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Provider 1164585725

NPI: 1164585725Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,133,407

Total Claims

262K

Beneficiaries

236K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$94K
+333%
2019
$407K
+107%
2020
$840K
+69%
2021
$1.4M
+64%
2022
$2.3M
+36%
2023
$3.2M
-41%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 27% of total spending.

99214Top 25%

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

$2.7M

30K claims · 26.9%

Your Cost: $89.51/claim|Median: $53.41
1.7× median
99213Top 25%

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

$1.2M

19K claims · 11.5%

Your Cost: $62.27/claim|Median: $37.81
1.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$720K

4,210 claims · 7.1%

Your Cost: $171.06/claim|Median: $54.68
3.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$688K

13K claims · 6.8%

Your Cost: $52.87/claim|Median: $58.55
0.9× median
93880Top 10%

Duplex ultrasound scan of carotid arteries, bilateral

$386K

2,377 claims · 3.8%

Your Cost: $162.43/claim|Median: $49.03
3.3× median
76818Normal range

$352K

7,394 claims · 3.5%

Your Cost: $47.60/claim|Median: $68.15
0.7× median
99204Top 25%

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

$337K

2,496 claims · 3.3%

Your Cost: $135.14/claim|Median: $84.03
1.6× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$306K

5,583 claims · 3.0%

Your Cost: $54.74/claim|Median: $23.99
2.3× median
99203Top 25%

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

$291K

3,117 claims · 2.9%

Your Cost: $93.44/claim|Median: $57.85
1.6× median
93229Normal range

$271K

469 claims · 2.7%

Your Cost: $578.54/claim|Median: $364.01
1.6× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$247K

6,561 claims · 2.4%

Your Cost: $37.58/claim|Median: $47.65
0.8× median
76819Normal range

Fetal biophysical profile with non-stress test

$239K

5,289 claims · 2.4%

Your Cost: $45.28/claim|Median: $49.45
0.9× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$204K

1,870 claims · 2.0%

Your Cost: $108.91/claim|Median: $106.79
1.0× median
99223Top 10%

Initial hospital care, per day, high complexity

$162K

1,188 claims · 1.6%

Your Cost: $136.01/claim|Median: $67.32
2.0× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$152K

11K claims · 1.5%

Your Cost: $13.92/claim|Median: $9.70
1.4× median
43239Normal range

Upper GI endoscopy with biopsy

$141K

1,335 claims · 1.4%

Your Cost: $105.63/claim|Median: $151.68
0.7× median
76820Normal range

$132K

5,837 claims · 1.3%

Your Cost: $22.62/claim|Median: $31.79
0.7× median
78452Top 25%

Myocardial perfusion imaging, SPECT, multiple studies

$130K

354 claims · 1.3%

Your Cost: $367.07/claim|Median: $106.14
3.5× median
76815Normal range

Ultrasound, pregnant uterus, limited

$122K

3,973 claims · 1.2%

Your Cost: $30.69/claim|Median: $36.79
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$109K

1,322 claims · 1.1%

Your Cost: $82.25/claim|Median: $69.35
1.2× median
76821Normal range

$96K

2,823 claims · 0.9%

Your Cost: $33.94/claim|Median: $46.75
0.7× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$95K

1,662 claims · 0.9%

Your Cost: $57.01/claim|Median: $58.16
1.0× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$86K

1,102 claims · 0.9%

Your Cost: $78.45/claim|Median: $35.30
2.2× median
93015Normal range

$77K

1,261 claims · 0.8%

Your Cost: $61.18/claim|Median: $41.12
1.5× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$74K

769 claims · 0.7%

Your Cost: $96.35/claim|Median: $75.18
1.3× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$61K

616 claims · 0.6%

Your Cost: $99.33/claim|Median: $103.70
1.0× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$49K

498 claims · 0.5%

Your Cost: $97.74/claim|Median: $98.15
1.0× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$47K

753 claims · 0.5%

Your Cost: $62.41/claim|Median: $70.87
0.9× median
A9502Top 25%

$44K

283 claims · 0.4%

Your Cost: $154.53/claim|Median: $54.60
2.8× median
99215Top 25%

Office/outpatient visit, high complexity

$41K

334 claims · 0.4%

Your Cost: $123.93/claim|Median: $74.09
1.7× median
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