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Provider 1538152491

NPI: 1538152491Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.1M

$10,146,650

Total Claims

248K

Beneficiaries

223K

1.1 claims/patient

Avg Cost/Claim

$41

Monthly Spending Trend

Yearly Spending

2018
$797K
+22%
2019
$968K
+28%
2020
$1.2M
+22%
2021
$1.5M
+20%
2022
$1.8M
+11%
2023
$2.0M
-10%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (S4993) accounts for 34% of total spending.

S4993Normal range

$3.4M

42K claims · 33.8%

Your Cost: $80.80/claim|Median: $46.61
1.7× median
H1010Top 25%

$2.5M

26K claims · 24.6%

Your Cost: $94.45/claim|Median: $75.85
1.2× median
J1050Top 10%

Injection, medroxyprogesterone acetate, one milligram

$548K

6,687 claims · 5.4%

Your Cost: $81.97/claim|Median: $41.92
2.0× median
A4267Top 5%

$498K

27K claims · 4.9%

Your Cost: $18.60/claim|Median: $7.86
2.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$420K

7,019 claims · 4.1%

Your Cost: $59.83/claim|Median: $72.71
0.8× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$293K

357 claims · 2.9%

Your Cost: $821.60/claim|Median: $786.43
1.0× median
A4268Normal range

$262K

26K claims · 2.6%

Your Cost: $9.93/claim|Median: $7.39
1.3× median
99213Normal range

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

$233K

6,300 claims · 2.3%

Your Cost: $37.06/claim|Median: $37.81
1.0× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$233K

7,061 claims · 2.3%

Your Cost: $32.97/claim|Median: $21.08
1.6× median
J7304Normal range

$222K

590 claims · 2.2%

Your Cost: $376.91/claim|Median: $630.59
0.6× median
T5999Top 25%

Transportation service, not otherwise classified

$161K

2,306 claims · 1.6%

Your Cost: $69.79/claim|Median: $8.13
8.6× median
90651Top 5%

HPV vaccine, 9-valent

$160K

756 claims · 1.6%

Your Cost: $212.15/claim|Median: $8.93
23.8× median
99214Normal range

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

$150K

2,656 claims · 1.5%

Your Cost: $56.50/claim|Median: $53.41
1.1× median
J7303Normal range

$121K

707 claims · 1.2%

Your Cost: $171.83/claim|Median: $125.58
1.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$114K

12K claims · 1.1%

Your Cost: $9.58/claim|Median: $23.39
0.4× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$114K

13K claims · 1.1%

Your Cost: $9.10/claim|Median: $24.95
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$109K

4,347 claims · 1.1%

Your Cost: $25.05/claim|Median: $25.06
1.0× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$79K

1,959 claims · 0.8%

Your Cost: $40.41/claim|Median: $40.11
1.0× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$63K

1,093 claims · 0.6%

Your Cost: $57.71/claim|Median: $76.22
0.8× median
86703Top 25%

$53K

4,073 claims · 0.5%

Your Cost: $13.14/claim|Median: $10.37
1.3× median
99203Normal range

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

$50K

768 claims · 0.5%

Your Cost: $65.28/claim|Median: $57.85
1.1× median
99000Normal range

$48K

13K claims · 0.5%

Your Cost: $3.59/claim|Median: $2.30
1.6× median
81025Top 10%

Urine pregnancy test

$43K

5,160 claims · 0.4%

Your Cost: $8.32/claim|Median: $4.81
1.7× median
99204Normal range

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

$33K

305 claims · 0.3%

Your Cost: $106.83/claim|Median: $84.03
1.3× median
J8499Normal range

$28K

5,616 claims · 0.3%

Your Cost: $5.05/claim|Median: $1.99
2.5× median
86780Normal range

$28K

3,640 claims · 0.3%

Your Cost: $7.66/claim|Median: $9.83
0.8× median
87210Top 25%

$25K

4,808 claims · 0.2%

Your Cost: $5.10/claim|Median: $3.65
1.4× median
S9445Top 25%

$24K

1,046 claims · 0.2%

Your Cost: $22.63/claim|Median: $12.72
1.8× median
J7295Normal range

$21K

619 claims · 0.2%

Your Cost: $34.71/claim|Median: $148.11
0.2× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$21K

7,853 claims · 0.2%

Your Cost: $2.71/claim|Median: $9.56
0.3× median
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