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Provider 1467496240

NPI: 1467496240Share
Active Billing Period:2018-11→2024-12(74 months)

Total Paid

$11.9M

$11,883,555

Total Claims

122K

Beneficiaries

100K

1.2 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$53K
+3437%
2019
$1.9M
+6%
2020
$2.0M
+24%
2021
$2.5M
+3%
2022
$2.5M
-14%
2023
$2.2M
-63%
2024
$799K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (76818) accounts for 34% of total spending.

76818Top 10%

$4.1M

32K claims · 34.2%

Your Cost: $128.26/claim|Median: $68.15
1.9× median
76816Top 10%

Ultrasound, pregnant uterus, follow-up

$2.5M

21K claims · 20.7%

Your Cost: $117.66/claim|Median: $58.55
2.0× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$1.8M

10K claims · 15.4%

Your Cost: $180.96/claim|Median: $106.79
1.7× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$1.3M

14K claims · 10.7%

Your Cost: $91.69/claim|Median: $47.65
1.9× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$617K

5,138 claims · 5.2%

Your Cost: $120.01/claim|Median: $74.78
1.6× median
99214Top 10%

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

$544K

4,977 claims · 4.6%

Your Cost: $109.36/claim|Median: $53.41
2.0× median
99213Top 25%

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

$413K

6,576 claims · 3.5%

Your Cost: $62.75/claim|Median: $37.81
1.7× median
76815Normal range

Ultrasound, pregnant uterus, limited

$127K

3,054 claims · 1.1%

Your Cost: $41.46/claim|Median: $36.79
1.1× median
59025Normal range

Fetal non-stress test

$115K

5,256 claims · 1.0%

Your Cost: $21.81/claim|Median: $26.45
0.8× median
76820Top 25%

$61K

1,270 claims · 0.5%

Your Cost: $47.85/claim|Median: $31.79
1.5× median
76825Top 25%

$50K

257 claims · 0.4%

Your Cost: $196.35/claim|Median: $103.74
1.9× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$49K

495 claims · 0.4%

Your Cost: $98.19/claim|Median: $58.16
1.7× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$38K

792 claims · 0.3%

Your Cost: $48.47/claim|Median: $23.99
2.0× median
H0049Normal range

$35K

3,908 claims · 0.3%

Your Cost: $8.98/claim|Median: $9.27
1.0× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$35K

383 claims · 0.3%

Your Cost: $91.51/claim|Median: $70.87
1.3× median
99205Top 10%

Office/outpatient visit, new patient, high complexity

$32K

140 claims · 0.3%

Your Cost: $225.91/claim|Median: $111.09
2.0× median
99203Top 10%

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

$27K

240 claims · 0.2%

Your Cost: $114.14/claim|Median: $57.85
2.0× median
76830Top 5%

Ultrasound, transvaginal

$19K

131 claims · 0.2%

Your Cost: $142.24/claim|Median: $57.47
2.5× median
76821Normal range

$15K

315 claims · 0.1%

Your Cost: $47.72/claim|Median: $46.75
1.0× median
76827Normal range

$15K

298 claims · 0.1%

Your Cost: $50.13/claim|Median: $39.58
1.3× median
99233Top 5%

Subsequent hospital care, per day, high complexity

$11K

111 claims · 0.1%

Your Cost: $95.33/claim|Median: $35.30
2.7× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$10K

76 claims · 0.1%

Your Cost: $136.33/claim|Median: $72.71
1.9× median
99204Top 5%

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

$9K

51 claims · 0.1%

Your Cost: $183.54/claim|Median: $84.03
2.2× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$5K

70 claims · 0.0%

Your Cost: $78.37/claim|Median: $40.11
2.0× median
93325Normal range

$5K

363 claims · 0.0%

Your Cost: $14.69/claim|Median: $14.61
1.0× median
99385Top 10%

Preventive visit, new patient, 18-39 yr

$4K

26 claims · 0.0%

Your Cost: $141.47/claim|Median: $76.22
1.9× median
99215Top 10%

Office/outpatient visit, high complexity

$4K

25 claims · 0.0%

Your Cost: $145.55/claim|Median: $74.09
2.0× median
99241Normal range

Office consultation, straightforward

$4K

365 claims · 0.0%

Your Cost: $9.68/claim|Median: $36.49
0.3× median
99459Top 25%

$2K

114 claims · 0.0%

Your Cost: $17.13/claim|Median: $13.55
1.3× median
81025Normal range

Urine pregnancy test

$881

204 claims · 0.0%

Your Cost: $4.32/claim|Median: $4.81
0.9× median
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