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MACARTHUR MEDICAL CENTER, PLLC

Obstetrics & Gynecology·IRVING, TX·NPI: 1497982268Share

Compared to Obstetrics & Gynecology Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $18.9M is at the 75th percentile among 5 Obstetrics & Gynecology providers.

Active Billing Period:2018-07→2024-12(68 months)

Total Paid

$18.9M

$18,943,806

Total Claims

662K

Beneficiaries

514K

1.3 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$2K
+652%
2019
$19K
+4348%
2020
$831K
+454%
2021
$4.6M
+5%
2022
$4.8M
-2%
2023
$4.8M
-19%
2024
$3.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 20% of total spending.

99213Normal range

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

$3.9M

122K claims · 20.5%

Your Cost: $31.70/claim|Median: $37.81
0.8× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$3.6M

50K claims · 19.2%

Your Cost: $73.39/claim|Median: $58.55
1.3× median
76819Normal range

Fetal biophysical profile with non-stress test

$2.1M

38K claims · 11.1%

Your Cost: $55.57/claim|Median: $49.45
1.1× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.2M

17K claims · 6.4%

Your Cost: $71.52/claim|Median: $69.35
1.0× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$1.1M

12K claims · 6.0%

Your Cost: $97.49/claim|Median: $74.78
1.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$967K

13K claims · 5.1%

Your Cost: $74.03/claim|Median: $75.18
1.0× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$796K

77K claims · 4.2%

Your Cost: $10.28/claim|Median: $17.85
0.6× median
59409Normal range

Vaginal delivery only

$678K

1,244 claims · 3.6%

Your Cost: $545.37/claim|Median: $619.91
0.9× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$535K

6,147 claims · 2.8%

Your Cost: $87.00/claim|Median: $58.16
1.5× median
99204Normal range

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

$460K

6,130 claims · 2.4%

Your Cost: $75.04/claim|Median: $84.03
0.9× median
59430Normal range

$434K

5,563 claims · 2.3%

Your Cost: $77.98/claim|Median: $80.32
1.0× median
99214Normal range

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

$373K

8,472 claims · 2.0%

Your Cost: $44.01/claim|Median: $53.41
0.8× median
99381Normal range

Preventive visit, new patient, infant (<1 yr)

$313K

4,911 claims · 1.7%

Your Cost: $63.72/claim|Median: $73.46
0.9× median
81002Top 25%

Urinalysis, non-automated without microscopy

$307K

117K claims · 1.6%

Your Cost: $2.63/claim|Median: $2.00
1.3× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$282K

3,302 claims · 1.5%

Your Cost: $85.37/claim|Median: $70.87
1.2× median
99395Normal range

Preventive medicine, established patient, age 18-39

$182K

3,325 claims · 1.0%

Your Cost: $54.85/claim|Median: $72.71
0.8× median
99393Normal range

Preventive medicine, established patient, age 5-11

$176K

2,232 claims · 0.9%

Your Cost: $78.82/claim|Median: $74.82
1.1× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$136K

1,947 claims · 0.7%

Your Cost: $69.88/claim|Median: $41.92
1.7× median
99212Normal range

Office/outpatient visit, low complexity

$118K

5,498 claims · 0.6%

Your Cost: $21.41/claim|Median: $25.06
0.9× median
96110Normal range

Developmental screening, per standardized instrument

$115K

15K claims · 0.6%

Your Cost: $7.89/claim|Median: $9.10
0.9× median
59514Normal range

Cesarean delivery only

$106K

555 claims · 0.6%

Your Cost: $190.51/claim|Median: $452.80
0.4× median
90461Normal range

Immunization admin, additional vaccine, counseling

$90K

16K claims · 0.5%

Your Cost: $5.76/claim|Median: $6.93
0.8× median
76856Top 25%

Ultrasound, pelvic, complete

$77K

1,017 claims · 0.4%

Your Cost: $76.02/claim|Median: $47.58
1.6× median
99203Normal range

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

$65K

1,312 claims · 0.3%

Your Cost: $49.20/claim|Median: $57.85
0.9× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$62K

