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Provider 1366496838

NPI: 1366496838Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.9M

$10,869,631

Total Claims

177K

Beneficiaries

162K

1.1 claims/patient

Avg Cost/Claim

$61

Monthly Spending Trend

Yearly Spending

2018
$2.2M
-26%
2019
$1.7M
-57%
2020
$718K
+44%
2021
$1.0M
+17%
2022
$1.2M
+34%
2023
$1.6M
+44%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J7307 (Etonogestrel implant system, including implant and supplies)) accounts for 16% of total spending.

J7307Top 25%

Etonogestrel implant system, including implant and supplies

$1.8M

1,756 claims · 16.2%

Your Cost: $1,004.03/claim|Median: $786.43
1.3× median
J3490Top 25%

Unclassified drugs

$1.1M

24K claims · 9.8%

Your Cost: $45.08/claim|Median: $5.70
7.9× median
S0199Normal range

$1.0M

1,981 claims · 9.3%

Your Cost: $510.86/claim|Median: $454.23
1.1× median
99213Top 10%

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

$806K

9,957 claims · 7.4%

Your Cost: $80.93/claim|Median: $37.81
2.1× median
S4993Top 25%

$751K

6,188 claims · 6.9%

Your Cost: $121.34/claim|Median: $46.61
2.6× median
99212Top 10%

Office/outpatient visit, low complexity

$675K

11K claims · 6.2%

Your Cost: $60.13/claim|Median: $25.06
2.4× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$454K

3,831 claims · 4.2%

Your Cost: $118.52/claim|Median: $40.11
3.0× median
99214Top 5%

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

$454K

3,805 claims · 4.2%

Your Cost: $119.33/claim|Median: $53.41
2.2× median
J7304Top 25%

$450K

460 claims · 4.1%

Your Cost: $977.76/claim|Median: $630.59
1.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$428K

12K claims · 3.9%

Your Cost: $35.09/claim|Median: $12.93
2.7× median
11981Top 25%

$399K

1,633 claims · 3.7%

Your Cost: $244.32/claim|Median: $117.16
2.1× median
99203Top 5%

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

$297K

1,479 claims · 2.7%

Your Cost: $201.10/claim|Median: $57.85
3.5× median
87806Normal range

$274K

11K claims · 2.5%

Your Cost: $24.79/claim|Median: $20.54
1.2× median
59840Normal range

$200K

1,232 claims · 1.8%

Your Cost: $162.28/claim|Median: $190.09
0.9× median
58300Normal range

$173K

1,775 claims · 1.6%

Your Cost: $97.50/claim|Median: $74.77
1.3× median
T1999Normal range

Miscellaneous therapeutic items and supplies

$168K

11K claims · 1.5%

Your Cost: $15.92/claim|Median: $28.63
0.6× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$166K

2,673 claims · 1.5%

Your Cost: $62.27/claim|Median: $36.79
1.7× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$158K

1,923 claims · 1.5%

Your Cost: $82.01/claim|Median: $27.38
3.0× median
99204Top 1%

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

$156K

663 claims · 1.4%

Your Cost: $235.34/claim|Median: $84.03
2.8× median
J7298Normal range

$139K

160 claims · 1.3%

Your Cost: $865.72/claim|Median: $751.11
1.2× median
A4267Top 25%

$130K

11K claims · 1.2%

Your Cost: $12.20/claim|Median: $7.86
1.6× median
S0190Normal range

$118K

2,000 claims · 1.1%

Your Cost: $59.22/claim|Median: $58.42
1.0× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$90K

3,064 claims · 0.8%

Your Cost: $29.52/claim|Median: $21.08
1.4× median
11976Normal range

$80K

1,210 claims · 0.7%

Your Cost: $66.35/claim|Median: $57.06
1.2× median
11982Normal range

$69K

1,053 claims · 0.6%

Your Cost: $65.37/claim|Median: $90.51
0.7× median
J7300Top 25%

$54K

57 claims · 0.5%

Your Cost: $950.02/claim|Median: $692.75
1.4× median
58301Normal range

$47K

1,520 claims · 0.4%

Your Cost: $31.17/claim|Median: $49.65
0.6× median
J7303Top 25%

$43K

133 claims · 0.4%

Your Cost: $320.01/claim|Median: $125.58
2.5× median
99000Normal range

$42K

10K claims · 0.4%

Your Cost: $4.16/claim|Median: $2.30
1.8× median
81025Normal range

Urine pregnancy test

$34K

12K claims · 0.3%

Your Cost: $2.87/claim|Median: $4.81
0.6× median
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