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Provider 1497847487

NPI: 1497847487Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.6M

$12,599,534

Total Claims

116K

Beneficiaries

105K

1.1 claims/patient

Avg Cost/Claim

$109

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-5%
2019
$1.2M
+45%
2020
$1.8M
+9%
2021
$2.0M
+4%
2022
$2.1M
+9%
2023
$2.2M
-12%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S0199) accounts for 27% of total spending.

S0199Normal range

$3.3M

6,585 claims · 26.5%

Your Cost: $507.19/claim|Median: $454.23
1.1× median
J7307Top 10%

Etonogestrel implant system, including implant and supplies

$2.4M

2,255 claims · 19.4%

Your Cost: $1,081.91/claim|Median: $786.43
1.4× median
J7298Top 10%

$794K

783 claims · 6.3%

Your Cost: $1,013.81/claim|Median: $751.11
1.3× median
99212Top 25%

Office/outpatient visit, low complexity

$779K

17K claims · 6.2%

Your Cost: $45.80/claim|Median: $25.06
1.8× median
59840Normal range

$590K

3,783 claims · 4.7%

Your Cost: $155.99/claim|Median: $190.09
0.8× median
J3490Top 25%

Unclassified drugs

$564K

13K claims · 4.5%

Your Cost: $43.92/claim|Median: $5.70
7.7× median
90651Top 1%

HPV vaccine, 9-valent

$521K

2,062 claims · 4.1%

Your Cost: $252.81/claim|Median: $8.93
28.3× median
11981Top 25%

$487K

2,145 claims · 3.9%

Your Cost: $226.88/claim|Median: $117.16
1.9× median
S4993Top 25%

$486K

3,685 claims · 3.9%

Your Cost: $131.85/claim|Median: $46.61
2.8× median
58300Normal range

$398K

4,271 claims · 3.2%

Your Cost: $93.12/claim|Median: $74.77
1.2× median
S0190Normal range

$378K

6,189 claims · 3.0%

Your Cost: $61.09/claim|Median: $58.42
1.0× median
J7300Top 25%

$226K

235 claims · 1.8%

Your Cost: $959.99/claim|Median: $692.75
1.4× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$210K

2,910 claims · 1.7%

Your Cost: $72.16/claim|Median: $40.11
1.8× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$207K

2,756 claims · 1.6%

Your Cost: $75.28/claim|Median: $47.65
1.6× median
11976Normal range

$172K

2,832 claims · 1.4%

Your Cost: $60.75/claim|Median: $57.06
1.1× median
G9920Top 25%

$149K

5,362 claims · 1.2%

Your Cost: $27.80/claim|Median: $6.56
4.2× median
99211Top 25%

Office/outpatient visit, minimal complexity

$110K

3,581 claims · 0.9%

Your Cost: $30.64/claim|Median: $12.93
2.4× median
76815Normal range

Ultrasound, pregnant uterus, limited

$86K

1,489 claims · 0.7%

Your Cost: $57.47/claim|Median: $36.79
1.6× median
99152Top 10%

$84K

1,874 claims · 0.7%

Your Cost: $44.89/claim|Median: $7.34
6.1× median
A4267Normal range

$81K

7,965 claims · 0.6%

Your Cost: $10.19/claim|Median: $7.86
1.3× median
99213Normal range

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

$68K

1,323 claims · 0.5%

Your Cost: $51.71/claim|Median: $37.81
1.4× median
J7304Top 1%

$66K

27 claims · 0.5%

Your Cost: $2,444.10/claim|Median: $630.59
3.9× median
58301Normal range

$64K

2,054 claims · 0.5%

Your Cost: $31.10/claim|Median: $49.65
0.6× median
76830Normal range

Ultrasound, transvaginal

$50K

816 claims · 0.4%

Your Cost: $61.57/claim|Median: $57.47
1.1× median
Q0144Normal range

$50K

5,103 claims · 0.4%

Your Cost: $9.81/claim|Median: $5.57
1.8× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$39K

1,046 claims · 0.3%

Your Cost: $37.47/claim|Median: $24.95
1.5× median
99201Top 25%

Office/outpatient visit, new patient, straightforward

$24K

493 claims · 0.2%

Your Cost: $48.93/claim|Median: $27.38
1.8× median
S0191Normal range

$20K

6,214 claims · 0.2%

Your Cost: $3.15/claim|Median: $2.68
1.2× median
G9919Top 25%

$16K

573 claims · 0.1%

Your Cost: $27.32/claim|Median: $8.66
3.2× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$13K

236 claims · 0.1%

Your Cost: $56.96/claim|Median: $96.39
0.6× median
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