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Provider 1275774333

NPI: 1275774333Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.7M

$11,740,619

Total Claims

201K

Beneficiaries

145K

1.4 claims/patient

Avg Cost/Claim

$58

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+51%
2019
$2.2M
-17%
2020
$1.8M
+6%
2021
$1.9M
+7%
2022
$2.0M
-27%
2023
$1.5M
-36%
2024
$943K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59409 (Vaginal delivery only)) accounts for 44% of total spending.

59409Normal range

Vaginal delivery only

$5.2M

8,469 claims · 43.9%

Your Cost: $608.90/claim|Median: $619.91
1.0× median
59514Normal range

Cesarean delivery only

$1.5M

2,594 claims · 13.1%

Your Cost: $595.08/claim|Median: $452.80
1.3× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$1.1M

20K claims · 9.1%

Your Cost: $54.09/claim|Median: $23.99
2.3× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$556K

11K claims · 4.7%

Your Cost: $49.74/claim|Median: $37.22
1.3× median
99213Normal range

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

$539K

16K claims · 4.6%

Your Cost: $33.17/claim|Median: $37.81
0.9× median
99199Normal range

Unlisted special service, procedure, or report

$466K

71K claims · 4.0%

Your Cost: $6.59/claim|Median: $5.39
1.2× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$457K

16K claims · 3.9%

Your Cost: $28.11/claim|Median: $58.55
0.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$276K

4,416 claims · 2.4%

Your Cost: $62.58/claim|Median: $106.79
0.6× median
76819Normal range

Fetal biophysical profile with non-stress test

$230K

8,911 claims · 2.0%

Your Cost: $25.76/claim|Median: $49.45
0.5× median
59025Normal range

Fetal non-stress test

$219K

12K claims · 1.9%

Your Cost: $17.92/claim|Median: $26.45
0.7× median
S0281Normal range

$167K

1,678 claims · 1.4%

Your Cost: $99.75/claim|Median: $92.97
1.1× median
59430Normal range

$160K

2,068 claims · 1.4%

Your Cost: $77.14/claim|Median: $80.32
1.0× median
99214Normal range

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

$127K

2,547 claims · 1.1%

Your Cost: $49.91/claim|Median: $53.41
0.9× median
99219Top 25%

$117K

1,413 claims · 1.0%

Your Cost: $82.86/claim|Median: $63.35
1.3× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$104K

2,969 claims · 0.9%

Your Cost: $34.93/claim|Median: $74.78
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$80K

4,736 claims · 0.7%

Your Cost: $16.83/claim|Median: $25.06
0.7× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$71K

1,094 claims · 0.6%

Your Cost: $65.10/claim|Median: $35.30
1.8× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$71K

1,947 claims · 0.6%

Your Cost: $36.23/claim|Median: $58.16
0.6× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$44K

1,433 claims · 0.4%

Your Cost: $30.61/claim|Median: $16.77
1.8× median
S0280Normal range

Medical home program, comprehensive care management

$37K

982 claims · 0.3%

Your Cost: $37.93/claim|Median: $48.38
0.8× median
76856Normal range

Ultrasound, pelvic, complete

$35K

1,614 claims · 0.3%

Your Cost: $21.52/claim|Median: $47.58
0.5× median
76815Normal range

Ultrasound, pregnant uterus, limited

$32K

1,501 claims · 0.3%

Your Cost: $21.43/claim|Median: $36.79
0.6× median
99242Normal range

Office consultation, low complexity

$28K

604 claims · 0.2%

Your Cost: $46.66/claim|Median: $57.97
0.8× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$25K

1,040 claims · 0.2%

Your Cost: $24.46/claim|Median: $47.65
0.5× median
99243Normal range

Office or other outpatient consultation, low complexity

$25K

411 claims · 0.2%

Your Cost: $60.66/claim|Median: $82.43
0.7× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$23K

242 claims · 0.2%

Your Cost: $95.03/claim|Median: $121.58
0.8× median
76820Normal range

$21K

1,308 claims · 0.2%

Your Cost: $15.82/claim|Median: $31.79
0.5× median
59200Normal range

$12K

470 claims · 0.1%

Your Cost: $26.15/claim|Median: $56.80
0.5× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$12K

14 claims · 0.1%

Your Cost: $853.41/claim|Median: $1,482.45
0.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$11K

215 claims · 0.1%

Your Cost: $51.63/claim|Median: $72.71
0.7× median
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