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Provider 1497780480

NPI: 1497780480Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.7M

$17,678,940

Total Claims

398K

Beneficiaries

386K

1.0 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$2.6M
-16%
2019
$2.2M
-3%
2020
$2.1M
+29%
2021
$2.7M
+26%
2022
$3.4M
-18%
2023
$2.8M
-36%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (87491 (Chlamydia detection, nucleic acid, amplified probe)) accounts for 14% of total spending.

87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$2.4M

54K claims · 13.7%

Your Cost: $45.25/claim|Median: $24.95
1.8× median
87591Top 10%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$2.3M

54K claims · 13.1%

Your Cost: $43.11/claim|Median: $23.39
1.8× median
59840Top 25%

$2.2M

6,036 claims · 12.5%

Your Cost: $365.20/claim|Median: $190.09
1.9× median
99214Top 25%

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

$1.7M

21K claims · 9.6%

Your Cost: $80.74/claim|Median: $53.41
1.5× median
99213Normal range

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

$1.6M

32K claims · 9.2%

Your Cost: $51.23/claim|Median: $37.81
1.4× median
J3490Top 25%

Unclassified drugs

$1.2M

20K claims · 6.7%

Your Cost: $59.03/claim|Median: $5.70
10.4× median
S4993Top 25%

$958K

8,325 claims · 5.4%

Your Cost: $115.02/claim|Median: $46.61
2.5× median
87806Normal range

$802K

34K claims · 4.5%

Your Cost: $23.70/claim|Median: $20.54
1.2× median
99212Top 25%

Office/outpatient visit, low complexity

$667K

17K claims · 3.8%

Your Cost: $38.60/claim|Median: $25.06
1.5× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$605K

20K claims · 3.4%

Your Cost: $29.70/claim|Median: $21.08
1.4× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$529K

654 claims · 3.0%

Your Cost: $808.87/claim|Median: $786.43
1.0× median
58300Top 25%

$342K

2,624 claims · 1.9%

Your Cost: $130.35/claim|Median: $74.77
1.7× median
S0199Top 25%

$310K

581 claims · 1.8%

Your Cost: $533.69/claim|Median: $454.23
1.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$292K

7,500 claims · 1.7%

Your Cost: $38.96/claim|Median: $47.65
0.8× median
99152Top 5%

$283K

5,599 claims · 1.6%

Your Cost: $50.57/claim|Median: $7.34
6.9× median
99203Top 5%

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

$197K

1,658 claims · 1.1%

Your Cost: $118.88/claim|Median: $57.85
2.1× median
A4267Top 25%

$176K

14K claims · 1.0%

Your Cost: $12.22/claim|Median: $7.86
1.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$118K

4,362 claims · 0.7%

Your Cost: $26.94/claim|Median: $12.93
2.1× median
81025Normal range

Urine pregnancy test

$99K

37K claims · 0.6%

Your Cost: $2.64/claim|Median: $4.81
0.5× median
11981Normal range

$93K

650 claims · 0.5%

Your Cost: $143.40/claim|Median: $117.16
1.2× median
J7300Normal range

$76K

110 claims · 0.4%

Your Cost: $691.26/claim|Median: $692.75
1.0× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$74K

1,160 claims · 0.4%

Your Cost: $63.76/claim|Median: $40.11
1.6× median
59841Normal range

$65K

118 claims · 0.4%

Your Cost: $551.82/claim|Median: $331.87
1.7× median
J7297Normal range

$60K

107 claims · 0.3%

Your Cost: $559.35/claim|Median: $569.39
1.0× median
55250Normal range

$56K

378 claims · 0.3%

Your Cost: $149.11/claim|Median: $149.35
1.0× median
87529Top 10%

$55K

944 claims · 0.3%

Your Cost: $58.03/claim|Median: $24.98
2.3× median
99201Normal range

Office/outpatient visit, new patient, straightforward

$47K

1,071 claims · 0.3%

Your Cost: $43.96/claim|Median: $27.38
1.6× median
S0190Normal range

$41K

726 claims · 0.2%

Your Cost: $56.70/claim|Median: $58.42
1.0× median
J1050Top 10%

Injection, medroxyprogesterone acetate, one milligram

$38K

430 claims · 0.2%

Your Cost: $88.31/claim|Median: $41.92
2.1× median
87210Normal range

$38K

11K claims · 0.2%

Your Cost: $3.51/claim|Median: $3.65
1.0× median
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