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Provider 1336148543

NPI: 1336148543Share
Active Billing Period:2018-01→2024-12(77 months)

Total Paid

$16.6M

$16,648,871

Total Claims

231K

Beneficiaries

185K

1.3 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$20K
+3282%
2019
$675K
-20%
2020
$542K
+25%
2021
$676K
+634%
2022
$5.0M
+11%
2023
$5.5M
-22%
2024
$4.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (76818) accounts for 26% of total spending.

76818Top 25%

$4.3M

39K claims · 25.9%

Your Cost: $109.73/claim|Median: $68.15
1.6× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$2.2M

15K claims · 13.3%

Your Cost: $151.62/claim|Median: $106.79
1.4× median
76816Top 5%

Ultrasound, pregnant uterus, follow-up

$2.1M

17K claims · 12.6%

Your Cost: $123.66/claim|Median: $58.55
2.1× median
99214Normal range

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

$1.4M

21K claims · 8.6%

Your Cost: $69.83/claim|Median: $53.41
1.3× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$1.2M

15K claims · 7.2%

Your Cost: $78.62/claim|Median: $47.65
1.7× median
76825Top 25%

$1.1M

4,865 claims · 6.8%

Your Cost: $234.33/claim|Median: $103.74
2.3× median
99213Top 25%

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

$656K

10K claims · 3.9%

Your Cost: $62.59/claim|Median: $37.81
1.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$439K

28K claims · 2.6%

Your Cost: $15.46/claim|Median: $12.93
1.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$424K

4,143 claims · 2.5%

Your Cost: $102.25/claim|Median: $121.58
0.8× median
99204Top 10%

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

$328K

2,061 claims · 2.0%

Your Cost: $159.15/claim|Median: $84.03
1.9× median
76827Top 25%

$311K

4,931 claims · 1.9%

Your Cost: $63.04/claim|Median: $39.58
1.6× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$291K

2,882 claims · 1.8%

Your Cost: $101.12/claim|Median: $58.16
1.7× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$274K

2,755 claims · 1.6%

Your Cost: $99.39/claim|Median: $70.87
1.4× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$266K

3,942 claims · 1.6%

Your Cost: $67.50/claim|Median: $74.78
0.9× median
99203Top 25%

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

$244K

2,565 claims · 1.5%

Your Cost: $95.03/claim|Median: $57.85
1.6× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$220K

3,108 claims · 1.3%

Your Cost: $70.77/claim|Median: $36.79
1.9× median
G0108Normal range

Diabetes self-management training, individual

$188K

4,406 claims · 1.1%

Your Cost: $42.75/claim|Median: $35.89
1.2× median
93325Normal range

$181K

7,570 claims · 1.1%

Your Cost: $23.95/claim|Median: $14.61
1.6× median
76820Top 25%

$150K

3,299 claims · 0.9%

Your Cost: $45.61/claim|Median: $31.79
1.4× median
81002Normal range

Urinalysis, non-automated without microscopy

$65K

35K claims · 0.4%

Your Cost: $1.85/claim|Median: $2.00
0.9× median
76819Top 5%

Fetal biophysical profile with non-stress test

$49K

401 claims · 0.3%

Your Cost: $122.75/claim|Median: $49.45
2.5× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$40K

233 claims · 0.2%

Your Cost: $173.06/claim|Median: $111.09
1.6× median
59025Normal range

Fetal non-stress test

$25K

803 claims · 0.1%

Your Cost: $30.75/claim|Median: $26.45
1.2× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$21K

384 claims · 0.1%

Your Cost: $55.81/claim|Median: $23.99
2.3× median
99243Normal range

Office or other outpatient consultation, low complexity

$19K

435 claims · 0.1%

Your Cost: $43.79/claim|Median: $82.43
0.5× median
76821Normal range

$18K

1,157 claims · 0.1%

Your Cost: $15.29/claim|Median: $46.75
0.3× median
99245Normal range

Office consultation, high complexity

$15K

176 claims · 0.1%

Your Cost: $87.21/claim|Median: $143.30
0.6× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$4K

38 claims · 0.0%

Your Cost: $114.30/claim|Median: $35.30
3.2× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$4K

37 claims · 0.0%

Your Cost: $95.52/claim|Median: $40.11
2.4× median
93976Top 10%

$2K

12 claims · 0.0%

Your Cost: $178.54/claim|Median: $42.06
4.2× median
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