cost: $7.15/claim|Median: $2.38
3.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$44K

1,947 claims · 0.5%

Your Cost: $22.68/claim|Median: $58.55
0.4× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$38K

548 claims · 0.4%

Your Cost: $68.43/claim|Median: $74.78
0.9× median
36415Top 5%

Collection of venous blood by venipuncture

$30K

2,258 claims · 0.3%

Your Cost: $13.24/claim|Median: $1.57
8.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$30K

966 claims · 0.3%

Your Cost: $30.93/claim|Median: $47.65
0.6× median
99222Top 1%

Initial hospital care, per day, moderate complexity

$22K

51 claims · 0.2%

Your Cost: $424.16/claim|Median: $51.25
8.3× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$16K

281 claims · 0.2%

Your Cost: $56.13/claim|Median: $40.11
1.4× median
82950Normal range

$15K

4,698 claims · 0.2%

Your Cost: $3.12/claim|Median: $4.18
0.7× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$6K

148 claims · 0.1%

Your Cost: $39.97/claim|Median: $76.22
0.5× median
99219Top 25%

$6K

59 claims · 0.1%

Your Cost: $95.25/claim|Median: $63.35
1.5× median
82951Normal range

$5K

463 claims · 0.1%

Your Cost: $11.12/claim|Median: $10.32
1.1× median
58671Normal range

$5K

23 claims · 0.1%

Your Cost: $213.30/claim|Median: $213.67
1.0× median
99203Normal range

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

$5K

77 claims · 0.1%

Your Cost: $63.42/claim|Median: $57.85
1.1× median
99283Normal range

Emergency dept visit, moderate complexity

$4K

81 claims · 0.0%

Your Cost: $52.05/claim|Median: $42.48
1.2× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$2K

31 claims · 0.0%

Your Cost: $52.43/claim|Median: $87.82
0.6× median
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