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Provider 1366525370

NPI: 1366525370Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,163,345

Total Claims

273K

Beneficiaries

268K

1.0 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$2.0M
-11%
2019
$1.8M
-48%
2020
$942K
+36%
2021
$1.3M
+28%
2022
$1.6M
+15%
2023
$1.9M
-17%
2024
$1.6M

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 21% of total spending.

J7307Normal range

Etonogestrel implant system, including implant and supplies

$2.4M

5,080 claims · 21.4%

Your Cost: $469.67/claim|Median: $786.43
0.6× median
S4993Normal range

$1.6M

19K claims · 14.4%

Your Cost: $85.10/claim|Median: $46.61
1.8× median
99213Normal range

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

$1.2M

26K claims · 10.4%

Your Cost: $45.18/claim|Median: $37.81
1.2× median
J7298Normal range

$838K

2,166 claims · 7.5%

Your Cost: $387.00/claim|Median: $751.11
0.5× median
J7300Normal range

$657K

2,052 claims · 5.9%

Your Cost: $320.04/claim|Median: $692.75
0.5× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$596K

15K claims · 5.3%

Your Cost: $40.80/claim|Median: $40.11
1.0× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$543K

27K claims · 4.9%

Your Cost: $19.88/claim|Median: $41.92
0.5× median
99212Normal range

Office/outpatient visit, low complexity

$427K

14K claims · 3.8%

Your Cost: $31.47/claim|Median: $25.06
1.3× median
58300Normal range

$306K

5,586 claims · 2.7%

Your Cost: $54.78/claim|Median: $74.77
0.7× median
11981Normal range

$277K

4,307 claims · 2.5%

Your Cost: $64.26/claim|Median: $117.16
0.5× median
99203Normal range

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

$260K

4,107 claims · 2.3%

Your Cost: $63.23/claim|Median: $57.85
1.1× median
81025Top 25%

Urine pregnancy test

$238K

36K claims · 2.1%

Your Cost: $6.64/claim|Median: $4.81
1.4× median
11982Normal range

$229K

3,218 claims · 2.1%

Your Cost: $71.13/claim|Median: $90.51
0.8× median
86703Normal range

$224K

21K claims · 2.0%

Your Cost: $10.72/claim|Median: $10.37
1.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$201K

2,545 claims · 1.8%

Your Cost: $78.95/claim|Median: $72.71
1.1× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$174K

20K claims · 1.6%

Your Cost: $8.53/claim|Median: $9.56
0.9× median
58301Normal range

$173K

2,985 claims · 1.6%

Your Cost: $58.02/claim|Median: $49.65
1.2× median
99214Normal range

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

$146K

2,171 claims · 1.3%

Your Cost: $67.37/claim|Median: $53.41
1.3× median
99204Normal range

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

$131K

1,341 claims · 1.2%

Your Cost: $97.37/claim|Median: $84.03
1.2× median
J7303Normal range

$130K

1,427 claims · 1.2%

Your Cost: $91.16/claim|Median: $125.58
0.7× median
99211Normal range

Office/outpatient visit, minimal complexity

$130K

11K claims · 1.2%

Your Cost: $12.03/claim|Median: $12.93
0.9× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$119K

1,235 claims · 1.1%

Your Cost: $96.03/claim|Median: $76.22
1.3× median
87210Normal range

$76K

17K claims · 0.7%

Your Cost: $4.46/claim|Median: $3.65
1.2× median
J7297Normal range

$41K

535 claims · 0.4%

Your Cost: $76.42/claim|Median: $569.39
0.1× median
11983Normal range

$36K

403 claims · 0.3%

Your Cost: $89.07/claim|Median: $118.08
0.8× median
36415Top 25%

Collection of venous blood by venipuncture

$21K

6,175 claims · 0.2%

Your Cost: $3.46/claim|Median: $1.57
2.2× median
81002Top 25%

Urinalysis, non-automated without microscopy

$12K

4,317 claims · 0.1%

Your Cost: $2.68/claim|Median: $2.00
1.3× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$10K

432 claims · 0.1%

Your Cost: $24.22/claim|Median: $27.38
0.9× median
J7295Normal range

$6K

180 claims · 0.1%

Your Cost: $33.07/claim|Median: $148.11
0.2× median
85018Normal range

$3K

1,743 claims · 0.0%

Your Cost: $1.86/claim|Median: $1.71
1.1× median
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