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Provider 1144304817

NPI: 1144304817Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$10.2M

$10,238,968

Total Claims

181K

Beneficiaries

159K

1.1 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-10%
2019
$1.3M
-5%
2020
$1.3M
+12%
2021
$1.4M
+2%
2022
$1.4M
+19%
2023
$1.7M
-10%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59409 (Vaginal delivery only)) accounts for 36% of total spending.

59409Normal range

Vaginal delivery only

$3.7M

7,053 claims · 36.2%

Your Cost: $525.76/claim|Median: $619.91
0.8× median
59425Normal range

Antepartum care only, 4-6 visits

$1.7M

33K claims · 16.7%

Your Cost: $51.57/claim|Median: $63.63
0.8× median
76815Normal range

Ultrasound, pregnant uterus, limited

$960K

41K claims · 9.4%

Your Cost: $23.58/claim|Median: $36.79
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$735K

7,097 claims · 7.2%

Your Cost: $103.62/claim|Median: $74.09
1.4× median
59514Normal range

Cesarean delivery only

$650K

1,237 claims · 6.3%

Your Cost: $525.53/claim|Median: $452.80
1.2× median
Z1034Normal range

$526K

9,578 claims · 5.1%

Your Cost: $54.96/claim|Median: $54.74
1.0× median
99213Normal range

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

$397K

12K claims · 3.9%

Your Cost: $31.81/claim|Median: $37.81
0.8× median
99203Normal range

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

$331K

4,580 claims · 3.2%

Your Cost: $72.30/claim|Median: $57.85
1.2× median
59025Normal range

Fetal non-stress test

$303K

32K claims · 3.0%

Your Cost: $9.33/claim|Median: $26.45
0.4× median
59430Normal range

$195K

4,102 claims · 1.9%

Your Cost: $47.54/claim|Median: $80.32
0.6× median
Z1032Normal range

$165K

1,564 claims · 1.6%

Your Cost: $105.76/claim|Median: $147.33
0.7× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$114K

2,270 claims · 1.1%

Your Cost: $50.28/claim|Median: $24.95
2.0× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$82K

2,715 claims · 0.8%

Your Cost: $30.23/claim|Median: $58.16
0.5× median
G8510Top 25%

$61K

5,459 claims · 0.6%

Your Cost: $11.25/claim|Median: $1.96
5.7× median
99212Normal range

Office/outpatient visit, low complexity

$56K

2,105 claims · 0.5%

Your Cost: $26.62/claim|Median: $25.06
1.1× median
G9920Normal range

$44K

2,902 claims · 0.4%

Your Cost: $15.01/claim|Median: $6.56
2.3× median
88141Top 1%

$41K

821 claims · 0.4%

Your Cost: $50.00/claim|Median: $14.87
3.4× median
99214Normal range

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

$32K

773 claims · 0.3%

Your Cost: $41.99/claim|Median: $53.41
0.8× median
99451Top 25%

$28K

803 claims · 0.3%

Your Cost: $34.50/claim|Median: $20.05
1.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$19K

636 claims · 0.2%

Your Cost: $29.48/claim|Median: $47.65
0.6× median
81025Normal range

Urine pregnancy test

$18K

5,044 claims · 0.2%

Your Cost: $3.59/claim|Median: $4.81
0.7× median
99204Normal range

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

$12K

155 claims · 0.1%

Your Cost: $76.96/claim|Median: $84.03
0.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$10K

319 claims · 0.1%

Your Cost: $29.89/claim|Median: $74.78
0.4× median
58100Normal range

$8K

253 claims · 0.1%

Your Cost: $32.63/claim|Median: $54.64
0.6× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$8K

164 claims · 0.1%

Your Cost: $50.17/claim|Median: $40.11
1.3× median
90715Top 1%

Tdap vaccine

$5K

87 claims · 0.1%

Your Cost: $60.40/claim|Median: $10.32
5.9× median
3351FNormal range

$5K

718 claims · 0.0%

Your Cost: $6.69/claim|Median: $0.03
222.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$4K

182 claims · 0.0%

Your Cost: $19.93/claim|Median: $58.55
0.3× median
81003Normal range

Urinalysis, automated without microscopy

$3K

1,579 claims · 0.0%

Your Cost: $1.72/claim|Median: $1.48
1.2× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$2K

25 claims · 0.0%

Your Cost: $72.75/claim|Median: $96.39
0.8× median
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