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Provider 1144252990

NPI: 1144252990Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,423,496

Total Claims

308K

Beneficiaries

259K

1.2 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$27K
-45%
2019
$15K
+13743%
2020
$2.1M
+7%
2021
$2.2M
+7%
2022
$2.4M
+1%
2023
$2.4M
-7%
2024
$2.3M

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 20% of total spending.

99213Top 10%

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

$2.2M

27K claims · 19.5%

Your Cost: $83.03/claim|Median: $37.81
2.2× median
93976Normal range

$1.6M

39K claims · 14.3%

Your Cost: $41.80/claim|Median: $42.06
1.0× median
76820Normal range

$1.0M

39K claims · 9.1%

Your Cost: $26.46/claim|Median: $31.79
0.8× median
76828Normal range

$797K

31K claims · 7.0%

Your Cost: $25.51/claim|Median: $30.36
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$795K

8,486 claims · 7.0%

Your Cost: $93.65/claim|Median: $106.79
0.9× median
76821Normal range

$794K

25K claims · 7.0%

Your Cost: $31.54/claim|Median: $46.75
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$753K

18K claims · 6.6%

Your Cost: $41.55/claim|Median: $58.55
0.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$659K

15K claims · 5.8%

Your Cost: $42.78/claim|Median: $74.78
0.6× median
76818Normal range

$636K

14K claims · 5.6%

Your Cost: $44.75/claim|Median: $68.15
0.7× median
76819Normal range

Fetal biophysical profile with non-stress test

$509K

13K claims · 4.5%

Your Cost: $40.72/claim|Median: $49.45
0.8× median
76825Normal range

$220K

3,102 claims · 1.9%

Your Cost: $70.99/claim|Median: $103.74
0.7× median
99212Top 25%

Office/outpatient visit, low complexity

$188K

3,907 claims · 1.6%

Your Cost: $48.09/claim|Median: $25.06
1.9× median
99214Top 25%

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

$174K

1,840 claims · 1.5%

Your Cost: $94.81/claim|Median: $53.41
1.8× median
H1003Normal range

$174K

18K claims · 1.5%

Your Cost: $9.55/claim|Median: $10.04
1.0× median
76827Normal range

$134K

4,955 claims · 1.2%

Your Cost: $27.08/claim|Median: $39.58
0.7× median
93325Normal range

$111K

32K claims · 1.0%

Your Cost: $3.44/claim|Median: $14.61
0.2× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$100K

1,340 claims · 0.9%

Your Cost: $74.70/claim|Median: $23.99
3.1× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$92K

1,824 claims · 0.8%

Your Cost: $50.70/claim|Median: $70.87
0.7× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$92K

2,169 claims · 0.8%

Your Cost: $42.28/claim|Median: $58.16
0.7× median
99231Top 5%

Subsequent hospital care, per day, low complexity

$81K

1,993 claims · 0.7%

Your Cost: $40.78/claim|Median: $16.77
2.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$71K

2,368 claims · 0.6%

Your Cost: $29.86/claim|Median: $47.65
0.6× median
76826Normal range

$32K

795 claims · 0.3%

Your Cost: $39.94/claim|Median: $77.33
0.5× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$27K

222 claims · 0.2%

Your Cost: $122.96/claim|Median: $72.71
1.7× median
99211Top 25%

Office/outpatient visit, minimal complexity

$12K

516 claims · 0.1%

Your Cost: $23.68/claim|Median: $12.93
1.8× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$11K

147 claims · 0.1%

Your Cost: $72.58/claim|Median: $36.79
2.0× median
99203Top 5%

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

$10K

87 claims · 0.1%

Your Cost: $118.61/claim|Median: $57.85
2.1× median
H1000Normal range

Prenatal care, at-risk assessment

$10K

289 claims · 0.1%

Your Cost: $35.50/claim|Median: $50.36
0.7× median
99215Top 5%

Office/outpatient visit, high complexity

$9K

50 claims · 0.1%

Your Cost: $186.73/claim|Median: $74.09
2.5× median
59025Normal range

Fetal non-stress test

$7K

298 claims · 0.1%

Your Cost: $22.24/claim|Median: $26.45
0.8× median
76998Normal range

$6K

165 claims · 0.1%

Your Cost: $37.60/claim|Median: $57.59
0.7× median
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