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Provider 1235177924

NPI: 1235177924Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.3M

$14,295,024

Total Claims

178K

Beneficiaries

143K

1.2 claims/patient

Avg Cost/Claim

$80

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+87%
2019
$2.2M
-14%
2020
$1.8M
+36%
2021
$2.5M
+15%
2022
$2.9M
-11%
2023
$2.6M
-53%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59430) accounts for 26% of total spending.

59430Top 25%

$3.7M

27K claims · 26.0%

Your Cost: $135.21/claim|Median: $80.32
1.7× median
59409Normal range

Vaginal delivery only

$2.8M

4,446 claims · 19.4%

Your Cost: $623.48/claim|Median: $619.91
1.0× median
99213Top 25%

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

$2.1M

35K claims · 14.9%

Your Cost: $61.32/claim|Median: $37.81
1.6× median
59425Normal range

Antepartum care only, 4-6 visits

$1.2M

19K claims · 8.1%

Your Cost: $62.42/claim|Median: $63.63
1.0× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$1.1M

28K claims · 8.0%

Your Cost: $41.09/claim|Median: $58.55
0.7× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$797K

8,735 claims · 5.6%

Your Cost: $91.28/claim|Median: $106.79
0.9× median
99214Top 10%

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

$714K

7,059 claims · 5.0%

Your Cost: $101.16/claim|Median: $53.41
1.9× median
59025Normal range

Fetal non-stress test

$340K

14K claims · 2.4%

Your Cost: $25.09/claim|Median: $26.45
0.9× median
76819Normal range

Fetal biophysical profile with non-stress test

$286K

7,077 claims · 2.0%

Your Cost: $40.39/claim|Median: $49.45
0.8× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$246K

7,043 claims · 1.7%

Your Cost: $34.94/claim|Median: $74.78
0.5× median
99212Top 25%

Office/outpatient visit, low complexity

$172K

4,435 claims · 1.2%

Your Cost: $38.70/claim|Median: $25.06
1.5× median
99232Top 5%

Subsequent hospital care, per day, moderate complexity

$109K

1,611 claims · 0.8%

Your Cost: $67.66/claim|Median: $23.99
2.8× median
59514Normal range

Cesarean delivery only

$106K

447 claims · 0.7%

Your Cost: $236.86/claim|Median: $452.80
0.5× median
99203Normal range

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

$92K

1,271 claims · 0.6%

Your Cost: $72.57/claim|Median: $57.85
1.3× median
99283Top 25%

Emergency dept visit, moderate complexity

$91K

1,348 claims · 0.6%

Your Cost: $67.36/claim|Median: $42.48
1.6× median
59426Normal range

Antepartum care only, high risk, additional visits

$72K

1,288 claims · 0.5%

Your Cost: $56.05/claim|Median: $122.30
0.5× median
76820Normal range

$58K

2,612 claims · 0.4%

Your Cost: $22.02/claim|Median: $31.79
0.7× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$51K

1,457 claims · 0.4%

Your Cost: $35.14/claim|Median: $16.77
2.1× median
99215Top 25%

Office/outpatient visit, high complexity

$41K

334 claims · 0.3%

Your Cost: $124.18/claim|Median: $74.09
1.7× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$31K

744 claims · 0.2%

Your Cost: $41.61/claim|Median: $58.16
0.7× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$28K

299 claims · 0.2%

Your Cost: $94.62/claim|Median: $96.39
1.0× median
76815Normal range

Ultrasound, pregnant uterus, limited

$18K

994 claims · 0.1%

Your Cost: $17.89/claim|Median: $36.79
0.5× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$15K

69 claims · 0.1%

Your Cost: $216.11/claim|Median: $111.09
1.9× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$14K

158 claims · 0.1%

Your Cost: $90.11/claim|Median: $35.30
2.6× median
76830Normal range

Ultrasound, transvaginal

$13K

623 claims · 0.1%

Your Cost: $20.29/claim|Median: $57.47
0.4× median
99238Top 5%

Hospital discharge day management, 30 minutes or less

$12K

149 claims · 0.1%

Your Cost: $78.92/claim|Median: $37.22
2.1× median
76857Normal range

Pelvic ultrasound, limited

$11K

399 claims · 0.1%

Your Cost: $28.08/claim|Median: $26.23
1.1× median
96040Normal range

$10K

778 claims · 0.1%

Your Cost: $12.74/claim|Median: $32.05
0.4× median
54150Top 25%

$9K

65 claims · 0.1%

Your Cost: $141.65/claim|Median: $84.60
1.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$9K

431 claims · 0.1%

Your Cost: $19.74/claim|Median: $47.65
0.4× median
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