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Provider 1538114723

NPI: 1538114723Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,719,391

Total Claims

137K

Beneficiaries

117K

1.2 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$789K
+30%
2019
$1.0M
+30%
2020
$1.3M
+50%
2021
$2.0M
+13%
2022
$2.3M
-6%
2023
$2.1M
-44%
2024
$1.2M

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 21% of total spending.

76816Top 5%

Ultrasound, pregnant uterus, follow-up

$2.3M

17K claims · 21.3%

Your Cost: $131.89/claim|Median: $58.55
2.3× median
76830Top 5%

Ultrasound, transvaginal

$2.2M

16K claims · 20.7%

Your Cost: $141.65/claim|Median: $57.47
2.5× median
99213Top 5%

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

$2.2M

23K claims · 20.4%

Your Cost: $95.64/claim|Median: $37.81
2.5× median
76819Top 10%

Fetal biophysical profile with non-stress test

$1.5M

15K claims · 13.6%

Your Cost: $99.73/claim|Median: $49.45
2.0× median
76856Top 10%

Ultrasound, pelvic, complete

$500K

4,308 claims · 4.7%

Your Cost: $115.99/claim|Median: $47.58
2.4× median
99499Top 25%

Unlisted evaluation and management service

$266K

4,651 claims · 2.5%

Your Cost: $57.19/claim|Median: $30.88
1.9× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$254K

2,160 claims · 2.4%

Your Cost: $117.40/claim|Median: $72.71
1.6× median
76811Top 10%

Ultrasound, pregnant uterus, detailed, single fetus

$227K

1,113 claims · 2.1%

Your Cost: $204.13/claim|Median: $106.79
1.9× median
99214Top 5%

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

$204K

1,478 claims · 1.9%

Your Cost: $137.92/claim|Median: $53.41
2.6× median
99212Top 10%

Office/outpatient visit, low complexity

$185K

3,065 claims · 1.7%

Your Cost: $60.36/claim|Median: $25.06
2.4× median
99396Top 5%

Preventive medicine, established patient, age 40-64

$143K

1,065 claims · 1.3%

Your Cost: $134.66/claim|Median: $76.06
1.8× median
76801Top 5%

Ultrasound, pregnant uterus, single fetus, first trimester

$122K

865 claims · 1.1%

Your Cost: $140.87/claim|Median: $58.16
2.4× median
82670Top 25%

Estradiol hormone blood level test

$113K

4,378 claims · 1.1%

Your Cost: $25.92/claim|Median: $19.27
1.3× median
84144Top 25%

$100K

4,995 claims · 0.9%

Your Cost: $20.05/claim|Median: $14.29
1.4× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$80K

861 claims · 0.7%

Your Cost: $92.63/claim|Median: $36.79
2.5× median
76813Top 5%

Ultrasound for fetal nuchal translucency measurement

$69K

486 claims · 0.6%

Your Cost: $142.91/claim|Median: $70.87
2.0× median
76820Top 25%

$46K

889 claims · 0.4%

Your Cost: $51.62/claim|Median: $31.79
1.6× median
83002Top 25%

$41K

2,260 claims · 0.4%

Your Cost: $18.17/claim|Median: $12.75
1.4× median
81025Top 25%

Urine pregnancy test

$37K

4,838 claims · 0.3%

Your Cost: $7.73/claim|Median: $4.81
1.6× median
81002Top 25%

Urinalysis, non-automated without microscopy

$34K

12K claims · 0.3%

Your Cost: $2.90/claim|Median: $2.00
1.4× median
84702Top 25%

$32K

2,239 claims · 0.3%

Your Cost: $14.15/claim|Median: $8.25
1.7× median
83001Top 25%

$19K

1,031 claims · 0.2%

Your Cost: $18.18/claim|Median: $13.94
1.3× median
76817Top 5%

Ultrasound, pregnant uterus, transvaginal

$16K

146 claims · 0.1%

Your Cost: $106.49/claim|Median: $47.65
2.2× median
99385Top 5%

Preventive visit, new patient, 18-39 yr

$15K

104 claims · 0.1%

Your Cost: $144.28/claim|Median: $76.22
1.9× median
36415Normal range

Collection of venous blood by venipuncture

$14K

8,949 claims · 0.1%

Your Cost: $1.52/claim|Median: $1.57
1.0× median
99386Top 10%

Preventive visit, new patient, 40-64 yr

$13K

83 claims · 0.1%

Your Cost: $156.51/claim|Median: $87.82
1.8× median
84443Top 25%

Thyroid stimulating hormone (TSH)

$11K

670 claims · 0.1%

Your Cost: $15.93/claim|Median: $9.87
1.6× median
59025Normal range

Fetal non-stress test

$9K

213 claims · 0.1%

Your Cost: $40.10/claim|Median: $26.45
1.5× median
99459Top 5%

$8K

295 claims · 0.1%

Your Cost: $26.07/claim|Median: $13.55
1.9× median
99204Top 5%

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

$5K

28 claims · 0.0%

Your Cost: $183.53/claim|Median: $84.03
2.2× median
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