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Provider 1154333086

NPI: 1154333086Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.6M

$12,581,474

Total Claims

278K

Beneficiaries

187K

1.5 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+45%
2019
$1.9M
+12%
2020
$2.1M
-6%
2021
$2.0M
-5%
2022
$1.9M
-8%
2023
$1.7M
-3%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (76816 (Ultrasound, pregnant uterus, follow-up)) accounts for 18% of total spending.

76816Normal range

Ultrasound, pregnant uterus, follow-up

$2.2M

40K claims · 17.8%

Your Cost: $55.46/claim|Median: $58.55
0.9× median
76819Normal range

Fetal biophysical profile with non-stress test

$2.0M

36K claims · 15.6%

Your Cost: $54.62/claim|Median: $49.45
1.1× median
99213Normal range

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

$1.3M

33K claims · 10.4%

Your Cost: $39.42/claim|Median: $37.81
1.0× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.0M

8,803 claims · 8.3%

Your Cost: $119.15/claim|Median: $106.79
1.1× median
99214Normal range

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

$987K

16K claims · 7.8%

Your Cost: $60.05/claim|Median: $53.41
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$963K

12K claims · 7.7%

Your Cost: $81.16/claim|Median: $74.78
1.1× median
76825Normal range

$852K

6,956 claims · 6.8%

Your Cost: $122.53/claim|Median: $103.74
1.2× median
76820Normal range

$463K

11K claims · 3.7%

Your Cost: $41.74/claim|Median: $31.79
1.3× median
76827Normal range

$438K

8,313 claims · 3.5%

Your Cost: $52.73/claim|Median: $39.58
1.3× median
93325Top 25%

$307K

7,469 claims · 2.4%

Your Cost: $41.05/claim|Median: $14.61
2.8× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$282K

4,518 claims · 2.2%

Your Cost: $62.38/claim|Median: $35.30
1.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$240K

5,390 claims · 1.9%

Your Cost: $44.61/claim|Median: $23.99
1.9× median
J1439Normal range

$206K

318 claims · 1.6%

Your Cost: $646.71/claim|Median: $477.34
1.4× median
99203Normal range

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

$190K

3,036 claims · 1.5%

Your Cost: $62.45/claim|Median: $57.85
1.1× median
76815Normal range

Ultrasound, pregnant uterus, limited

$185K

4,224 claims · 1.5%

Your Cost: $43.70/claim|Median: $36.79
1.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$182K

3,382 claims · 1.4%

Your Cost: $53.85/claim|Median: $47.65
1.1× median
99212Normal range

Office/outpatient visit, low complexity

$139K

5,382 claims · 1.1%

Your Cost: $25.89/claim|Median: $25.06
1.0× median
99204Normal range

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

$129K

1,525 claims · 1.0%

Your Cost: $84.80/claim|Median: $84.03
1.0× median
76828Normal range

$113K

2,822 claims · 0.9%

Your Cost: $39.99/claim|Median: $30.36
1.3× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$110K

1,792 claims · 0.9%

Your Cost: $61.11/claim|Median: $58.16
1.1× median
81003Normal range

Urinalysis, automated without microscopy

$85K

60K claims · 0.7%

Your Cost: $1.42/claim|Median: $1.48
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$71K

886 claims · 0.6%

Your Cost: $80.10/claim|Median: $74.09
1.1× median
76821Normal range

$20K

393 claims · 0.2%

Your Cost: $51.43/claim|Median: $46.75
1.1× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$18K

412 claims · 0.1%

Your Cost: $43.04/claim|Median: $54.77
0.8× median
Q0138Normal range

$11K

76 claims · 0.1%

Your Cost: $150.32/claim|Median: $214.34
0.7× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$9K

176 claims · 0.1%

Your Cost: $52.84/claim|Median: $111.09
0.5× median
T1013Normal range

Sign language or oral interpretive services, per 15 minutes

$5K

1,542 claims · 0.0%

Your Cost: $3.13/claim|Median: $17.67
0.2× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$5K

318 claims · 0.0%

Your Cost: $14.31/claim|Median: $9.56
1.5× median
59025Normal range

Fetal non-stress test

$2K

71 claims · 0.0%

Your Cost: $24.54/claim|Median: $26.45
0.9× median
36415Normal range

Collection of venous blood by venipuncture

$1K

773 claims · 0.0%

Your Cost: $1.92/claim|Median: $1.57
1.2× median
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