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Provider 1518989193

NPI: 1518989193Share
Active Billing Period:2018-01→2023-10(70 months)
Billing appears to have stoppedLast active: 2023-10

Total Paid

$8.8M

$8,762,195

Total Claims

84K

Beneficiaries

83K

1.0 claims/patient

Avg Cost/Claim

$104

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+22%
2019
$1.4M
+0%
2020
$1.4M
+19%
2021
$1.7M
+2%
2022
$1.7M
-17%
2023
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99203 (Office/outpatient visit, new patient, low-mod complexity)) accounts for 32% of total spending.

99203Top 5%

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

$2.8M

18K claims · 31.7%

Your Cost: $152.59/claim|Median: $57.85
2.6× median
99213Top 5%

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

$2.0M

20K claims · 23.2%

Your Cost: $102.98/claim|Median: $37.81
2.7× median
76775Top 25%

$734K

9,416 claims · 8.4%

Your Cost: $77.95/claim|Median: $28.03
2.8× median
54300Normal range

$655K

680 claims · 7.5%

Your Cost: $963.29/claim|Median: $588.34
1.6× median
99204Top 5%

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

$547K

2,416 claims · 6.2%

Your Cost: $226.53/claim|Median: $84.03
2.7× median
51784Top 5%

$532K

2,360 claims · 6.1%

Your Cost: $225.36/claim|Median: $30.27
7.4× median
54161Normal range

$366K

1,788 claims · 4.2%

Your Cost: $204.53/claim|Median: $252.63
0.8× median
99214Top 5%

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

$240K

1,436 claims · 2.7%

Your Cost: $167.19/claim|Median: $53.41
3.1× median
51798Top 25%

$190K

11K claims · 2.2%

Your Cost: $17.40/claim|Median: $6.59
2.6× median
76856Top 25%

Ultrasound, pelvic, complete

$131K

1,320 claims · 1.5%

Your Cost: $99.54/claim|Median: $47.58
2.1× median
76857Top 10%

Pelvic ultrasound, limited

$126K

1,811 claims · 1.4%

Your Cost: $69.42/claim|Median: $26.23
2.6× median
51741Top 10%

$92K

1,919 claims · 1.0%

Your Cost: $47.88/claim|Median: $9.69
4.9× median
76770Top 25%

Ultrasound, retroperitoneal, complete

$86K

850 claims · 1.0%

Your Cost: $101.35/claim|Median: $37.35
2.7× median
76870Top 10%

$50K

455 claims · 0.6%

Your Cost: $110.13/claim|Median: $34.90
3.2× median
99212Top 10%

Office/outpatient visit, low complexity

$49K

840 claims · 0.6%

Your Cost: $58.17/claim|Median: $25.06
2.3× median
99243Normal range

Office or other outpatient consultation, low complexity

$43K

511 claims · 0.5%

Your Cost: $85.09/claim|Median: $82.43
1.0× median
99202Top 10%

Office/outpatient visit, new patient, low complexity

$34K

372 claims · 0.4%

Your Cost: $92.74/claim|Median: $40.11
2.3× median
54150Top 10%

$23K

94 claims · 0.3%

Your Cost: $243.23/claim|Median: $84.60
2.9× median
54512Normal range

$19K

39 claims · 0.2%

Your Cost: $491.17/claim|Median: $491.17
1.0× median
81002Top 25%

Urinalysis, non-automated without microscopy

$17K

6,299 claims · 0.2%

Your Cost: $2.72/claim|Median: $2.00
1.4× median
14040Top 25%

$7K

13 claims · 0.1%

Your Cost: $504.15/claim|Median: $311.85
1.6× median
49320Normal range

$3K

15 claims · 0.0%

Your Cost: $216.29/claim|Median: $203.61
1.1× median
93976Top 10%

$3K

15 claims · 0.0%

Your Cost: $174.75/claim|Median: $42.06
4.2× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$2K

16 claims · 0.0%

Your Cost: $128.93/claim|Median: $121.58
1.1× median
99384Top 10%

Preventive visit, new patient, adolescent (12-17 yr)

$2K

12 claims · 0.0%

Your Cost: $153.15/claim|Median: $83.63
1.8× median
76140Normal range

$2K

357 claims · 0.0%

Your Cost: $5.06/claim|Median: $14.15
0.4× median
99395Top 5%

Preventive medicine, established patient, age 18-39

$2K

12 claims · 0.0%

Your Cost: $149.97/claim|Median: $72.71
2.1× median
54450Normal range

$1K

162 claims · 0.0%

Your Cost: $6.43/claim|Median: $51.46
0.1× median
64450Normal range

$315

1,996 claims · 0.0%

Your Cost: $0.16/claim|Median: $33.48
0.0× median
53605Normal range

$127

12 claims · 0.0%

Your Cost: $10.61/claim|Median: $349.80
0.0× median
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