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Provider 1285253252

NPI: 1285253252Share
Active Billing Period:2020-05→2024-12(56 months)

Total Paid

$15.0M

$15,021,026

Total Claims

416K

Beneficiaries

312K

1.3 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2020
$130K
+636%
2021
$957K
+321%
2022
$4.0M
+37%
2023
$5.5M
-21%
2024
$4.4M

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 12% of total spending.

99213Normal range

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

$1.8M

63K claims · 12.0%

Your Cost: $28.56/claim|Median: $37.81
0.8× median
76819Normal range

Fetal biophysical profile with non-stress test

$1.2M

22K claims · 8.1%

Your Cost: $54.47/claim|Median: $49.45
1.1× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$1.2M

12K claims · 8.0%

Your Cost: $99.03/claim|Median: $74.78
1.3× median
99214Normal range

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

$1.2M

26K claims · 7.7%

Your Cost: $45.09/claim|Median: $53.41
0.8× median
59025Top 25%

Fetal non-stress test

$762K

9,195 claims · 5.1%

Your Cost: $82.84/claim|Median: $26.45
3.1× median
G0378Normal range

Hospital observation service, per hour

$761K

3,169 claims · 5.1%

Your Cost: $240.17/claim|Median: $99.39
2.4× median
93303Top 25%

Echocardiography, transthoracic, limited

$718K

3,023 claims · 4.8%

Your Cost: $237.59/claim|Median: $112.83
2.1× median
99215Normal range

Office/outpatient visit, high complexity

$466K

10K claims · 3.1%

Your Cost: $45.31/claim|Median: $74.09
0.6× median
93325Top 10%

$465K

4,855 claims · 3.1%

Your Cost: $95.68/claim|Median: $14.61
6.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$420K

4,319 claims · 2.8%

Your Cost: $97.20/claim|Median: $106.79
0.9× median
G0379Top 25%

Direct admission to hospital observation

$349K

1,377 claims · 2.3%

Your Cost: $253.16/claim|Median: $48.25
5.2× median
93320Top 10%

$317K

3,044 claims · 2.1%

Your Cost: $104.13/claim|Median: $28.68
3.6× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$287K

11K claims · 1.9%

Your Cost: $26.27/claim|Median: $24.95
1.1× median
20610Top 10%

Arthrocentesis, aspiration/injection, major joint

$285K

2,228 claims · 1.9%

Your Cost: $127.79/claim|Median: $29.03
4.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$284K

11K claims · 1.9%

Your Cost: $25.94/claim|Median: $23.39
1.1× median
64493Top 25%

$265K

696 claims · 1.8%

Your Cost: $381.05/claim|Median: $103.44
3.7× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$246K

9,791 claims · 1.6%

Your Cost: $25.16/claim|Median: $21.08
1.2× median
62323Top 25%

Epidural injection of diagnostic or therapeutic substance, lumbar

$232K

952 claims · 1.5%

Your Cost: $243.21/claim|Median: $111.02
2.2× median
41899Normal range

Unlisted procedure, dentoalveolar structures

$222K

398 claims · 1.5%

Your Cost: $557.65/claim|Median: $763.43
0.7× median
20611Top 5%

Aspiration or injection of intermediate joint or bursa

$220K

1,053 claims · 1.5%

Your Cost: $209.33/claim|Median: $42.51
4.9× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$213K

296 claims · 1.4%

Your Cost: $719.40/claim|Median: $786.43
0.9× median
99212Normal range

Office/outpatient visit, low complexity

$174K

7,073 claims · 1.2%

Your Cost: $24.65/claim|Median: $25.06
1.0× median
76820Normal range

$141K

4,157 claims · 0.9%

Your Cost: $33.87/claim|Median: $31.79
1.1× median
76825Top 25%

$120K

632 claims · 0.8%

Your Cost: $190.09/claim|Median: $103.74
1.8× median
93304Top 25%

$111K

647 claims · 0.7%

Your Cost: $172.13/claim|Median: $54.29
3.2× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$107K

1,432 claims · 0.7%

Your Cost: $74.89/claim|Median: $58.16
1.3× median
77067Normal range

Screening mammography, bilateral, including CAD

$107K

1,623 claims · 0.7%

Your Cost: $65.75/claim|Median: $39.33
1.7× median
T2101Normal range

$102K

4,528 claims · 0.7%

Your Cost: $22.57/claim|Median: $18.58
1.2× median
73564Top 5%

$98K

1,263 claims · 0.7%

Your Cost: $77.48/claim|Median: $15.00
5.2× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$96K

3,297 claims · 0.6%

Your Cost: $29.21/claim|Median: $9.56
3.1× median
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