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Provider 1184662579

NPI: 1184662579Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.1M

$8,069,695

Total Claims

147K

Beneficiaries

91K

1.6 claims/patient

Avg Cost/Claim

$55

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+35%
2019
$1.5M
+3%
2020
$1.5M
-25%
2021
$1.2M
-12%
2022
$1.0M
-3%
2023
$984K
-25%
2024
$739K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (76819 (Fetal biophysical profile with non-stress test)) accounts for 15% of total spending.

76819Normal range

Fetal biophysical profile with non-stress test

$1.2M

22K claims · 15.0%

Your Cost: $54.97/claim|Median: $49.45
1.1× median
76820Normal range

$957K

24K claims · 11.9%

Your Cost: $39.41/claim|Median: $31.79
1.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$835K

14K claims · 10.3%

Your Cost: $57.60/claim|Median: $58.55
1.0× median
99213Normal range

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

$805K

18K claims · 10.0%

Your Cost: $43.58/claim|Median: $37.81
1.2× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$783K

5,905 claims · 9.7%

Your Cost: $132.57/claim|Median: $106.79
1.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$732K

12K claims · 9.1%

Your Cost: $61.53/claim|Median: $47.65
1.3× median
93976Top 25%

$324K

2,791 claims · 4.0%

Your Cost: $116.04/claim|Median: $42.06
2.8× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$311K

3,411 claims · 3.9%

Your Cost: $91.22/claim|Median: $74.78
1.2× median
76821Normal range

$305K

5,537 claims · 3.8%

Your Cost: $55.04/claim|Median: $46.75
1.2× median
99203Normal range

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

$303K

4,469 claims · 3.7%

Your Cost: $67.70/claim|Median: $57.85
1.2× median
76815Normal range

Ultrasound, pregnant uterus, limited

$277K

6,560 claims · 3.4%

Your Cost: $42.18/claim|Median: $36.79
1.1× median
76825Normal range

$244K

1,666 claims · 3.0%

Your Cost: $146.73/claim|Median: $103.74
1.4× median
76828Normal range

$200K

6,185 claims · 2.5%

Your Cost: $32.32/claim|Median: $30.36
1.1× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$176K

3,858 claims · 2.2%

Your Cost: $45.65/claim|Median: $23.99
1.9× median
93325Top 25%

$150K

3,560 claims · 1.9%

Your Cost: $42.21/claim|Median: $14.61
2.9× median
76827Normal range

$92K

1,837 claims · 1.1%

Your Cost: $50.06/claim|Median: $39.58
1.3× median
76826Normal range

$73K

981 claims · 0.9%

Your Cost: $74.59/claim|Median: $77.33
1.0× median
99214Normal range

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

$61K

950 claims · 0.8%

Your Cost: $64.67/claim|Median: $53.41
1.2× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$52K

956 claims · 0.6%

Your Cost: $53.97/claim|Median: $40.11
1.3× median
99242Normal range

Office consultation, low complexity

$43K

825 claims · 0.5%

Your Cost: $52.55/claim|Median: $57.97
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$33K

1,263 claims · 0.4%

Your Cost: $26.22/claim|Median: $25.06
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$27K

308 claims · 0.3%

Your Cost: $87.00/claim|Median: $74.09
1.2× median
99223Top 25%

Initial hospital care, per day, high complexity

$25K

196 claims · 0.3%

Your Cost: $126.22/claim|Median: $67.32
1.9× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$20K

285 claims · 0.2%

Your Cost: $70.01/claim|Median: $58.16
1.2× median
99255Top 25%

$9K

72 claims · 0.1%

Your Cost: $130.92/claim|Median: $90.45
1.4× median
36415Normal range

Collection of venous blood by venipuncture

$8K

3,725 claims · 0.1%

Your Cost: $2.18/claim|Median: $1.57
1.4× median
99243Normal range

Office or other outpatient consultation, low complexity

$5K

70 claims · 0.1%

Your Cost: $76.56/claim|Median: $82.43
0.9× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$4K

62 claims · 0.0%

Your Cost: $59.23/claim|Median: $70.87
0.8× median
76818Normal range

$3K

43 claims · 0.0%

Your Cost: $58.57/claim|Median: $68.15
0.9× median
96040Normal range

$2K

237 claims · 0.0%

Your Cost: $9.33/claim|Median: $32.05
0.3× median
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