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Provider 1346284684

NPI: 1346284684Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.8M

$14,831,042

Total Claims

332K

Beneficiaries

285K

1.2 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$3.0M
+11%
2019
$3.3M
-14%
2020
$2.9M
-9%
2021
$2.6M
-60%
2022
$1.0M
+12%
2023
$1.2M
-30%
2024
$820K

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 15% of total spending.

99213Normal range

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

$2.3M

49K claims · 15.3%

Your Cost: $46.43/claim|Median: $37.81
1.2× median
59409Normal range

Vaginal delivery only

$1.6M

2,115 claims · 10.9%

Your Cost: $762.86/claim|Median: $619.91
1.2× median
99214Normal range

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

$1.6M

25K claims · 10.5%

Your Cost: $63.40/claim|Median: $53.41
1.2× median
59426Normal range

Antepartum care only, high risk, additional visits

$824K

1,189 claims · 5.6%

Your Cost: $693.07/claim|Median: $122.30
5.7× median
59514Top 25%

Cesarean delivery only

$497K

593 claims · 3.4%

Your Cost: $838.45/claim|Median: $452.80
1.9× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$438K

7,983 claims · 3.0%

Your Cost: $54.83/claim|Median: $35.30
1.6× median
76818Normal range

$387K

13K claims · 2.6%

Your Cost: $30.16/claim|Median: $68.15
0.4× median
99204Normal range

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

$379K

4,266 claims · 2.6%

Your Cost: $88.93/claim|Median: $84.03
1.1× median
99392Normal range

Preventive medicine, established patient, age 1-4

$356K

4,689 claims · 2.4%

Your Cost: $75.94/claim|Median: $75.18
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$311K

3,199 claims · 2.1%

Your Cost: $97.14/claim|Median: $67.32
1.4× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$309K

4,778 claims · 2.1%

Your Cost: $64.61/claim|Median: $69.35
0.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$300K

8,002 claims · 2.0%

Your Cost: $37.50/claim|Median: $23.99
1.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$299K

3,824 claims · 2.0%

Your Cost: $78.28/claim|Median: $72.71
1.1× median
99203Normal range

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

$283K

4,872 claims · 1.9%

Your Cost: $58.02/claim|Median: $57.85
1.0× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$266K

5,093 claims · 1.8%

Your Cost: $52.28/claim|Median: $106.79
0.5× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$256K

11K claims · 1.7%

Your Cost: $23.89/claim|Median: $58.55
0.4× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$243K

690 claims · 1.6%

Your Cost: $352.57/claim|Median: $293.45
1.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$241K

4,431 claims · 1.6%

Your Cost: $54.38/claim|Median: $62.48
0.9× median
99393Normal range

Preventive medicine, established patient, age 5-11

$236K

3,177 claims · 1.6%

Your Cost: $74.41/claim|Median: $74.82
1.0× median
99396Normal range

Preventive medicine, established patient, age 40-64

$214K

2,428 claims · 1.4%

Your Cost: $88.04/claim|Median: $76.06
1.2× median
76820Normal range

$210K

15K claims · 1.4%

Your Cost: $14.31/claim|Median: $31.79
0.5× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$203K

4,723 claims · 1.4%

Your Cost: $42.96/claim|Median: $37.22
1.2× median
99222Normal range

Initial hospital care, per day, moderate complexity

$195K

2,776 claims · 1.3%

Your Cost: $70.14/claim|Median: $51.25
1.4× median
99215Normal range

Office/outpatient visit, high complexity

$188K

2,170 claims · 1.3%

Your Cost: $86.68/claim|Median: $74.09
1.2× median
99394Normal range

Preventive medicine, established patient, age 12-17

$152K

1,920 claims · 1.0%

Your Cost: $78.94/claim|Median: $80.15
1.0× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$144K

1,417 claims · 1.0%

Your Cost: $101.91/claim|Median: $103.70
1.0× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$128K

1,350 claims · 0.9%

Your Cost: $94.95/claim|Median: $76.22
1.2× median
59025Normal range

Fetal non-stress test

$127K

6,008 claims · 0.9%

Your Cost: $21.16/claim|Median: $26.45
0.8× median
59430Top 25%

$105K

599 claims · 0.7%

Your Cost: $174.51/claim|Median: $80.32
2.2× median
59425Top 10%

Antepartum care only, 4-6 visits

$101K

269 claims · 0.7%

Your Cost: $376.01/claim|Median: $63.63
5.9× median
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