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Provider 1164566717

NPI: 1164566717Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$7.7M

$7,681,529

Total Claims

57K

Beneficiaries

49K

1.2 claims/patient

Avg Cost/Claim

$134

Monthly Spending Trend

Yearly Spending

2018
$872K
+2%
2019
$887K
+46%
2020
$1.3M
+13%
2021
$1.5M
-8%
2022
$1.3M
-15%
2023
$1.1M
-37%
2024
$708K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59400 (Routine obstetric care, vaginal delivery, including postpartum)) accounts for 40% of total spending.

59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$3.1M

1,779 claims · 39.9%

Your Cost: $1,724.08/claim|Median: $1,482.45
1.2× median
59425Normal range

Antepartum care only, 4-6 visits

$1.0M

13K claims · 13.0%

Your Cost: $78.14/claim|Median: $63.63
1.2× median
99215Top 10%

Office/outpatient visit, high complexity

$698K

4,376 claims · 9.1%

Your Cost: $159.43/claim|Median: $74.09
2.2× median
59510Normal range

$690K

397 claims · 9.0%

Your Cost: $1,737.98/claim|Median: $1,543.20
1.1× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$353K

3,837 claims · 4.6%

Your Cost: $92.03/claim|Median: $58.16
1.6× median
59430Normal range

$266K

3,929 claims · 3.5%

Your Cost: $67.68/claim|Median: $80.32
0.8× median
0500FTop 25%

$236K

2,955 claims · 3.1%

Your Cost: $79.77/claim|Median: $39.34
2.0× median
3351FTop 10%

$194K

2,934 claims · 2.5%

Your Cost: $65.98/claim|Median: $0.03
2199.2× median
99213Normal range

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

$184K

6,462 claims · 2.4%

Your Cost: $28.41/claim|Median: $37.81
0.8× median
87491Top 5%

Chlamydia detection, nucleic acid, amplified probe

$158K

2,214 claims · 2.1%

Your Cost: $71.19/claim|Median: $24.95
2.9× median
58740Normal range

$148K

417 claims · 1.9%

Your Cost: $354.89/claim|Median: $199.51
1.8× median
99203Normal range

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

$144K

2,191 claims · 1.9%

Your Cost: $65.95/claim|Median: $57.85
1.1× median
59514Normal range

Cesarean delivery only

$94K

426 claims · 1.2%

Your Cost: $221.64/claim|Median: $452.80
0.5× median
76813Top 10%

Ultrasound for fetal nuchal translucency measurement

$90K

706 claims · 1.2%

Your Cost: $127.04/claim|Median: $70.87
1.8× median
88141Normal range

$66K

4,692 claims · 0.9%

Your Cost: $14.13/claim|Median: $14.87
0.9× median
99214Normal range

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

$62K

1,182 claims · 0.8%

Your Cost: $52.56/claim|Median: $53.41
1.0× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$44K

425 claims · 0.6%

Your Cost: $103.75/claim|Median: $74.78
1.4× median
59025Normal range

Fetal non-stress test

$38K

1,553 claims · 0.5%

Your Cost: $24.34/claim|Median: $26.45
0.9× median
76819Top 10%

Fetal biophysical profile with non-stress test

$34K

358 claims · 0.4%

Your Cost: $95.62/claim|Median: $49.45
1.9× median
59409Normal range

Vaginal delivery only

$26K

39 claims · 0.3%

Your Cost: $654.47/claim|Median: $619.91
1.1× median
G8510Top 25%

$25K

2,059 claims · 0.3%

Your Cost: $12.37/claim|Median: $1.96
6.3× median
99234Top 25%

$9K

98 claims · 0.1%

Your Cost: $96.14/claim|Median: $80.89
1.2× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$8K

90 claims · 0.1%

Your Cost: $94.18/claim|Median: $47.65
2.0× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$8K

345 claims · 0.1%

Your Cost: $23.38/claim|Median: $9.56
2.4× median
58300Top 10%

$8K

51 claims · 0.1%

Your Cost: $156.78/claim|Median: $74.77
2.1× median
Z1032Normal range

$7K

60 claims · 0.1%

Your Cost: $112.07/claim|Median: $147.33
0.8× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$5K

66 claims · 0.1%

Your Cost: $77.69/claim|Median: $36.79
2.1× median
H1001Normal range

$4K

51 claims · 0.1%

Your Cost: $81.59/claim|Median: $60.48
1.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$3K

33 claims · 0.0%

Your Cost: $104.76/claim|Median: $121.58
0.9× median
99218Top 25%

$3K

34 claims · 0.0%

Your Cost: $91.22/claim|Median: $51.50
1.8× median
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