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ADMINISTRATORS OF THE TULANE EDUCATIONAL FUND

Specialist·NEW ORLEANS, LA·NPI: 1528014164Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$24.6M

$24,571,094

Total Claims

646K

Beneficiaries

480K

1.3 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$4.8M
-7%
2019
$4.5M
-16%
2020
$3.8M
+2%
2021
$3.9M
-10%
2022
$3.5M
-17%
2023
$2.9M
-59%
2024
$1.2M

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 22% of total spending.

99213Normal range

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

$5.3M

148K claims · 21.6%

Your Cost: $35.72/claim|Median: $37.81
0.9× median
99214Normal range

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

$3.1M

65K claims · 12.5%

Your Cost: $46.88/claim|Median: $53.41
0.9× median
99233Normal range

Subsequent hospital care, per day, high complexity

$2.1M

45K claims · 8.4%

Your Cost: $45.49/claim|Median: $35.30
1.3× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$1.6M

51K claims · 6.6%

Your Cost: $31.52/claim|Median: $23.99
1.3× median
59409Normal range

Vaginal delivery only

$1.2M

2,101 claims · 5.0%

Your Cost: $585.82/claim|Median: $619.91
0.9× median
99291Normal range

Critical care, first 30-74 minutes

$1.1M

10K claims · 4.5%

Your Cost: $109.33/claim|Median: $101.24
1.1× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$835K

17K claims · 3.4%

Your Cost: $50.38/claim|Median: $54.68
0.9× median
99223Normal range

Initial hospital care, per day, high complexity

$642K

7,803 claims · 2.6%

Your Cost: $82.26/claim|Median: $67.32
1.2× median
99231Normal range

Subsequent hospital care, per day, low complexity

$613K

32K claims · 2.5%

Your Cost: $19.40/claim|Median: $16.77
1.2× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$464K

11K claims · 1.9%

Your Cost: $40.53/claim|Median: $37.22
1.1× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$419K

3,606 claims · 1.7%

Your Cost: $116.13/claim|Median: $111.09
1.0× median
99215Normal range

Office/outpatient visit, high complexity

$364K

5,353 claims · 1.5%

Your Cost: $68.08/claim|Median: $74.09
0.9× median
70450Normal range

CT head/brain without contrast

$341K

8,609 claims · 1.4%

Your Cost: $39.60/claim|Median: $45.53
0.9× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$336K

5,439 claims · 1.4%

Your Cost: $61.70/claim|Median: $106.79
0.6× median
99203Normal range

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

$324K

5,993 claims · 1.3%

Your Cost: $54.09/claim|Median: $57.85
0.9× median
99204Normal range

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

$284K

3,733 claims · 1.2%

Your Cost: $76.09/claim|Median: $84.03
0.9× median
59514Normal range

Cesarean delivery only

$253K

518 claims · 1.0%

Your Cost: $488.00/claim|Median: $452.80
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$240K

9,838 claims · 1.0%

Your Cost: $24.39/claim|Median: $58.55
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$211K

9,763 claims · 0.9%

Your Cost: $21.64/claim|Median: $25.06
0.9× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$206K

4,482 claims · 0.8%

Your Cost: $46.00/claim|Median: $43.85
1.0× median
70553Normal range

MRI brain without contrast, then with contrast

$192K

1,190 claims · 0.8%

Your Cost: $161.54/claim|Median: $133.68
1.2× median
88305Normal range

Surgical pathology, gross and microscopic examination

$177K

5,687 claims · 0.7%

Your Cost: $31.10/claim|Median: $35.80
0.9× median
59430Normal range

$171K

1,844 claims · 0.7%

Your Cost: $92.82/claim|Median: $80.32
1.2× median
71045Normal range

Chest X-ray, single view

$149K

38K claims · 0.6%

Your Cost: $3.94/claim|Median: $4.93
0.8× median
93976Normal range

$147K

3,771 claims · 0.6%

Your Cost: $39.00/claim|Median: $42.06
0.9× median
99479Normal range

Subsequent intensive care, 2,501-5,000 grams

$144K

1,648 claims · 0.6%

Your Cost: $87.55/claim|Median: $103.70
0.8× median
93356Normal range

$131K

6,518 claims · 0.5%

Your Cost: $20.12/claim|Median: $9.51
2.1× median
71046Normal range

Chest X-ray, 2 views

$130K

19K claims · 0.5%

Your Cost: $6.76/claim|Median: $8.92
0.8× median
99220Normal range

$126K

1,636 claims · 0.5%

Your Cost: $77.01/claim|Median: $73.56
1.0× median
99221Normal range

Initial hospital care, straightforward/low

$120K

2,590 claims · 0.5%

Your Cost: $46.16/claim|Median: $39.96
1.2× median
74177Normal range

CT abdomen and pelvis with contrast

$119K

2,181 claims · 0.5%

Your Cost: $54.75/claim|Median: $65.76
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$116K

2,043 claims · 0.5%

Your Cost: $56.74/claim|Median: $69.35
0.8× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$114K

1,430 claims · 0.5%

Your Cost: $79.96/claim|Median: $108.91
0.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$113K

1,694 claims · 0.5%

Your Cost: $66.96/claim|Median: $75.18
0.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$110K

1,889 claims · 0.4%

Your Cost: $58.11/claim|Median: $72.71
0.8× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$107K

3,130 claims · 0.4%

Your Cost: $34.31/claim|Median: $74.78
0.5× median
90837Normal range

Psychotherapy, 60 minutes

$105K

2,495 claims · 0.4%

Your Cost: $42.02/claim|Median: $85.66
0.5× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$102K

3,011 claims · 0.4%

Your Cost: $33.82/claim|Median: $47.08
0.7× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$101K

3,279 claims · 0.4%

Your Cost: $30.66/claim|Median: $58.16
0.5× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$97K

2,395 claims · 0.4%

Your Cost: $40.60/claim|Median: $62.48
0.6× median
88307Normal range

Surgical pathology, gross and microscopic, complex

$96K

1,959 claims · 0.4%

Your Cost: $49.06/claim|Median: $59.38
0.8× median
43239Normal range

Upper GI endoscopy with biopsy

$88K

732 claims · 0.4%

Your Cost: $120.60/claim|Median: $151.68
0.8× median
70551Normal range

MRI brain without contrast

$86K

1,183 claims · 0.4%

Your Cost: $72.70/claim|Median: $85.39
0.9× median
59025Normal range

Fetal non-stress test

$85K

8,041 claims · 0.3%

Your Cost: $10.62/claim|Median: $26.45
0.4× median
99480Normal range

Subsequent intensive care, very low birth weight infant

$82K

894 claims · 0.3%

Your Cost: $91.54/claim|Median: $98.15
0.9× median
99222Normal range

Initial hospital care, per day, moderate complexity

$75K

1,572 claims · 0.3%

Your Cost: $47.83/claim|Median: $51.25
0.9× median
90960Normal range

End-stage renal disease services, per month, age 20+

$69K

1,346 claims · 0.3%

Your Cost: $51.04/claim|Median: $52.76
1.0× median
92012Normal range

Ophthalmological exam, intermediate, established patient

$68K

2,988 claims · 0.3%

Your Cost: $22.68/claim|Median: $38.23
0.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$68K

1,335 claims · 0.3%

Your Cost: $50.63/claim|Median: $59.72
0.8× median
90961Normal range

$62K

1,710 claims · 0.3%

Your Cost: $36.33/claim|Median: $47.22
0.8× median

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