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Provider 1174793392

NPI: 1174793392Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,296,730

Total Claims

172K

Beneficiaries

150K

1.1 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+64%
2019
$2.5M
-66%
2020
$864K
+16%
2021
$1.0M
-12%
2022
$880K
+2%
2023
$898K
-33%
2024
$604K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 32% of total spending.

99213Top 10%

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

$2.7M

35K claims · 32.1%

Your Cost: $75.10/claim|Median: $37.81
2.0× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$490K

4,695 claims · 5.9%

Your Cost: $104.27/claim|Median: $76.06
1.4× median
76830Top 25%

Ultrasound, transvaginal

$425K

4,864 claims · 5.1%

Your Cost: $87.39/claim|Median: $57.47
1.5× median
93923Top 1%

$404K

1,979 claims · 4.9%

Your Cost: $204.30/claim|Median: $38.08
5.4× median
99214Top 10%

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

$317K

3,082 claims · 3.8%

Your Cost: $102.76/claim|Median: $53.41
1.9× median
59409Top 1%

Vaginal delivery only

$289K

175 claims · 3.5%

Your Cost: $1,650.36/claim|Median: $619.91
2.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$282K

2,906 claims · 3.4%

Your Cost: $97.04/claim|Median: $72.71
1.3× median
95923Top 1%

$252K

1,972 claims · 3.0%

Your Cost: $127.67/claim|Median: $44.24
2.9× median
76856Normal range

Ultrasound, pelvic, complete

$218K

3,677 claims · 2.6%

Your Cost: $59.18/claim|Median: $47.58
1.2× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$204K

1,650 claims · 2.5%

Your Cost: $123.67/claim|Median: $87.82
1.4× median
99203Top 25%

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

$199K

2,033 claims · 2.4%

Your Cost: $97.77/claim|Median: $57.85
1.7× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$167K

2,397 claims · 2.0%

Your Cost: $69.72/claim|Median: $47.65
1.5× median
95921Top 1%

$161K

1,967 claims · 1.9%

Your Cost: $81.66/claim|Median: $31.18
2.6× median
93922Top 5%

$160K

1,858 claims · 1.9%

Your Cost: $85.87/claim|Median: $26.06
3.3× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$151K

6,731 claims · 1.8%

Your Cost: $22.38/claim|Median: $30.53
0.7× median
59514Top 1%

Cesarean delivery only

$149K

84 claims · 1.8%

Your Cost: $1,772.45/claim|Median: $452.80
3.9× median
99212Top 25%

Office/outpatient visit, low complexity

$136K

3,040 claims · 1.6%

Your Cost: $44.90/claim|Median: $25.06
1.8× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$122K

1,452 claims · 1.5%

Your Cost: $84.01/claim|Median: $58.55
1.4× median
59430Top 10%

$118K

564 claims · 1.4%

Your Cost: $209.72/claim|Median: $80.32
2.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$115K

6,663 claims · 1.4%

Your Cost: $17.26/claim|Median: $9.56
1.8× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$112K

4,445 claims · 1.3%

Your Cost: $25.10/claim|Median: $24.95
1.0× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$109K

4,446 claims · 1.3%

Your Cost: $24.57/claim|Median: $23.39
1.1× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$91K

857 claims · 1.1%

Your Cost: $105.80/claim|Median: $76.22
1.4× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$70K

733 claims · 0.8%

Your Cost: $95.19/claim|Median: $58.16
1.6× median
95816Top 5%

$65K

179 claims · 0.8%

Your Cost: $361.14/claim|Median: $56.87
6.4× median
87624Normal range

HPV detection, high-risk types, nucleic acid

$62K

2,391 claims · 0.7%

Your Cost: $25.94/claim|Median: $25.57
1.0× median
99483Top 5%

$50K

198 claims · 0.6%

Your Cost: $252.76/claim|Median: $34.89
7.2× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$43K

267 claims · 0.5%

Your Cost: $159.68/claim|Median: $106.79
1.5× median
87798Top 1%

Infectious agent detection, nucleic acid, not otherwise specified

$41K

112 claims · 0.5%

Your Cost: $365.03/claim|Median: $26.72
13.7× median
82306Normal range

Vitamin D, 25 hydroxy

$40K

1,628 claims · 0.5%

Your Cost: $24.58/claim|Median: $18.18
1.4× median
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