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Provider 1427160845

NPI: 1427160845Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.7M

$9,654,579

Total Claims

174K

Beneficiaries

139K

1.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$927K
+32%
2019
$1.2M
+28%
2020
$1.6M
-4%
2021
$1.5M
+9%
2022
$1.6M
-5%
2023
$1.6M
-19%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 32% of total spending.

99213Top 25%

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

$3.1M

49K claims · 32.4%

Your Cost: $63.66/claim|Median: $37.81
1.7× median
59409Top 10%

Vaginal delivery only

$1.7M

1,635 claims · 17.2%

Your Cost: $1,016.01/claim|Median: $619.91
1.6× median
76819Top 25%

Fetal biophysical profile with non-stress test

$866K

12K claims · 9.0%

Your Cost: $70.11/claim|Median: $49.45
1.4× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$795K

10K claims · 8.2%

Your Cost: $78.32/claim|Median: $47.65
1.6× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$654K

7,399 claims · 6.8%

Your Cost: $88.37/claim|Median: $58.55
1.5× median
99214Top 25%

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

$628K

6,799 claims · 6.5%

Your Cost: $92.32/claim|Median: $53.41
1.7× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$493K

4,312 claims · 5.1%

Your Cost: $114.33/claim|Median: $74.78
1.5× median
76830Top 25%

Ultrasound, transvaginal

$343K

3,419 claims · 3.6%

Your Cost: $100.41/claim|Median: $57.47
1.7× median
99203Top 25%

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

$226K

2,495 claims · 2.3%

Your Cost: $90.77/claim|Median: $57.85
1.6× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$195K

1,765 claims · 2.0%

Your Cost: $110.50/claim|Median: $72.71
1.5× median
81002Top 10%

Urinalysis, non-automated without microscopy

$191K

59K claims · 2.0%

Your Cost: $3.21/claim|Median: $2.00
1.6× median
59514Normal range

Cesarean delivery only

$122K

194 claims · 1.3%

Your Cost: $630.29/claim|Median: $452.80
1.4× median
99215Top 25%

Office/outpatient visit, high complexity

$94K

790 claims · 1.0%

Your Cost: $118.79/claim|Median: $74.09
1.6× median
59430Normal range

$82K

738 claims · 0.9%

Your Cost: $111.63/claim|Median: $80.32
1.4× median
Q0111Top 25%

$36K

3,015 claims · 0.4%

Your Cost: $11.98/claim|Median: $3.66
3.3× median
81025Top 25%

Urine pregnancy test

$28K

3,651 claims · 0.3%

Your Cost: $7.78/claim|Median: $4.81
1.6× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$24K

364 claims · 0.3%

Your Cost: $67.17/claim|Median: $36.79
1.8× median
99211Top 25%

Office/outpatient visit, minimal complexity

$23K

1,117 claims · 0.2%

Your Cost: $20.36/claim|Median: $12.93
1.6× median
76820Normal range

$18K

444 claims · 0.2%

Your Cost: $39.45/claim|Median: $31.79
1.2× median
Q0112Top 10%

$14K

2,619 claims · 0.1%

Your Cost: $5.45/claim|Median: $4.26
1.3× median
59025Normal range

Fetal non-stress test

$14K

585 claims · 0.1%

Your Cost: $24.21/claim|Median: $26.45
0.9× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$10K

96 claims · 0.1%

Your Cost: $102.88/claim|Median: $58.16
1.8× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$5K

43 claims · 0.1%

Your Cost: $116.31/claim|Median: $76.06
1.5× median
85018Normal range

$2K

1,092 claims · 0.0%

Your Cost: $2.15/claim|Median: $1.71
1.3× median
82272Top 25%

$777

208 claims · 0.0%

Your Cost: $3.74/claim|Median: $1.77
2.1× median
87210Top 25%

$389

81 claims · 0.0%

Your Cost: $4.80/claim|Median: $3.65
1.3× median
A4550Normal range

$318

51 claims · 0.0%

Your Cost: $6.24/claim|Median: $4.85
1.3× median
87220Top 25%

$204

47 claims · 0.0%

Your Cost: $4.35/claim|Median: $2.74
1.6× median
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