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Provider 1316036353

NPI: 1316036353Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.3M

$9,331,393

Total Claims

152K

Beneficiaries

113K

1.3 claims/patient

Avg Cost/Claim

$62

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+3%
2019
$1.6M
-3%
2020
$1.6M
+3%
2021
$1.6M
-18%
2022
$1.3M
-19%
2023
$1.1M
-51%
2024
$524K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59426 (Antepartum care only, high risk, additional visits)) accounts for 32% of total spending.

59426Normal range

Antepartum care only, high risk, additional visits

$3.0M

31K claims · 31.8%

Your Cost: $96.73/claim|Median: $122.30
0.8× median
59425Top 25%

Antepartum care only, 4-6 visits

$1.5M

17K claims · 16.6%

Your Cost: $91.20/claim|Median: $63.63
1.4× median
99213Top 25%

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

$1.3M

22K claims · 13.9%

Your Cost: $58.59/claim|Median: $37.81
1.5× median
76819Normal range

Fetal biophysical profile with non-stress test

$602K

9,927 claims · 6.5%

Your Cost: $60.69/claim|Median: $49.45
1.2× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$585K

6,973 claims · 6.3%

Your Cost: $83.87/claim|Median: $58.55
1.4× median
59410Normal range

$432K

533 claims · 4.6%

Your Cost: $810.58/claim|Median: $781.64
1.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$406K

4,889 claims · 4.3%

Your Cost: $83.01/claim|Median: $74.78
1.1× median
59515Normal range

$286K

312 claims · 3.1%

Your Cost: $916.69/claim|Median: $786.24
1.2× median
99204Top 25%

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

$224K

1,888 claims · 2.4%

Your Cost: $118.42/claim|Median: $84.03
1.4× median
99214Top 25%

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

$197K

2,457 claims · 2.1%

Your Cost: $80.18/claim|Median: $53.41
1.5× median
99395Normal range

Preventive medicine, established patient, age 18-39

$168K

1,958 claims · 1.8%

Your Cost: $85.76/claim|Median: $72.71
1.2× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$138K

1,554 claims · 1.5%

Your Cost: $88.60/claim|Median: $106.79
0.8× median
76815Normal range

Ultrasound, pregnant uterus, limited

$115K

1,927 claims · 1.2%

Your Cost: $59.81/claim|Median: $36.79
1.6× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$60K

1,000 claims · 0.6%

Your Cost: $60.15/claim|Median: $47.65
1.3× median
81025Normal range

Urine pregnancy test

$56K

9,174 claims · 0.6%

Your Cost: $6.09/claim|Median: $4.81
1.3× median
36415Normal range

Collection of venous blood by venipuncture

$53K

21K claims · 0.6%

Your Cost: $2.57/claim|Median: $1.57
1.6× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$25K

330 claims · 0.3%

Your Cost: $75.42/claim|Median: $58.16
1.3× median
59514Normal range

Cesarean delivery only

$24K

269 claims · 0.3%

Your Cost: $90.16/claim|Median: $452.80
0.2× median
85025Normal range

Complete blood count (CBC) with differential, automated

$18K

3,016 claims · 0.2%

Your Cost: $5.95/claim|Median: $4.71
1.3× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$16K

1,647 claims · 0.2%

Your Cost: $9.51/claim|Median: $9.80
1.0× median
90715Top 25%

Tdap vaccine

$14K

553 claims · 0.2%

Your Cost: $26.08/claim|Median: $10.32
2.5× median
99219Top 10%

$13K

122 claims · 0.1%

Your Cost: $104.64/claim|Median: $63.35
1.7× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$13K

15 claims · 0.1%

Your Cost: $845.00/claim|Median: $786.43
1.1× median
82950Normal range

$12K

3,216 claims · 0.1%

Your Cost: $3.79/claim|Median: $4.18
0.9× median
81003Normal range

Urinalysis, automated without microscopy

$12K

7,487 claims · 0.1%

Your Cost: $1.59/claim|Median: $1.48
1.1× median
90674Normal range

$11K

536 claims · 0.1%

Your Cost: $21.21/claim|Median: $15.16
1.4× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$10K

651 claims · 0.1%

Your Cost: $15.63/claim|Median: $7.18
2.2× median
99217Top 10%

$8K

132 claims · 0.1%

Your Cost: $59.15/claim|Median: $31.89
1.9× median
76830Normal range

Ultrasound, transvaginal

$7K

107 claims · 0.1%

Your Cost: $65.33/claim|Median: $57.47
1.1× median
99234Top 10%

$6K

53 claims · 0.1%

Your Cost: $114.59/claim|Median: $80.89
1.4× median
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