Total Paid
$18.9M
$18,906,998
Total Claims
73K
Beneficiaries
41K
1.8 claims/patient
Avg Cost/Claim
$259
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 50 distinct procedure codes. The top code (99469 (Subsequent intensive care, very low birth weight infant)) accounts for 34% of total spending.
$6.4M
10K claims
$633.25
$293.45
Subsequent intensive care, very low birth weight infant
$6.4M
10K claims · 33.8%
$2.6M
14K claims
$191.57
$98.15
Subsequent intensive care, very low birth weight infant
$2.6M
14K claims · 13.8%
$2.4M
12K claims
$198.99
$103.70
Subsequent intensive care, 2,501-5,000 grams
$2.4M
12K claims · 12.5%
$1.7M
1,168 claims · 9.1%
$1.0M
1,715 claims
$610.64
$307.98
Subsequent pediatric critical care, per day, age 2-5
$1.0M
1,715 claims · 5.5%
$661K
5,068 claims
$130.35
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$661K
5,068 claims · 3.5%
$595K
5,241 claims
$113.56
$54.68
Echocardiography, transthoracic, complete, with Doppler
$595K
5,241 claims · 3.1%
$369K
2,611 claims
$141.20
$35.30
Subsequent hospital care, per day, high complexity
$369K
2,611 claims · 1.9%
$338K
1,880 claims
$179.79
$74.09
Office/outpatient visit, high complexity
$338K
1,880 claims · 1.8%
$324K
1,939 claims
$167.23
$43.85
Hospital discharge day management, more than 30 minutes
$324K
1,939 claims · 1.7%
$279K
1,023 claims
$272.60
$67.32
Initial hospital care, per day, high complexity
$279K
1,023 claims · 1.5%
$235K
1,636 claims
$143.61
$57.85
Office/outpatient visit, new patient, low-mod complexity
$235K
1,636 claims · 1.2%
$187K
2,029 claims
$91.99
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$187K
2,029 claims · 1.0%
$169K
702 claims
$240.32
$84.03
Office/outpatient visit, new patient, mod-high complexity
$169K
702 claims · 0.9%
$153K
1,572 claims
$97.43
$23.99
Subsequent hospital care, per day, moderate complexity
$153K
1,572 claims · 0.8%
$148K
641 claims
$231.23
$106.79
Ultrasound, pregnant uterus, detailed, single fetus
$148K
641 claims · 0.8%
$140K
57 claims
$2,462.78
$1,482.45
Routine obstetric care, vaginal delivery, including postpartum
$140K
57 claims · 0.7%
$134K
490 claims
$273.68
$111.09
Office/outpatient visit, new patient, high complexity
$134K
490 claims · 0.7%
$127K
220 claims · 0.7%
Critical care, first 30-74 minutes
$100K
339 claims · 0.5%
Ultrasound, pregnant uterus, follow-up
$96K
659 claims · 0.5%
$85K
1,858 claims · 0.4%
$78K
494 claims · 0.4%
$73K
65 claims · 0.4%
$60K
466 claims · 0.3%
$48K
253 claims
$190.25
$51.25
Initial hospital care, per day, moderate complexity
$48K
253 claims · 0.3%
$45K
386 claims
$117.15
$49.45
Fetal biophysical profile with non-stress test
$45K
386 claims · 0.2%
Cesarean delivery only
$39K
112 claims · 0.2%
$38K
140 claims
$268.06
$205.50
Tympanostomy, general anesthesia
$38K
140 claims · 0.2%
$32K
888 claims
$35.60
$25.43
Duplex scan of extremity veins, unilateral or limited
$32K
888 claims · 0.2%
$30K
30 claims · 0.2%
$29K
526 claims
$55.20
$43.07
Duplex scan of extremity veins, complete, bilateral
$29K
526 claims · 0.2%
$23K
129 claims
$178.24
$74.78
Ultrasound, pregnant uterus, complete, single fetus
$23K
129 claims · 0.1%
$16K
158 claims
$98.32
$37.22
Hospital discharge day management, 30 minutes or less
$16K
158 claims · 0.1%
$15K
191 claims · 0.1%
$14K
113 claims
$121.37
$47.65
Ultrasound, pregnant uterus, transvaginal
$14K
113 claims · 0.1%
$12K
308 claims · 0.1%
$10K
74 claims
$138.02
$39.96
Initial hospital care, straightforward/low
$10K
74 claims · 0.1%
$10K
75 claims
$135.36
$62.48
Initial hospital or birthing center care, newborn, per day
$10K
75 claims · 0.1%
$10K
191 claims
$52.75
$16.77
Subsequent hospital care, per day, low complexity
$10K
191 claims · 0.1%
$9K
243 claims · 0.0%
$7K
42 claims
$161.92
$58.16
Ultrasound, pregnant uterus, single fetus, first trimester
$7K
42 claims · 0.0%
$6K
499 claims
$12.92
$5.60
Electrocardiogram, interpretation and report only
$6K
499 claims · 0.0%
$5K
12 claims · 0.0%
$5K
13 claims
$395.56
$331.68
Tonsillectomy and adenoidectomy, under age 12
$5K
13 claims · 0.0%
$5K
128 claims · 0.0%
$3K
104 claims · 0.0%
$2K
59 claims · 0.0%
$2K
64 claims · 0.0%
$2K
12 claims · 0.0%