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Provider 1194790089

NPI: 1194790089Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,097,199

Total Claims

119K

Beneficiaries

80K

1.5 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$449K
+65%
2019
$738K
+184%
2020
$2.1M
-19%
2021
$1.7M
+3%
2022
$1.8M
+16%
2023
$2.0M
-35%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 89% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$9.0M

52K claims · 89.4%

Your Cost: $174.30/claim|Median: $121.16
1.4× median
99213Normal range

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

$591K

48K claims · 5.9%

Your Cost: $12.20/claim|Median: $37.81
0.3× median
76830Normal range

Ultrasound, transvaginal

$110K

2,145 claims · 1.1%

Your Cost: $51.08/claim|Median: $57.47
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$104K

2,564 claims · 1.0%

Your Cost: $40.49/claim|Median: $58.55
0.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$72K

1,330 claims · 0.7%

Your Cost: $54.19/claim|Median: $74.78
0.7× median
76815Normal range

Ultrasound, pregnant uterus, limited

$55K

1,913 claims · 0.5%

Your Cost: $28.89/claim|Median: $36.79
0.8× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$36K

48 claims · 0.4%

Your Cost: $751.56/claim|Median: $786.43
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$26K

1,968 claims · 0.3%

Your Cost: $13.20/claim|Median: $72.71
0.2× median
99212Normal range

Office/outpatient visit, low complexity

$20K

3,300 claims · 0.2%

Your Cost: $6.20/claim|Median: $25.06
0.2× median
99214Normal range

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

$11K

837 claims · 0.1%

Your Cost: $13.15/claim|Median: $53.41
0.2× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$11K

630 claims · 0.1%

Your Cost: $17.14/claim|Median: $9.80
1.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$11K

1,053 claims · 0.1%

Your Cost: $10.01/claim|Median: $9.56
1.0× median
90686Top 1%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$7K

234 claims · 0.1%

Your Cost: $31.26/claim|Median: $7.18
4.4× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$6K

573 claims · 0.1%

Your Cost: $9.76/claim|Median: $41.92
0.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$4K

272 claims · 0.0%

Your Cost: $15.24/claim|Median: $76.06
0.2× median
90715Normal range

Tdap vaccine

$4K

189 claims · 0.0%

Your Cost: $18.72/claim|Median: $10.32
1.8× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$2K

28 claims · 0.0%

Your Cost: $77.09/claim|Median: $47.65
1.6× median
11981Normal range

$1K

13 claims · 0.0%

Your Cost: $100.67/claim|Median: $117.16
0.9× median
76819Normal range

Fetal biophysical profile with non-stress test

$1K

35 claims · 0.0%

Your Cost: $34.40/claim|Median: $49.45
0.7× median
76705Normal range

Ultrasound, abdominal, limited

$958

30 claims · 0.0%

Your Cost: $31.93/claim|Median: $23.81
1.3× median
90656Normal range

$602

39 claims · 0.0%

Your Cost: $15.43/claim|Median: $8.67
1.8× median
76536Normal range

$491

13 claims · 0.0%

Your Cost: $37.80/claim|Median: $44.06
0.9× median
59025Normal range

Fetal non-stress test

$284

41 claims · 0.0%

Your Cost: $6.92/claim|Median: $26.45
0.3× median
76810Normal range

$105

17 claims · 0.0%

Your Cost: $6.19/claim|Median: $41.41
0.1× median
3078FNormal range

$0

437 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
11982Normal range

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $90.51
90832Normal range

Psychotherapy, 30 minutes

$0

81 claims · 0.0%

Your Cost: $0.00/claim|Median: $41.28
99203Normal range

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

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $57.85
G0467Normal range

Federally qualified health center visit, mental health

$0

85 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.91
3074FNormal range

$0

811 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
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