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Provider 1356487854

NPI: 1356487854Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.8M

$9,766,648

Total Claims

191K

Beneficiaries

119K

1.6 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$205K
+264%
2019
$745K
+172%
2020
$2.0M
-10%
2021
$1.8M
+14%
2022
$2.1M
-22%
2023
$1.6M
-19%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (76816 (Ultrasound, pregnant uterus, follow-up)) accounts for 24% of total spending.

76816Normal range

Ultrasound, pregnant uterus, follow-up

$2.3M

38K claims · 23.9%

Your Cost: $61.92/claim|Median: $58.55
1.1× median
76819Normal range

Fetal biophysical profile with non-stress test

$2.0M

42K claims · 20.0%

Your Cost: $46.81/claim|Median: $49.45
0.9× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.3M

13K claims · 13.0%

Your Cost: $94.45/claim|Median: $106.79
0.9× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$547K

11K claims · 5.6%

Your Cost: $51.97/claim|Median: $47.65
1.1× median
99214Normal range

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

$434K

6,371 claims · 4.4%

Your Cost: $68.14/claim|Median: $53.41
1.3× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$422K

6,498 claims · 4.3%

Your Cost: $64.98/claim|Median: $58.16
1.1× median
99213Normal range

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

$415K

9,509 claims · 4.3%

Your Cost: $43.67/claim|Median: $37.81
1.2× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$407K

7,025 claims · 4.2%

Your Cost: $57.90/claim|Median: $70.87
0.8× median
76825Normal range

$280K

1,721 claims · 2.9%

Your Cost: $162.78/claim|Median: $103.74
1.6× median
99203Normal range

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

$257K

4,010 claims · 2.6%

Your Cost: $64.07/claim|Median: $57.85
1.1× median
99204Normal range

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

$248K

2,468 claims · 2.5%

Your Cost: $100.49/claim|Median: $84.03
1.2× median
76815Normal range

Ultrasound, pregnant uterus, limited

$217K

3,982 claims · 2.2%

Your Cost: $54.43/claim|Median: $36.79
1.5× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$208K

2,526 claims · 2.1%

Your Cost: $82.25/claim|Median: $74.78
1.1× median
76820Normal range

$159K

6,854 claims · 1.6%

Your Cost: $23.14/claim|Median: $31.79
0.7× median
59025Normal range

Fetal non-stress test

$148K

4,957 claims · 1.5%

Your Cost: $29.86/claim|Median: $26.45
1.1× median
76818Normal range

$94K

1,252 claims · 1.0%

Your Cost: $75.03/claim|Median: $68.15
1.1× median
76827Normal range

$86K

2,081 claims · 0.9%

Your Cost: $41.13/claim|Median: $39.58
1.0× median
76821Normal range

$66K

2,023 claims · 0.7%

Your Cost: $32.87/claim|Median: $46.75
0.7× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$59K

3,481 claims · 0.6%

Your Cost: $16.82/claim|Median: $27.38
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$36K

2,148 claims · 0.4%

Your Cost: $16.58/claim|Median: $25.06
0.7× median
93325Normal range

$27K

1,798 claims · 0.3%

Your Cost: $15.21/claim|Median: $14.61
1.0× median
76828Normal range

$26K

1,250 claims · 0.3%

Your Cost: $20.87/claim|Median: $30.36
0.7× median
99231Normal range

Subsequent hospital care, per day, low complexity

$20K

862 claims · 0.2%

Your Cost: $23.76/claim|Median: $16.77
1.4× median
99072Normal range

$9K

7,200 claims · 0.1%

Your Cost: $1.19/claim|Median: $0.54
2.2× median
99211Normal range

Office/outpatient visit, minimal complexity

$7K

685 claims · 0.1%

Your Cost: $10.63/claim|Median: $12.93
0.8× median
36415Normal range

Collection of venous blood by venipuncture

$7K

4,182 claims · 0.1%

Your Cost: $1.65/claim|Median: $1.57
1.1× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$6K

403 claims · 0.1%

Your Cost: $13.92/claim|Median: $7.18
1.9× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$5K

87 claims · 0.1%

Your Cost: $60.24/claim|Median: $40.11
1.5× median
83036Normal range

Hemoglobin A1c (glycated hemoglobin)

$5K

990 claims · 0.0%

Your Cost: $4.61/claim|Median: $5.50
0.8× median
99215Normal range

Office/outpatient visit, high complexity

$4K

58 claims · 0.0%

Your Cost: $67.98/claim|Median: $74.09
0.9× median
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