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Provider 1245526987

NPI: 1245526987Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.0M

$15,034,615

Total Claims

224K

Beneficiaries

181K

1.2 claims/patient

Avg Cost/Claim

$67

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+32%
2019
$2.3M
-4%
2020
$2.2M
+14%
2021
$2.5M
+2%
2022
$2.5M
-7%
2023
$2.3M
-30%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 35% of total spending.

99213Top 5%

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

$5.3M

60K claims · 35.1%

Your Cost: $87.89/claim|Median: $37.81
2.3× median
76830Top 5%

Ultrasound, transvaginal

$2.5M

20K claims · 16.8%

Your Cost: $124.26/claim|Median: $57.47
2.2× median
99214Top 5%

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

$1.4M

11K claims · 9.3%

Your Cost: $128.07/claim|Median: $53.41
2.4× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$632K

5,426 claims · 4.2%

Your Cost: $116.52/claim|Median: $58.55
2.0× median
58558Top 10%

$629K

399 claims · 4.2%

Your Cost: $1,575.59/claim|Median: $942.89
1.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$537K

5,079 claims · 3.6%

Your Cost: $105.81/claim|Median: $72.71
1.5× median
59409Top 10%

Vaginal delivery only

$475K

434 claims · 3.2%

Your Cost: $1,093.98/claim|Median: $619.91
1.8× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$453K

3,972 claims · 3.0%

Your Cost: $114.05/claim|Median: $76.06
1.5× median
59430Top 1%

$425K

1,496 claims · 2.8%

Your Cost: $284.11/claim|Median: $80.32
3.5× median
76856Top 25%

Ultrasound, pelvic, complete

$406K

3,991 claims · 2.7%

Your Cost: $101.68/claim|Median: $47.58
2.1× median
76818Top 10%

$403K

3,156 claims · 2.7%

Your Cost: $127.82/claim|Median: $68.15
1.9× median
81025Top 25%

Urine pregnancy test

$229K

30K claims · 1.5%

Your Cost: $7.61/claim|Median: $4.81
1.6× median
59514Top 5%

Cesarean delivery only

$217K

167 claims · 1.4%

Your Cost: $1,297.32/claim|Median: $452.80
2.9× median
Q0091Normal range

$166K

9,607 claims · 1.1%

Your Cost: $17.26/claim|Median: $11.15
1.5× median
99212Top 25%

Office/outpatient visit, low complexity

$151K

2,900 claims · 1.0%

Your Cost: $52.15/claim|Median: $25.06
2.1× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$125K

1,262 claims · 0.8%

Your Cost: $98.70/claim|Median: $47.65
2.1× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$124K

844 claims · 0.8%

Your Cost: $147.11/claim|Median: $74.78
2.0× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$104K

922 claims · 0.7%

Your Cost: $112.38/claim|Median: $76.22
1.5× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$103K

798 claims · 0.7%

Your Cost: $129.31/claim|Median: $87.82
1.5× median
99215Top 5%

Office/outpatient visit, high complexity

$89K

512 claims · 0.6%

Your Cost: $174.12/claim|Median: $74.09
2.4× median
90715Top 10%

Tdap vaccine

$84K

2,234 claims · 0.6%

Your Cost: $37.43/claim|Median: $10.32
3.6× median
90471Top 25%

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

$80K

5,095 claims · 0.5%

Your Cost: $15.61/claim|Median: $9.80
1.6× median
76813Top 5%

Ultrasound for fetal nuchal translucency measurement

$65K

502 claims · 0.4%

Your Cost: $128.87/claim|Median: $70.87
1.8× median
76820Top 25%

$55K

1,103 claims · 0.4%

Your Cost: $50.26/claim|Median: $31.79
1.6× median
99203Top 5%

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

$48K

401 claims · 0.3%

Your Cost: $118.79/claim|Median: $57.85
2.1× median
81003Normal range

Urinalysis, automated without microscopy

$45K

24K claims · 0.3%

Your Cost: $1.89/claim|Median: $1.48
1.3× median
76819Top 10%

Fetal biophysical profile with non-stress test

$43K

437 claims · 0.3%

Your Cost: $97.39/claim|Median: $49.45
2.0× median
36415Normal range

Collection of venous blood by venipuncture

$42K

23K claims · 0.3%

Your Cost: $1.87/claim|Median: $1.57
1.2× median
90656Top 25%

$19K

1,035 claims · 0.1%

Your Cost: $18.46/claim|Median: $8.67
2.1× median
90674Top 10%

$19K

596 claims · 0.1%

Your Cost: $31.45/claim|Median: $15.16
2.1× median
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