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Provider 1417432659

NPI: 1417432659Share
Active Billing Period:2019-01→2024-11(71 months)

Total Paid

$7.9M

$7,885,615

Total Claims

52K

Beneficiaries

43K

1.2 claims/patient

Avg Cost/Claim

$150

Monthly Spending Trend

Yearly Spending

2019
$272K
+238%
2020
$921K
+49%
2021
$1.4M
+25%
2022
$1.7M
+20%
2023
$2.0M
-24%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59400 (Routine obstetric care, vaginal delivery, including postpartum)) accounts for 60% of total spending.

59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$4.7M

2,231 claims · 59.8%

Your Cost: $2,113.67/claim|Median: $1,482.45
1.4× median
59409Top 25%

Vaginal delivery only

$437K

480 claims · 5.5%

Your Cost: $911.22/claim|Median: $619.91
1.5× median
99213Top 25%

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

$406K

6,793 claims · 5.1%

Your Cost: $59.75/claim|Median: $37.81
1.6× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$382K

3,834 claims · 4.8%

Your Cost: $99.68/claim|Median: $58.55
1.7× median
76819Top 25%

Fetal biophysical profile with non-stress test

$303K

3,780 claims · 3.8%

Your Cost: $80.05/claim|Median: $49.45
1.6× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$244K

2,515 claims · 3.1%

Your Cost: $97.11/claim|Median: $58.16
1.7× median
76830Top 25%

Ultrasound, transvaginal

$232K

2,298 claims · 2.9%

Your Cost: $100.89/claim|Median: $57.47
1.8× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$226K

2,096 claims · 2.9%

Your Cost: $107.87/claim|Median: $70.87
1.5× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$216K

1,268 claims · 2.7%

Your Cost: $170.57/claim|Median: $106.79
1.6× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$96K

1,283 claims · 1.2%

Your Cost: $75.05/claim|Median: $74.78
1.0× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$91K

1,266 claims · 1.2%

Your Cost: $72.00/claim|Median: $47.65
1.5× median
99212Normal range

Office/outpatient visit, low complexity

$83K

3,625 claims · 1.0%

Your Cost: $22.80/claim|Median: $25.06
0.9× median
59426Normal range

Antepartum care only, high risk, additional visits

$80K

120 claims · 1.0%

Your Cost: $667.16/claim|Median: $122.30
5.5× median
99203Normal range

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

$59K

763 claims · 0.7%

Your Cost: $77.12/claim|Median: $57.85
1.3× median
59430Top 10%

$59K

277 claims · 0.7%

Your Cost: $211.36/claim|Median: $80.32
2.6× median
99214Top 25%

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

$55K

616 claims · 0.7%

Your Cost: $89.78/claim|Median: $53.41
1.7× median
90715Top 5%

Tdap vaccine

$41K

960 claims · 0.5%

Your Cost: $42.90/claim|Median: $10.32
4.2× median
99204Top 10%

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

$36K

247 claims · 0.5%

Your Cost: $144.34/claim|Median: $84.03
1.7× median
99395Normal range

Preventive medicine, established patient, age 18-39

$31K

438 claims · 0.4%

Your Cost: $71.08/claim|Median: $72.71
1.0× median
76856Top 25%

Ultrasound, pelvic, complete

$19K

210 claims · 0.2%

Your Cost: $92.58/claim|Median: $47.58
1.9× median
90471Normal range

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

$12K

1,085 claims · 0.2%

Your Cost: $10.95/claim|Median: $9.80
1.1× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$12K

189 claims · 0.1%

Your Cost: $61.12/claim|Median: $36.79
1.7× median
58300Normal range

$12K

133 claims · 0.1%

Your Cost: $86.68/claim|Median: $74.77
1.2× median
99502Normal range

$8K

167 claims · 0.1%

Your Cost: $47.78/claim|Median: $59.00
0.8× median
59425Top 10%

Antepartum care only, 4-6 visits

$8K

22 claims · 0.1%

Your Cost: $359.60/claim|Median: $63.63
5.7× median
99441Normal range

Telephone E/M by physician, 5-10 min

$6K

234 claims · 0.1%

Your Cost: $27.40/claim|Median: $13.30
2.1× median
99350Normal range

$3K

47 claims · 0.0%

Your Cost: $62.49/claim|Median: $35.62
1.8× median
S9436Normal range

$2K

114 claims · 0.0%

Your Cost: $21.40/claim|Median: $55.11
0.4× median
96160Normal range

Patient-focused health risk assessment

$2K

1,157 claims · 0.0%

Your Cost: $1.96/claim|Median: $2.10
0.9× median
99463Normal range

$2K

49 claims · 0.0%

Your Cost: $43.12/claim|Median: $78.46
0.5× median
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