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Provider 1528016938

NPI: 1528016938Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.3M

$12,268,496

Total Claims

341K

Beneficiaries

230K

1.5 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+30%
2019
$1.8M
-11%
2020
$1.6M
+27%
2021
$2.0M
+11%
2022
$2.2M
-13%
2023
$1.9M
-26%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (76816 (Ultrasound, pregnant uterus, follow-up)) accounts for 17% of total spending.

76816Normal range

Ultrasound, pregnant uterus, follow-up

$2.1M

27K claims · 16.8%

Your Cost: $75.76/claim|Median: $58.55
1.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$1.8M

13K claims · 14.6%

Your Cost: $140.26/claim|Median: $106.79
1.3× median
99213Normal range

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

$1.7M

47K claims · 13.7%

Your Cost: $36.10/claim|Median: $37.81
1.0× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$982K

16K claims · 8.0%

Your Cost: $62.12/claim|Median: $36.79
1.7× median
59025Normal range

Fetal non-stress test

$704K

25K claims · 5.7%

Your Cost: $28.17/claim|Median: $26.45
1.1× median
99199Top 25%

Unlisted special service, procedure, or report

$532K

77K claims · 4.3%

Your Cost: $6.95/claim|Median: $5.39
1.3× median
76820Normal range

$474K

13K claims · 3.9%

Your Cost: $36.70/claim|Median: $31.79
1.2× median
99214Top 25%

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

$445K

5,745 claims · 3.6%

Your Cost: $77.50/claim|Median: $53.41
1.5× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$372K

294 claims · 3.0%

Your Cost: $1,265.55/claim|Median: $1,482.45
0.9× median
99234Top 25%

$356K

3,515 claims · 2.9%

Your Cost: $101.39/claim|Median: $80.89
1.3× median
S0281Normal range

$297K

2,659 claims · 2.4%

Your Cost: $111.51/claim|Median: $92.97
1.2× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$258K

5,072 claims · 2.1%

Your Cost: $50.93/claim|Median: $23.99
2.1× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$228K

2,237 claims · 1.9%

Your Cost: $102.00/claim|Median: $74.78
1.4× median
97802Normal range

Medical nutrition therapy, reassessment, individual, fifteen minutes

$198K

5,040 claims · 1.6%

Your Cost: $39.31/claim|Median: $12.70
3.1× median
76818Normal range

$173K

2,205 claims · 1.4%

Your Cost: $78.38/claim|Median: $68.15
1.2× median
J1050Normal range

Injection, medroxyprogesterone acetate, one milligram

$161K

3,496 claims · 1.3%

Your Cost: $46.13/claim|Median: $41.92
1.1× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$147K

1,633 claims · 1.2%

Your Cost: $90.10/claim|Median: $58.16
1.5× median
76819Normal range

Fetal biophysical profile with non-stress test

$146K

3,109 claims · 1.2%

Your Cost: $46.97/claim|Median: $49.45
0.9× median
S0280Normal range

Medical home program, comprehensive care management

$133K

3,271 claims · 1.1%

Your Cost: $40.53/claim|Median: $48.38
0.8× median
76821Normal range

$118K

1,720 claims · 1.0%

Your Cost: $68.37/claim|Median: $46.75
1.5× median
99243Normal range

Office or other outpatient consultation, low complexity

$100K

1,146 claims · 0.8%

Your Cost: $87.43/claim|Median: $82.43
1.1× median
90715Top 10%

Tdap vaccine

$96K

2,601 claims · 0.8%

Your Cost: $36.75/claim|Median: $10.32
3.6× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$75K

857 claims · 0.6%

Your Cost: $87.22/claim|Median: $70.87
1.2× median
81003Normal range

Urinalysis, automated without microscopy

$72K

44K claims · 0.6%

Your Cost: $1.61/claim|Median: $1.48
1.1× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$71K

1,007 claims · 0.6%

Your Cost: $70.74/claim|Median: $47.65
1.5× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$68K

4,805 claims · 0.6%

Your Cost: $14.14/claim|Median: $9.56
1.5× median
59410Normal range

$62K

94 claims · 0.5%

Your Cost: $661.06/claim|Median: $781.64
0.8× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$55K

2,149 claims · 0.4%

Your Cost: $25.50/claim|Median: $24.33
1.0× median
90471Normal range

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

$54K

4,434 claims · 0.4%

Your Cost: $12.27/claim|Median: $9.80
1.3× median
76825Normal range

$46K

617 claims · 0.4%

Your Cost: $74.60/claim|Median: $103.74
0.7× median
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