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Provider 1326045477

NPI: 1326045477Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$11.2M

$11,189,229

Total Claims

116K

Beneficiaries

101K

1.2 claims/patient

Avg Cost/Claim

$96

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+17%
2019
$1.8M
-7%
2020
$1.6M
-3%
2021
$1.6M
-9%
2022
$1.4M
+21%
2023
$1.7M
-15%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (76816 (Ultrasound, pregnant uterus, follow-up)) accounts for 23% of total spending.

76816Top 10%

Ultrasound, pregnant uterus, follow-up

$2.6M

24K claims · 23.3%

Your Cost: $110.72/claim|Median: $58.55
1.9× median
76819Top 25%

Fetal biophysical profile with non-stress test

$1.6M

18K claims · 13.9%

Your Cost: $86.48/claim|Median: $49.45
1.7× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$1.3M

6,886 claims · 11.9%

Your Cost: $192.57/claim|Median: $106.79
1.8× median
76818Top 10%

$1.3M

11K claims · 11.8%

Your Cost: $122.32/claim|Median: $68.15
1.8× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$1.1M

12K claims · 10.2%

Your Cost: $94.02/claim|Median: $47.65
2.0× median
76820Top 25%

$825K

18K claims · 7.4%

Your Cost: $45.87/claim|Median: $31.79
1.4× median
76830Top 10%

Ultrasound, transvaginal

$523K

5,010 claims · 4.7%

Your Cost: $104.48/claim|Median: $57.47
1.8× median
76856Top 25%

Ultrasound, pelvic, complete

$432K

4,479 claims · 3.9%

Your Cost: $96.49/claim|Median: $47.58
2.0× median
76825Top 25%

$322K

1,325 claims · 2.9%

Your Cost: $242.88/claim|Median: $103.74
2.3× median
76821Top 25%

$286K

3,332 claims · 2.6%

Your Cost: $85.69/claim|Median: $46.75
1.8× median
99214Top 5%

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

$207K

1,703 claims · 1.9%

Your Cost: $121.62/claim|Median: $53.41
2.3× median
93976Top 10%

$114K

687 claims · 1.0%

Your Cost: $165.69/claim|Median: $42.06
3.9× median
76827Top 25%

$98K

1,384 claims · 0.9%

Your Cost: $71.10/claim|Median: $39.58
1.8× median
76813Top 10%

Ultrasound for fetal nuchal translucency measurement

$90K

710 claims · 0.8%

Your Cost: $127.04/claim|Median: $70.87
1.8× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$88K

693 claims · 0.8%

Your Cost: $126.71/claim|Median: $58.16
2.2× median
99213Top 10%

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

$86K

1,029 claims · 0.8%

Your Cost: $83.64/claim|Median: $37.81
2.2× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$43K

616 claims · 0.4%

Your Cost: $69.71/claim|Median: $36.79
1.9× median
76376Top 25%

$37K

2,156 claims · 0.3%

Your Cost: $17.13/claim|Median: $5.53
3.1× median
93325Normal range

$36K

1,317 claims · 0.3%

Your Cost: $27.71/claim|Median: $14.61
1.9× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$24K

170 claims · 0.2%

Your Cost: $142.32/claim|Median: $74.78
1.9× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$20K

250 claims · 0.2%

Your Cost: $81.40/claim|Median: $40.11
2.0× median
99212Top 25%

Office/outpatient visit, low complexity

$6K

105 claims · 0.1%

Your Cost: $54.44/claim|Median: $25.06
2.2× median
99215Top 10%

Office/outpatient visit, high complexity

$5K

29 claims · 0.0%

Your Cost: $162.02/claim|Median: $74.09
2.2× median
99203Top 10%

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

$4K

36 claims · 0.0%

Your Cost: $105.09/claim|Median: $57.85
1.8× median
36415Normal range

Collection of venous blood by venipuncture

$1K

2,022 claims · 0.0%

Your Cost: $0.67/claim|Median: $1.57
0.4× median