7,314 claims · 0.3%

Your Cost: $8.53/claim|Median: $9.80
0.9× median
90715Top 25%

Tdap vaccine

$62K

2,536 claims · 0.3%

Your Cost: $24.47/claim|Median: $10.32
2.4× median
99394Normal range

Preventive medicine, established patient, age 12-17

$53K

634 claims · 0.3%

Your Cost: $84.13/claim|Median: $80.15
1.0× median
87811Normal range

SARS-CoV-2 COVID-19 antigen detection, rapid, instrument-read

$51K

1,435 claims · 0.3%

Your Cost: $35.81/claim|Median: $30.53
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$48K

748 claims · 0.3%

Your Cost: $64.54/claim|Median: $74.09
0.9× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$35K

3,483 claims · 0.2%

Your Cost: $10.06/claim|Median: $9.56
1.1× median
97110Normal range

Therapeutic exercises, each 15 min

$34K

1,679 claims · 0.2%

Your Cost: $20.05/claim|Median: $24.49
0.8× median
76830Top 25%

Ultrasound, transvaginal

$30K

356 claims · 0.2%

Your Cost: $83.59/claim|Median: $57.47
1.5× median
G8510Normal range

$29K

3,186 claims · 0.2%

Your Cost: $9.06/claim|Median: $1.96
4.6× median
92551Normal range

Screening audiometry, pure tone, air only

$29K

5,699 claims · 0.2%

Your Cost: $5.05/claim|Median: $6.61
0.8× median
81025Normal range

Urine pregnancy test

$28K

4,469 claims · 0.2%

Your Cost: $6.37/claim|Median: $4.81
1.3× median
97112Normal range

Therapeutic procedure, neuromuscular reeducation, per 15 minutes

$27K

1,503 claims · 0.1%

Your Cost: $18.03/claim|Median: $20.04
0.9× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$27K

413 claims · 0.1%

Your Cost: $65.02/claim|Median: $76.22
0.9× median
59025Normal range

Fetal non-stress test

$25K

1,361 claims · 0.1%

Your Cost: $18.65/claim|Median: $26.45
0.7× median
76820Normal range

$24K

835 claims · 0.1%

Your Cost: $28.56/claim|Median: $31.79
0.9× median
97530Normal range

Therapeutic activities, each 15 min

$23K

1,136 claims · 0.1%

Your Cost: $20.28/claim|Median: $33.11
0.6× median
90674Normal range

$21K

1,068 claims · 0.1%

Your Cost: $19.37/claim|Median: $15.16
1.3× median
99000Top 25%

$21K

2,663 claims · 0.1%

Your Cost: $7.70/claim|Median: $2.30
3.3× median
99234Normal range

$20K

236 claims · 0.1%

Your Cost: $85.21/claim|Median: $80.89
1.1× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$17K

426 claims · 0.1%

Your Cost: $40.39/claim|Median: $40.11
1.0× median
97162Top 25%

PT evaluation, moderate complexity

$17K

245 claims · 0.1%

Your Cost: $69.42/claim|Median: $46.10
1.5× median
87804Normal range

Influenza virus detection, rapid test

$15K

1,159 claims · 0.1%

Your Cost: $12.96/claim|Median: $12.59
1.0× median
76857Normal range

Pelvic ultrasound, limited

$6K

190 claims · 0.0%

Your Cost: $33.64/claim|Median: $26.23
1.3× median
99222Normal range

Initial hospital care, per day, moderate complexity

$6K

82 claims · 0.0%

Your Cost: $71.10/claim|Median: $51.25
1.4× median
58300Normal range

$6K

68 claims · 0.0%

Your Cost: $83.31/claim|Median: $74.77
1.1× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$5K

77 claims · 0.0%

Your Cost: $61.71/claim|Median: $36.79
1.7× median

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