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NIMA GOHARKHAY, PLLC

Obstetrics & Gynecology, Maternal & Fetal Medicine·FRIENDSWOOD, TX·NPI: 1437501988Share
Active Billing Period:2019-12→2024-12(61 months)

Total Paid

$19.0M

$19,025,400

Total Claims

293K

Beneficiaries

206K

1.4 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2019
$660
+184383%
2020
$1.2M
+233%
2021
$4.1M
+5%
2022
$4.2M
+7%
2023
$4.5M
+10%
2024
$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (76819 (Fetal biophysical profile with non-stress test)) accounts for 16% of total spending.

76819Normal range

Fetal biophysical profile with non-stress test

$3.0M

46K claims · 16.0%

Your Cost: $66.50/claim|Median: $49.45
1.3× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$2.8M

32K claims · 14.5%

Your Cost: $86.02/claim|Median: $58.55
1.5× median
76821Normal range

$2.3M

34K claims · 12.3%

Your Cost: $68.32/claim|Median: $46.75
1.5× median
99214Normal range

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

$1.8M

39K claims · 9.4%

Your Cost: $45.64/claim|Median: $53.41
0.9× median
76820Normal range

$1.7M

50K claims · 9.2%

Your Cost: $35.01/claim|Median: $31.79
1.1× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.4M

11K claims · 7.5%

Your Cost: $135.39/claim|Median: $106.79
1.3× median
76825Top 25%

$1.4M

6,510 claims · 7.1%

Your Cost: $207.86/claim|Median: $103.74
2.0× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$954K

13K claims · 5.0%

Your Cost: $72.32/claim|Median: $47.65
1.5× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$835K

8,012 claims · 4.4%

Your Cost: $104.22/claim|Median: $74.78
1.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$695K

12K claims · 3.7%

Your Cost: $59.92/claim|Median: $36.79
1.6× median
99213Normal range

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

$364K

11K claims · 1.9%

Your Cost: $34.11/claim|Median: $37.81
0.9× median
99204Normal range

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

$357K

4,534 claims · 1.9%

Your Cost: $78.80/claim|Median: $84.03
0.9× median
76827Normal range

$338K

6,081 claims · 1.8%

Your Cost: $55.60/claim|Median: $39.58
1.4× median
99243Normal range

Office or other outpatient consultation, low complexity

$155K

1,981 claims · 0.8%

Your Cost: $78.39/claim|Median: $82.43
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$150K

2,183 claims · 0.8%

Your Cost: $68.82/claim|Median: $74.09
0.9× median
93325Normal range

$143K

7,897 claims · 0.8%

Your Cost: $18.16/claim|Median: $14.61
1.2× median
76826Top 25%

$137K

1,121 claims · 0.7%

Your Cost: $122.00/claim|Median: $77.33
1.6× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$123K

1,336 claims · 0.6%

Your Cost: $91.75/claim|Median: $58.16
1.6× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$102K

1,117 claims · 0.5%

Your Cost: $90.91/claim|Median: $70.87
1.3× median
99203Normal range

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

$90K

1,599 claims · 0.5%

Your Cost: $55.99/claim|Median: $57.85
1.0× median
76828Normal range

$41K

1,084 claims · 0.2%

Your Cost: $38.17/claim|Median: $30.36
1.3× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$35K

325 claims · 0.2%

Your Cost: $106.32/claim|Median: $121.58
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$30K

321 claims · 0.2%

Your Cost: $93.46/claim|Median: $111.09
0.8× median
76818Normal range

$6K

155 claims · 0.0%

Your Cost: $38.40/claim|Median: $68.15
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$5K

238 claims · 0.0%

Your Cost: $22.32/claim|Median: $25.06
0.9× median
99242Normal range

Office consultation, low complexity

$1K

20 claims · 0.0%

Your Cost: $58.67/claim|Median: $57.97
1.0× median
99211Normal range

Office/outpatient visit, minimal complexity

$410

31 claims · 0.0%

Your Cost: $13.24/claim|Median: $12.93
1.0× median
36415Normal range

Collection of venous blood by venipuncture

$224

930 claims · 0.0%

Your Cost: $0.24/claim|Median: $1.57
0.2× median
36416Normal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.31

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