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Provider 1255366241

NPI: 1255366241Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.3M

$8,320,113

Total Claims

158K

Beneficiaries

146K

1.1 claims/patient

Avg Cost/Claim

$53

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-49%
2019
$1.4M
-36%
2020
$866K
-2%
2021
$846K
-12%
2022
$745K
+54%
2023
$1.1M
-39%
2024
$701K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 21% of total spending.

99214Top 5%

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

$1.7M

11K claims · 20.6%

Your Cost: $158.13/claim|Median: $53.41
3.0× median
99213Top 5%

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

$1.7M

17K claims · 20.5%

Your Cost: $103.03/claim|Median: $37.81
2.7× median
S4993Top 25%

$753K

6,692 claims · 9.0%

Your Cost: $112.49/claim|Median: $46.61
2.4× median
87806Normal range

$633K

26K claims · 7.6%

Your Cost: $24.67/claim|Median: $20.54
1.2× median
99203Top 1%

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

$557K

2,114 claims · 6.7%

Your Cost: $263.55/claim|Median: $57.85
4.6× median
J3490Top 25%

Unclassified drugs

$508K

11K claims · 6.1%

Your Cost: $47.12/claim|Median: $5.70
8.3× median
99212Top 10%

Office/outpatient visit, low complexity

$493K

6,349 claims · 5.9%

Your Cost: $77.63/claim|Median: $25.06
3.1× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$407K

483 claims · 4.9%

Your Cost: $842.35/claim|Median: $786.43
1.1× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$280K

1,766 claims · 3.4%

Your Cost: $158.56/claim|Median: $40.11
4.0× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$202K

1,972 claims · 2.4%

Your Cost: $102.45/claim|Median: $27.38
3.7× median
99211Top 10%

Office/outpatient visit, minimal complexity

$195K

3,376 claims · 2.3%

Your Cost: $57.88/claim|Median: $12.93
4.5× median
S0199Normal range

$136K

269 claims · 1.6%

Your Cost: $506.89/claim|Median: $454.23
1.1× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$119K

2,963 claims · 1.4%

Your Cost: $40.09/claim|Median: $24.95
1.6× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$96K

2,964 claims · 1.2%

Your Cost: $32.42/claim|Median: $23.39
1.4× median
11981Top 25%

$92K

426 claims · 1.1%

Your Cost: $214.86/claim|Median: $117.16
1.8× median
A4267Normal range

$72K

7,868 claims · 0.9%

Your Cost: $9.10/claim|Median: $7.86
1.2× median
81025Normal range

Urine pregnancy test

$59K

18K claims · 0.7%

Your Cost: $3.25/claim|Median: $4.81
0.7× median
99000Normal range

$48K

13K claims · 0.6%

Your Cost: $3.63/claim|Median: $2.30
1.6× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$44K

2,252 claims · 0.5%

Your Cost: $19.56/claim|Median: $21.08
0.9× median
S9445Normal range

$33K

2,601 claims · 0.4%

Your Cost: $12.72/claim|Median: $12.72
1.0× median
S5000Normal range

Prescription drug, generic

$21K

3,185 claims · 0.3%

Your Cost: $6.68/claim|Median: $7.47
0.9× median
S0190Normal range

$21K

335 claims · 0.3%

Your Cost: $62.79/claim|Median: $58.42
1.1× median
J7304Normal range

$20K

41 claims · 0.2%

Your Cost: $499.38/claim|Median: $630.59
0.8× median
83986Normal range

$17K

6,045 claims · 0.2%

Your Cost: $2.78/claim|Median: $2.70
1.0× median
87210Normal range

$13K

3,975 claims · 0.2%

Your Cost: $3.25/claim|Median: $3.65
0.9× median
11976Top 25%

$12K

131 claims · 0.1%

Your Cost: $91.65/claim|Median: $57.06
1.6× median
58300Normal range

$12K

120 claims · 0.1%

Your Cost: $98.47/claim|Median: $74.77
1.3× median
86701Normal range

$10K

1,535 claims · 0.1%

Your Cost: $6.56/claim|Median: $8.03
0.8× median
J7303Normal range

$8K

54 claims · 0.1%

Your Cost: $156.62/claim|Median: $125.58
1.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$7K

282 claims · 0.1%

Your Cost: $26.50/claim|Median: $47.65
0.6× median
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