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Provider 1174557979

NPI: 1174557979Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.6M

$9,562,994

Total Claims

90K

Beneficiaries

73K

1.2 claims/patient

Avg Cost/Claim

$107

Monthly Spending Trend

Yearly Spending

2018
$542K
+85%
2019
$1.0M
+23%
2020
$1.2M
+34%
2021
$1.6M
+6%
2022
$1.7M
+7%
2023
$1.9M
-18%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (76816 (Ultrasound, pregnant uterus, follow-up)) accounts for 14% of total spending.

76816Top 5%

Ultrasound, pregnant uterus, follow-up

$1.3M

11K claims · 13.9%

Your Cost: $122.71/claim|Median: $58.55
2.1× median
76825Top 25%

$1.2M

5,686 claims · 12.3%

Your Cost: $207.04/claim|Median: $103.74
2.0× median
76818Top 10%

$1.1M

8,660 claims · 11.7%

Your Cost: $129.38/claim|Median: $68.15
1.9× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$703K

6,964 claims · 7.3%

Your Cost: $100.89/claim|Median: $47.65
2.1× median
99213Top 5%

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

$643K

7,070 claims · 6.7%

Your Cost: $90.94/claim|Median: $37.81
2.4× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$614K

4,164 claims · 6.4%

Your Cost: $147.47/claim|Median: $74.78
2.0× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$553K

2,847 claims · 5.8%

Your Cost: $194.35/claim|Median: $106.79
1.8× median
99214Top 5%

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

$543K

4,240 claims · 5.7%

Your Cost: $128.05/claim|Median: $53.41
2.4× median
76826Top 10%

$475K

2,687 claims · 5.0%

Your Cost: $176.66/claim|Median: $77.33
2.3× median
76820Normal range

$456K

11K claims · 4.8%

Your Cost: $42.95/claim|Median: $31.79
1.4× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$396K

3,099 claims · 4.1%

Your Cost: $127.84/claim|Median: $58.16
2.2× median
76813Top 10%

Ultrasound for fetal nuchal translucency measurement

$367K

2,923 claims · 3.8%

Your Cost: $125.71/claim|Median: $70.87
1.8× median
99212Top 10%

Office/outpatient visit, low complexity

$320K

5,155 claims · 3.3%

Your Cost: $62.14/claim|Median: $25.06
2.5× median
76819Top 10%

Fetal biophysical profile with non-stress test

$318K

3,437 claims · 3.3%

Your Cost: $92.45/claim|Median: $49.45
1.9× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$247K

2,720 claims · 2.6%

Your Cost: $90.75/claim|Median: $36.79
2.5× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$161K

2,037 claims · 1.7%

Your Cost: $78.95/claim|Median: $40.11
2.0× median
99204Top 5%

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

$32K

177 claims · 0.3%

Your Cost: $180.33/claim|Median: $84.03
2.1× median
76830Top 10%

Ultrasound, transvaginal

$30K

255 claims · 0.3%

Your Cost: $116.72/claim|Median: $57.47
2.0× median
76856Top 25%

Ultrasound, pelvic, complete

$28K

266 claims · 0.3%

Your Cost: $103.39/claim|Median: $47.58
2.2× median
99051Normal range

$27K

4,563 claims · 0.3%

Your Cost: $5.83/claim|Median: $7.89
0.7× median
99203Top 5%

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

$13K

106 claims · 0.1%

Your Cost: $122.94/claim|Median: $57.85
2.1× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$4K

103 claims · 0.0%

Your Cost: $41.78/claim|Median: $27.38
1.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$4K

27 claims · 0.0%

Your Cost: $140.36/claim|Median: $121.58
1.2× median
36415Top 25%

Collection of venous blood by venipuncture

$2K

391 claims · 0.0%

Your Cost: $3.86/claim|Median: $1.57
2.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$866

35 claims · 0.0%

Your Cost: $24.75/claim|Median: $12.93
1.9× median
82962Top 25%

Blood glucose test by monitoring device

$427

160 claims · 0.0%

Your Cost: $2.67/claim|Median: $1.40
1.9× median
99072Normal range

$0

416 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.54
99056Normal range

$0

63 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.05
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