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Provider 1285873166

NPI: 1285873166Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.4M

$13,432,171

Total Claims

146K

Beneficiaries

131K

1.1 claims/patient

Avg Cost/Claim

$92

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+23%
2019
$1.5M
+29%
2020
$1.9M
+41%
2021
$2.7M
-1%
2022
$2.7M
-19%
2023
$2.2M
-48%
2024
$1.1M

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 18% of total spending.

99213Top 10%

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

$2.5M

34K claims · 18.5%

Your Cost: $73.74/claim|Median: $37.81
2.0× median
58558Top 25%

$2.2M

1,580 claims · 16.6%

Your Cost: $1,414.79/claim|Median: $942.89
1.5× median
93975Top 10%

Duplex scan of arterial inflow and venous outflow, complete

$1.3M

4,678 claims · 9.5%

Your Cost: $273.03/claim|Median: $79.28
3.4× median
76830Top 25%

Ultrasound, transvaginal

$1.1M

13K claims · 8.4%

Your Cost: $84.41/claim|Median: $57.47
1.5× median
59840Normal range

$1.1M

4,452 claims · 8.1%

Your Cost: $245.86/claim|Median: $190.09
1.3× median
99214Top 5%

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

$867K

7,105 claims · 6.5%

Your Cost: $122.03/claim|Median: $53.41
2.3× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$851K

8,273 claims · 6.3%

Your Cost: $102.90/claim|Median: $58.16
1.8× median
99442Top 5%

Telephone E/M by physician, 11-20 minutes

$550K

5,268 claims · 4.1%

Your Cost: $104.36/claim|Median: $22.44
4.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$424K

4,108 claims · 3.2%

Your Cost: $103.10/claim|Median: $72.71
1.4× median
A4550Top 5%

$343K

1,397 claims · 2.6%

Your Cost: $245.47/claim|Median: $4.85
50.6× median
76856Top 25%

Ultrasound, pelvic, complete

$301K

3,766 claims · 2.2%

Your Cost: $79.91/claim|Median: $47.58
1.7× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$218K

1,290 claims · 1.6%

Your Cost: $168.61/claim|Median: $111.09
1.5× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$189K

2,930 claims · 1.4%

Your Cost: $64.49/claim|Median: $40.11
1.6× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$188K

1,591 claims · 1.4%

Your Cost: $118.38/claim|Median: $76.06
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$151K

1,113 claims · 1.1%

Your Cost: $135.28/claim|Median: $74.09
1.8× median
99203Top 25%

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

$131K

1,363 claims · 1.0%

Your Cost: $96.26/claim|Median: $57.85
1.7× median
S0190Normal range

$131K

2,565 claims · 1.0%

Your Cost: $50.90/claim|Median: $58.42
0.9× median
76857Top 25%

Pelvic ultrasound, limited

$109K

2,030 claims · 0.8%

Your Cost: $53.58/claim|Median: $26.23
2.0× median
99212Top 25%

Office/outpatient visit, low complexity

$100K

2,315 claims · 0.7%

Your Cost: $43.35/claim|Median: $25.06
1.7× median
59841Normal range

$96K

239 claims · 0.7%

Your Cost: $403.67/claim|Median: $331.87
1.2× median
57454Top 25%

Colposcopy with cervical biopsy and endocervical curettage

$94K

577 claims · 0.7%

Your Cost: $162.53/claim|Median: $96.39
1.7× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$88K

791 claims · 0.7%

Your Cost: $110.87/claim|Median: $76.22
1.5× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$56K

477 claims · 0.4%

Your Cost: $116.78/claim|Median: $74.78
1.6× median
81025Normal range

Urine pregnancy test

$40K

14K claims · 0.3%

Your Cost: $2.94/claim|Median: $4.81
0.6× median
99204Top 25%

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

$36K

268 claims · 0.3%

Your Cost: $134.30/claim|Median: $84.03
1.6× median
99443Top 5%

Telephone E/M by physician, 21-30 min

$30K

206 claims · 0.2%

Your Cost: $147.32/claim|Median: $32.55
4.5× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$29K

443 claims · 0.2%

Your Cost: $65.44/claim|Median: $13.30
4.9× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$21K

299 claims · 0.2%

Your Cost: $70.95/claim|Median: $36.79
1.9× median
A4649Top 10%

Surgical supply, miscellaneous, not otherwise classified

$18K

131 claims · 0.1%

Your Cost: $139.70/claim|Median: $5.04
27.7× median
52204Top 25%

$16K

45 claims · 0.1%

Your Cost: $362.23/claim|Median: $101.99
3.6× median
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