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Provider 1295270254

NPI: 1295270254Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.2M

$12,210,256

Total Claims

255K

Beneficiaries

205K

1.2 claims/patient

Avg Cost/Claim

$48

Monthly Spending Trend

Yearly Spending

2018
$426K
+90%
2019
$811K
+67%
2020
$1.4M
+60%
2021
$2.2M
+8%
2022
$2.3M
+9%
2023
$2.6M
-2%
2024
$2.5M

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 15% of total spending.

59409Normal range

Vaginal delivery only

$1.8M

3,600 claims · 14.7%

Your Cost: $499.71/claim|Median: $619.91
0.8× median
59425Normal range

Antepartum care only, 4-6 visits

$1.7M

30K claims · 13.7%

Your Cost: $55.04/claim|Median: $63.63
0.9× median
99235Normal range

$1.2M

12K claims · 9.4%

Your Cost: $96.99/claim|Median: $110.13
0.9× median
99213Normal range

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

$1.0M

40K claims · 8.4%

Your Cost: $25.74/claim|Median: $37.81
0.7× median
J7298Top 25%

$984K

988 claims · 8.1%

Your Cost: $995.69/claim|Median: $751.11
1.3× median
59514Normal range

Cesarean delivery only

$971K

2,681 claims · 8.0%

Your Cost: $362.18/claim|Median: $452.80
0.8× median
99203Normal range

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

$700K

11K claims · 5.7%

Your Cost: $61.18/claim|Median: $57.85
1.1× median
J7307Top 25%

Etonogestrel implant system, including implant and supplies

$645K

642 claims · 5.3%

Your Cost: $1,004.62/claim|Median: $786.43
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$465K

3,880 claims · 3.8%

Your Cost: $119.82/claim|Median: $74.09
1.6× median
99223Normal range

Initial hospital care, per day, high complexity

$346K

4,588 claims · 2.8%

Your Cost: $75.48/claim|Median: $67.32
1.1× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$241K

6,744 claims · 2.0%

Your Cost: $35.78/claim|Median: $23.99
1.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$222K

6,234 claims · 1.8%

Your Cost: $35.55/claim|Median: $37.22
1.0× median
59430Normal range

$212K

4,311 claims · 1.7%

Your Cost: $49.26/claim|Median: $80.32
0.6× median
99214Normal range

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

$202K

4,946 claims · 1.7%

Your Cost: $40.87/claim|Median: $53.41
0.8× median
58300Top 25%

$195K

1,611 claims · 1.6%

Your Cost: $121.12/claim|Median: $74.77
1.6× median
99204Normal range

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

$190K

2,706 claims · 1.6%

Your Cost: $70.27/claim|Median: $84.03
0.8× median
Z1034Top 5%

$121K

1,705 claims · 1.0%

Your Cost: $70.96/claim|Median: $54.74
1.3× median
59025Normal range

Fetal non-stress test

$109K

12K claims · 0.9%

Your Cost: $8.80/claim|Median: $26.45
0.3× median
99283Normal range

Emergency dept visit, moderate complexity

$109K

2,716 claims · 0.9%

Your Cost: $40.12/claim|Median: $42.48
0.9× median
0500FTop 25%

$104K

2,002 claims · 0.9%

Your Cost: $52.06/claim|Median: $39.34
1.3× median
11981Normal range

$85K

488 claims · 0.7%

Your Cost: $173.37/claim|Median: $117.16
1.5× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$73K

953 claims · 0.6%

Your Cost: $76.78/claim|Median: $96.39
0.8× median
81003Normal range

Urinalysis, automated without microscopy

$73K

42K claims · 0.6%

Your Cost: $1.76/claim|Median: $1.48
1.2× median
81025Normal range

Urine pregnancy test

$73K

26K claims · 0.6%

Your Cost: $2.76/claim|Median: $4.81
0.6× median
58301Normal range

$70K

1,053 claims · 0.6%

Your Cost: $66.85/claim|Median: $49.65
1.3× median
58100Normal range

$60K

1,578 claims · 0.5%

Your Cost: $38.13/claim|Median: $54.64
0.7× median
88164Normal range

$55K

6,273 claims · 0.5%

Your Cost: $8.81/claim|Median: $7.56
1.2× median
99212Normal range

Office/outpatient visit, low complexity

$46K

2,315 claims · 0.4%

Your Cost: $19.69/claim|Median: $25.06
0.8× median
G8431Top 25%

$36K

1,332 claims · 0.3%

Your Cost: $27.38/claim|Median: $2.37
11.6× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$35K

1,966 claims · 0.3%

Your Cost: $17.87/claim|Median: $9.56
1.9× median
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