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Provider 1194832949

NPI: 1194832949Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$9.1M

$9,129,229

Total Claims

84K

Beneficiaries

69K

1.2 claims/patient

Avg Cost/Claim

$109

Monthly Spending Trend

Yearly Spending

2018
$625K
+140%
2019
$1.5M
+118%
2020
$3.3M
-59%
2021
$1.3M
-69%
2022
$409K
+67%
2023
$685K
+93%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59840) accounts for 21% of total spending.

59840Top 25%

$1.9M

3,197 claims · 21.1%

Your Cost: $601.10/claim|Median: $190.09
3.2× median
99212Top 5%

Office/outpatient visit, low complexity

$1.4M

8,204 claims · 15.3%

Your Cost: $169.96/claim|Median: $25.06
6.8× median
99213Top 5%

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

$1.2M

11K claims · 13.1%

Your Cost: $108.25/claim|Median: $37.81
2.9× median
76856Top 5%

Ultrasound, pelvic, complete

$743K

3,263 claims · 8.1%

Your Cost: $227.62/claim|Median: $47.58
4.8× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$584K

7,260 claims · 6.4%

Your Cost: $80.46/claim|Median: $36.79
2.2× median
90791Top 25%

Psychiatric diagnostic evaluation

$582K

4,375 claims · 6.4%

Your Cost: $133.00/claim|Median: $99.21
1.3× median
76998Top 25%

$518K

3,812 claims · 5.7%

Your Cost: $135.84/claim|Median: $57.59
2.4× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$398K

3,743 claims · 4.4%

Your Cost: $106.44/claim|Median: $54.77
1.9× median
59841Normal range

$262K

455 claims · 2.9%

Your Cost: $575.56/claim|Median: $331.87
1.7× median
81025Top 5%

Urine pregnancy test

$248K

11K claims · 2.7%

Your Cost: $23.32/claim|Median: $4.81
4.8× median
99214Top 10%

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

$247K

2,124 claims · 2.7%

Your Cost: $116.10/claim|Median: $53.41
2.2× median
90832Top 25%

Psychotherapy, 30 minutes

$216K

2,614 claims · 2.4%

Your Cost: $82.71/claim|Median: $41.28
2.0× median
99203Top 25%

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

$189K

2,058 claims · 2.1%

Your Cost: $92.01/claim|Median: $57.85
1.6× median
59200Top 25%

$156K

518 claims · 1.7%

Your Cost: $300.47/claim|Median: $56.80
5.3× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$74K

839 claims · 0.8%

Your Cost: $88.79/claim|Median: $40.11
2.2× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$74K

873 claims · 0.8%

Your Cost: $85.31/claim|Median: $47.65
1.8× median
76830Top 25%

Ultrasound, transvaginal

$67K

655 claims · 0.7%

Your Cost: $102.11/claim|Median: $57.47
1.8× median
90834Top 10%

Psychotherapy, 45 minutes

$63K

464 claims · 0.7%

Your Cost: $136.11/claim|Median: $63.65
2.1× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$31K

253 claims · 0.3%

Your Cost: $120.90/claim|Median: $72.71
1.7× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$28K

292 claims · 0.3%

Your Cost: $96.16/claim|Median: $58.16
1.7× median
36415Top 25%

Collection of venous blood by venipuncture

$24K

6,846 claims · 0.3%

Your Cost: $3.53/claim|Median: $1.57
2.2× median
99051Normal range

$22K

1,672 claims · 0.2%

Your Cost: $12.91/claim|Median: $7.89
1.6× median
99385Top 10%

Preventive visit, new patient, 18-39 yr

$16K

120 claims · 0.2%

Your Cost: $133.18/claim|Median: $76.22
1.7× median
99000Top 10%

$12K

1,092 claims · 0.1%

Your Cost: $11.41/claim|Median: $2.30
5.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$9K

1,019 claims · 0.1%

Your Cost: $9.14/claim|Median: $9.56
1.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$9K

186 claims · 0.1%

Your Cost: $48.26/claim|Median: $41.92
1.2× median
59820Normal range

$7K

12 claims · 0.1%

Your Cost: $597.44/claim|Median: $806.02
0.7× median
H0033Normal range

Oral medication administration, direct observation

$6K

274 claims · 0.1%

Your Cost: $22.02/claim|Median: $31.37
0.7× median
S0190Normal range

$6K

411 claims · 0.1%

Your Cost: $14.55/claim|Median: $58.42
0.2× median
87811Normal range

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

$6K

311 claims · 0.1%

Your Cost: $17.74/claim|Median: $30.53
0.6× median
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