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VALLEY PERINATAL SERVICES, LLC

Obstetrics & Gynecology, Maternal & Fetal Medicine·CHANDLER, AZ·NPI: 1174866743Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$23.6M

$23,606,213

Total Claims

249K

Beneficiaries

217K

1.1 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$2.2M
+42%
2019
$3.2M
-1%
2020
$3.1M
+23%
2021
$3.8M
-2%
2022
$3.8M
-2%
2023
$3.7M
+2%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (76811 (Ultrasound, pregnant uterus, detailed, single fetus)) accounts for 20% of total spending.

76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$4.7M

26K claims · 19.9%

Your Cost: $182.57/claim|Median: $106.79
1.7× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$3.0M

22K claims · 12.7%

Your Cost: $136.34/claim|Median: $74.78
1.8× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$2.9M

26K claims · 12.3%

Your Cost: $113.37/claim|Median: $58.55
1.9× median
76819Top 25%

Fetal biophysical profile with non-stress test

$2.8M

36K claims · 12.0%

Your Cost: $78.78/claim|Median: $49.45
1.6× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$2.6M

27K claims · 10.8%

Your Cost: $92.88/claim|Median: $47.65
1.9× median
99214Top 25%

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

$2.1M

23K claims · 9.1%

Your Cost: $92.13/claim|Median: $53.41
1.7× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$949K

15K claims · 4.0%

Your Cost: $65.38/claim|Median: $36.79
1.8× median
59025Normal range

Fetal non-stress test

$779K

21K claims · 3.3%

Your Cost: $37.29/claim|Median: $26.45
1.4× median
76821Top 25%

$435K

5,056 claims · 1.8%

Your Cost: $85.99/claim|Median: $46.75
1.8× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$413K

3,296 claims · 1.8%

Your Cost: $125.38/claim|Median: $58.16
2.2× median
76825Top 10%

$395K

1,410 claims · 1.7%

Your Cost: $279.80/claim|Median: $103.74
2.7× median
99213Top 25%

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

$335K

5,298 claims · 1.4%

Your Cost: $63.23/claim|Median: $37.81
1.7× median
99203Top 25%

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

$275K

2,858 claims · 1.2%

Your Cost: $96.08/claim|Median: $57.85
1.7× median
76813Top 10%

Ultrasound for fetal nuchal translucency measurement

$266K

2,141 claims · 1.1%

Your Cost: $124.40/claim|Median: $70.87
1.8× median
99204Top 25%

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

$260K

1,882 claims · 1.1%

Your Cost: $138.00/claim|Median: $84.03
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$225K

1,697 claims · 1.0%

Your Cost: $132.77/claim|Median: $74.09
1.8× median
76820Normal range

$204K

4,827 claims · 0.9%

Your Cost: $42.25/claim|Median: $31.79
1.3× median
93976Top 10%

$194K

1,066 claims · 0.8%

Your Cost: $182.09/claim|Median: $42.06
4.3× median
76827Top 25%

$145K

1,930 claims · 0.6%

Your Cost: $75.06/claim|Median: $39.58
1.9× median
99242Top 25%

Office consultation, low complexity

$120K

1,447 claims · 0.5%

Your Cost: $82.99/claim|Median: $57.97
1.4× median
76818Top 25%

$106K

1,018 claims · 0.4%

Your Cost: $104.00/claim|Median: $68.15
1.5× median
99243Top 25%

Office or other outpatient consultation, low complexity

$53K

460 claims · 0.2%

Your Cost: $115.92/claim|Median: $82.43
1.4× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$45K

261 claims · 0.2%

Your Cost: $172.81/claim|Median: $121.58
1.4× median
93325Normal range

$43K

1,825 claims · 0.2%

Your Cost: $23.79/claim|Median: $14.61
1.6× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$39K

216 claims · 0.2%

Your Cost: $181.26/claim|Median: $54.68
3.3× median
76830Top 10%

Ultrasound, transvaginal

$25K

230 claims · 0.1%

Your Cost: $108.66/claim|Median: $57.47
1.9× median
99212Top 25%

Office/outpatient visit, low complexity

$24K

562 claims · 0.1%

Your Cost: $41.97/claim|Median: $25.06
1.7× median
99443Top 10%

Telephone E/M by physician, 21-30 min

$22K

205 claims · 0.1%

Your Cost: $107.63/claim|Median: $32.55
3.3× median
93303Top 25%

Echocardiography, transthoracic, limited

$15K

82 claims · 0.1%

Your Cost: $189.02/claim|Median: $112.83
1.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$15K

220 claims · 0.1%

Your Cost: $68.58/claim|Median: $42.48
1.6× median
82962Top 25%

Blood glucose test by monitoring device

$15K

5,720 claims · 0.1%

Your Cost: $2.55/claim|Median: $1.40
1.8× median
93000Top 25%

Electrocardiogram, complete, with interpretation and report

$9K

563 claims · 0.0%

Your Cost: $15.51/claim|Median: $9.70
1.6× median
36415Top 25%

Collection of venous blood by venipuncture

$9K

3,017 claims · 0.0%

Your Cost: $2.82/claim|Median: $1.57
1.8× median
99241Normal range

Office consultation, straightforward

$8K

198 claims · 0.0%

Your Cost: $41.54/claim|Median: $36.49
1.1× median
98966Top 25%

$8K

556 claims · 0.0%

Your Cost: $14.62/claim|Median: $6.84
2.1× median
99421Top 25%

Online digital E/M, 5-10 min

$7K

432 claims · 0.0%

Your Cost: $16.29/claim|Median: $9.42
1.7× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$7K

94 claims · 0.0%

Your Cost: $71.41/claim|Median: $40.11
1.8× median
99222Top 5%

Initial hospital care, per day, moderate complexity

$5K

39 claims · 0.0%

Your Cost: $119.48/claim|Median: $51.25
2.3× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$5K

27 claims · 0.0%

Your Cost: $166.92/claim|Median: $111.09
1.5× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$4K

101 claims · 0.0%

Your Cost: $36.70/claim|Median: $16.77
2.2× median
93320Normal range

$4K

83 claims · 0.0%

Your Cost: $42.63/claim|Median: $28.68
1.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$3K

582 claims · 0.0%

Your Cost: $5.18/claim|Median: $3.67
1.4× median
76857Normal range

Pelvic ultrasound, limited

$2K

57 claims · 0.0%

Your Cost: $40.46/claim|Median: $26.23
1.5× median
99282Normal range

Emergency dept visit, low complexity

$2K

45 claims · 0.0%

Your Cost: $39.52/claim|Median: $37.72
1.0× median
99457Top 5%

$2K

40 claims · 0.0%

Your Cost: $43.91/claim|Median: $6.05
7.3× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$2K

39 claims · 0.0%

Your Cost: $41.39/claim|Median: $27.38
1.5× median
81002Normal range

Urinalysis, non-automated without microscopy

$1K

1,233 claims · 0.0%

Your Cost: $1.21/claim|Median: $2.00
0.6× median
99454Top 10%

$1K

29 claims · 0.0%

Your Cost: $44.31/claim|Median: $9.15
4.8× median
99252Normal range

$734

14 claims · 0.0%

Your Cost: $52.45/claim|Median: $38.63
1.4× median
99000Normal range

$554

626 claims · 0.0%

Your Cost: $0.88/claim|Median: $2.30
0.4× median