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PERINATAL ASSOCIATES OF NEW MEXICO, LTD

Obstetrics & Gynecology, Maternal & Fetal Medicine·ALBUQUERQUE, NM·NPI: 1376565952Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$62.6M

$62,579,056

Total Claims

660K

Beneficiaries

564K

1.2 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018
$7.7M
-6%
2019
$7.3M
-3%
2020
$7.1M
+17%
2021
$8.3M
+17%
2022
$9.7M
+12%
2023
$10.8M
+8%
2024
$11.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (76820) accounts for 17% of total spending.

76820Top 5%

$10.9M

122K claims · 17.5%

Your Cost: $89.90/claim|Median: $31.79
2.8× median
76818Top 10%

$8.8M

69K claims · 14.0%

Your Cost: $127.39/claim|Median: $68.15
1.9× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$5.3M

53K claims · 8.4%

Your Cost: $98.52/claim|Median: $58.55
1.7× median
76819Top 10%

Fetal biophysical profile with non-stress test

$5.2M

52K claims · 8.3%

Your Cost: $101.36/claim|Median: $49.45
2.0× median
76811Top 5%

Ultrasound, pregnant uterus, detailed, single fetus

$4.2M

16K claims · 6.7%

Your Cost: $260.73/claim|Median: $106.79
2.4× median
99215Top 25%

Office/outpatient visit, high complexity

$4.1M

30K claims · 6.5%

Your Cost: $136.15/claim|Median: $74.09
1.8× median
99214Top 10%

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

$3.8M

38K claims · 6.1%

Your Cost: $100.92/claim|Median: $53.41
1.9× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$3.7M

36K claims · 5.8%

Your Cost: $102.31/claim|Median: $47.65
2.1× median
76825Top 25%

$2.7M

14K claims · 4.3%

Your Cost: $198.84/claim|Median: $103.74
1.9× median
76801Top 5%

Ultrasound, pregnant uterus, single fetus, first trimester

$1.9M

13K claims · 3.0%

Your Cost: $141.18/claim|Median: $58.16
2.4× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$1.9M

14K claims · 3.0%

Your Cost: $140.27/claim|Median: $74.78
1.9× median
99245Top 10%

Office consultation, high complexity

$1.4M

5,690 claims · 2.2%

Your Cost: $237.68/claim|Median: $143.30
1.7× median
76821Top 10%

$1.3M

13K claims · 2.1%

Your Cost: $104.26/claim|Median: $46.75
2.2× median
76813Top 5%

Ultrasound for fetal nuchal translucency measurement

$1.3M

9,649 claims · 2.0%

Your Cost: $129.65/claim|Median: $70.87
1.8× median
76827Top 10%

$1.2M

11K claims · 1.9%

Your Cost: $103.05/claim|Median: $39.58
2.6× median
76828Top 10%

$1.1M

15K claims · 1.8%

Your Cost: $77.56/claim|Median: $30.36
2.6× median
99244Top 25%

Office or other outpatient consultation, moderate complexity

$1.0M

5,897 claims · 1.6%

Your Cost: $174.11/claim|Median: $121.58
1.4× median
76826Normal range

$701K

6,989 claims · 1.1%

Your Cost: $100.29/claim|Median: $77.33
1.3× median
93325Normal range

$685K

31K claims · 1.1%

Your Cost: $21.89/claim|Median: $14.61
1.5× median
99213Top 10%

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

$187K

2,474 claims · 0.3%

Your Cost: $75.41/claim|Median: $37.81
2.0× median
59025Normal range

Fetal non-stress test

$174K

5,764 claims · 0.3%

Your Cost: $30.21/claim|Median: $26.45
1.1× median
81002Top 25%

Urinalysis, non-automated without microscopy

$166K

57K claims · 0.3%

Your Cost: $2.90/claim|Median: $2.00
1.5× median
99211Top 25%

Office/outpatient visit, minimal complexity

$151K

7,664 claims · 0.2%

Your Cost: $19.71/claim|Median: $12.93
1.5× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$144K

1,706 claims · 0.2%

Your Cost: $84.12/claim|Median: $35.30
2.4× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$126K

1,437 claims · 0.2%

Your Cost: $88.02/claim|Median: $36.79
2.4× median
83037Top 25%

$78K

8,730 claims · 0.1%

Your Cost: $8.89/claim|Median: $4.07
2.2× median
90837Top 10%

Psychotherapy, 60 minutes

$69K

499 claims · 0.1%

Your Cost: $139.22/claim|Median: $85.66
1.6× median
93976Top 25%

$66K

503 claims · 0.1%

Your Cost: $131.99/claim|Median: $42.06
3.1× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$64K

4,046 claims · 0.1%

Your Cost: $15.89/claim|Median: $9.56
1.7× median
99255Top 5%

$60K

286 claims · 0.1%

Your Cost: $209.68/claim|Median: $90.45
2.3× median
90471Top 25%

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$55K

2,875 claims · 0.1%

Your Cost: $19.05/claim|Median: $9.80
1.9× median
90834Top 25%

Psychotherapy, 45 minutes

$35K

401 claims · 0.1%

Your Cost: $86.19/claim|Median: $63.65
1.4× median
90674Normal range

$32K

1,459 claims · 0.1%

Your Cost: $21.82/claim|Median: $15.16
1.4× median
94010Top 25%

$22K

782 claims · 0.0%

Your Cost: $27.58/claim|Median: $18.11
1.5× median
99243Top 25%

Office or other outpatient consultation, low complexity

$15K

128 claims · 0.0%

Your Cost: $114.95/claim|Median: $82.43
1.4× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$14K

80 claims · 0.0%

Your Cost: $169.56/claim|Median: $111.09
1.5× median
99204Top 10%

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

$13K

81 claims · 0.0%

Your Cost: $157.25/claim|Median: $84.03
1.9× median
90791Top 10%

Psychiatric diagnostic evaluation

$11K

56 claims · 0.0%

Your Cost: $191.82/claim|Median: $99.21
1.9× median
J3490Normal range

Unclassified drugs

$9K

3,006 claims · 0.0%

Your Cost: $2.94/claim|Median: $5.70
0.5× median
82962Top 25%

Blood glucose test by monitoring device

$8K

2,831 claims · 0.0%

Your Cost: $2.79/claim|Median: $1.40
2.0× median
83036Top 10%

Hemoglobin A1c (glycated hemoglobin)

$8K

725 claims · 0.0%

Your Cost: $10.79/claim|Median: $5.50
2.0× median
90686Top 10%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$7K

367 claims · 0.0%

Your Cost: $19.29/claim|Median: $7.18
2.7× median
90715Top 25%

Tdap vaccine

$6K

184 claims · 0.0%

Your Cost: $31.23/claim|Median: $10.32
3.0× median
S0265Normal range

$5K

70 claims · 0.0%

Your Cost: $78.13/claim|Median: $61.95
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$3K

70 claims · 0.0%

Your Cost: $36.27/claim|Median: $25.06
1.4× median
99072Normal range

$2K

1,239 claims · 0.0%

Your Cost: $2.00/claim|Median: $0.54
3.7× median
99417Normal range

$2K

68 claims · 0.0%

Your Cost: $28.83/claim|Median: $34.90
0.8× median
36415Top 5%

Collection of venous blood by venipuncture

$2K

176 claims · 0.0%

Your Cost: $9.06/claim|Median: $1.57
5.8× median
98968Normal range

$461

13 claims · 0.0%

Your Cost: $35.45/claim|Median: $28.39
1.2× median
98967Normal range

$193

18 claims · 0.0%

Your Cost: $10.71/claim|Median: $18.97
0.6× median

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