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Provider 1154371623

NPI: 1154371623Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$11.9M

$11,907,605

Total Claims

225K

Beneficiaries

191K

1.2 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$1.3M
+11%
2019
$1.5M
-4%
2020
$1.4M
+16%
2021
$1.6M
+22%
2022
$2.0M
+16%
2023
$2.3M
-21%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (76811 (Ultrasound, pregnant uterus, detailed, single fetus)) accounts for 17% of total spending.

76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$2.0M

17K claims · 16.8%

Your Cost: $116.40/claim|Median: $106.79
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$1.4M

20K claims · 11.4%

Your Cost: $67.19/claim|Median: $74.78
0.9× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$1.3M

16K claims · 11.0%

Your Cost: $83.73/claim|Median: $70.87
1.2× median
76815Normal range

Ultrasound, pregnant uterus, limited

$1.2M

24K claims · 10.5%

Your Cost: $51.43/claim|Median: $36.79
1.4× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$1.1M

20K claims · 9.6%

Your Cost: $57.65/claim|Median: $47.65
1.2× median
59025Normal range

Fetal non-stress test

$827K

44K claims · 6.9%

Your Cost: $18.96/claim|Median: $26.45
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$579K

12K claims · 4.9%

Your Cost: $48.48/claim|Median: $58.55
0.8× median
59409Normal range

Vaginal delivery only

$468K

1,002 claims · 3.9%

Your Cost: $467.04/claim|Median: $619.91
0.8× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$408K

8,388 claims · 3.4%

Your Cost: $48.66/claim|Median: $58.16
0.8× median
76825Normal range

$291K

4,251 claims · 2.4%

Your Cost: $68.48/claim|Median: $103.74
0.7× median
93325Top 25%

$274K

4,226 claims · 2.3%

Your Cost: $64.88/claim|Median: $14.61
4.4× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$256K

5,845 claims · 2.1%

Your Cost: $43.78/claim|Median: $40.11
1.1× median
99203Normal range

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

$253K

4,747 claims · 2.1%

Your Cost: $53.25/claim|Median: $57.85
0.9× median
99213Normal range

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

$248K

11K claims · 2.1%

Your Cost: $23.08/claim|Median: $37.81
0.6× median
99204Normal range

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

$235K

3,972 claims · 2.0%

Your Cost: $59.10/claim|Median: $84.03
0.7× median
99214Normal range

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

$208K

6,509 claims · 1.7%

Your Cost: $31.91/claim|Median: $53.41
0.6× median
76827Normal range

$182K

4,229 claims · 1.5%

Your Cost: $43.10/claim|Median: $39.58
1.1× median
Z1034Normal range

$102K

1,884 claims · 0.9%

Your Cost: $54.16/claim|Median: $54.74
1.0× median
76820Normal range

$99K

3,379 claims · 0.8%

Your Cost: $29.41/claim|Median: $31.79
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$98K

4,224 claims · 0.8%

Your Cost: $23.31/claim|Median: $25.06
0.9× median
S0265Normal range

$78K

3,372 claims · 0.7%

Your Cost: $23.21/claim|Median: $61.95
0.4× median
99241Normal range

Office consultation, straightforward

$70K

2,548 claims · 0.6%

Your Cost: $27.41/claim|Median: $36.49
0.8× median
59514Normal range

Cesarean delivery only

$70K

148 claims · 0.6%

Your Cost: $471.31/claim|Median: $452.80
1.0× median
99243Normal range

Office or other outpatient consultation, low complexity

$46K

689 claims · 0.4%

Your Cost: $67.10/claim|Median: $82.43
0.8× median
99242Normal range

Office consultation, low complexity

$16K

365 claims · 0.1%

Your Cost: $44.57/claim|Median: $57.97
0.8× median
99451Normal range

$9K

375 claims · 0.1%

Your Cost: $23.38/claim|Median: $20.05
1.2× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$7K

224 claims · 0.1%

Your Cost: $32.53/claim|Median: $27.38
1.2× median
99231Normal range

Subsequent hospital care, per day, low complexity

$6K

310 claims · 0.1%

Your Cost: $20.30/claim|Median: $16.77
1.2× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$6K

200 claims · 0.1%

Your Cost: $31.35/claim|Median: $23.99
1.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$952

13 claims · 0.0%

Your Cost: $73.26/claim|Median: $121.58
0.6× median
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