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Provider 1548291891

NPI: 1548291891Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.1M

$11,056,835

Total Claims

204K

Beneficiaries

141K

1.4 claims/patient

Avg Cost/Claim

$54

Monthly Spending Trend

Yearly Spending

2018
$25K
+2123%
2019
$561K
+235%
2020
$1.9M
-4%
2021
$1.8M
+63%
2022
$3.0M
-25%
2023
$2.2M
-28%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 24% of total spending.

99213Normal range

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

$2.7M

51K claims · 24.5%

Your Cost: $52.76/claim|Median: $37.81
1.4× median
99214Normal range

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

$1.4M

20K claims · 12.8%

Your Cost: $70.98/claim|Median: $53.41
1.3× median
59409Normal range

Vaginal delivery only

$924K

1,460 claims · 8.4%

Your Cost: $632.99/claim|Median: $619.91
1.0× median
99204Top 25%

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

$412K

3,307 claims · 3.7%

Your Cost: $124.55/claim|Median: $84.03
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$387K

3,922 claims · 3.5%

Your Cost: $98.66/claim|Median: $74.09
1.3× median
59514Normal range

Cesarean delivery only

$384K

611 claims · 3.5%

Your Cost: $629.22/claim|Median: $452.80
1.4× median
76819Top 25%

Fetal biophysical profile with non-stress test

$337K

4,558 claims · 3.0%

Your Cost: $73.85/claim|Median: $49.45
1.5× median
59430Top 25%

$334K

2,138 claims · 3.0%

Your Cost: $156.15/claim|Median: $80.32
1.9× median
99395Normal range

Preventive medicine, established patient, age 18-39

$331K

4,373 claims · 3.0%

Your Cost: $75.61/claim|Median: $72.71
1.0× median
J7307Normal range

Etonogestrel implant system, including implant and supplies

$261K

573 claims · 2.4%

Your Cost: $455.38/claim|Median: $786.43
0.6× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$233K

1,738 claims · 2.1%

Your Cost: $134.14/claim|Median: $111.09
1.2× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$226K

3,215 claims · 2.0%

Your Cost: $70.17/claim|Median: $47.65
1.5× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$211K

3,402 claims · 1.9%

Your Cost: $61.97/claim|Median: $58.55
1.1× median
76830Top 25%

Ultrasound, transvaginal

$207K

2,382 claims · 1.9%

Your Cost: $87.03/claim|Median: $57.47
1.5× median
76856Top 25%

Ultrasound, pelvic, complete

$202K

2,450 claims · 1.8%

Your Cost: $82.62/claim|Median: $47.58
1.7× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$189K

1,975 claims · 1.7%

Your Cost: $95.56/claim|Median: $58.16
1.6× median
S0612Top 25%

$173K

2,043 claims · 1.6%

Your Cost: $84.77/claim|Median: $37.12
2.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$172K

1,949 claims · 1.6%

Your Cost: $88.40/claim|Median: $106.79
0.8× median
99396Normal range

Preventive medicine, established patient, age 40-64

$167K

2,126 claims · 1.5%

Your Cost: $78.69/claim|Median: $76.06
1.0× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$161K

8,424 claims · 1.5%

Your Cost: $19.07/claim|Median: $24.95
0.8× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$158K

8,437 claims · 1.4%

Your Cost: $18.78/claim|Median: $23.39
0.8× median
99203Normal range

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

$148K

1,960 claims · 1.3%

Your Cost: $75.68/claim|Median: $57.85
1.3× median
59410Normal range

$147K

354 claims · 1.3%

Your Cost: $415.82/claim|Median: $781.64
0.5× median
0352UTop 10%

$111K

1,008 claims · 1.0%

Your Cost: $109.63/claim|Median: $9.14
12.0× median
99429Top 10%

$94K

2,014 claims · 0.9%

Your Cost: $46.80/claim|Median: $28.58
1.6× median
S0610Top 10%

$67K

556 claims · 0.6%

Your Cost: $120.74/claim|Median: $33.05
3.7× median
T1001Normal range

Nursing assessment/evaluation, per visit

$65K

2,067 claims · 0.6%

Your Cost: $31.45/claim|Median: $49.05
0.6× median
59025Normal range

Fetal non-stress test

$59K

2,860 claims · 0.5%

Your Cost: $20.74/claim|Median: $26.45
0.8× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$54K

5,146 claims · 0.5%

Your Cost: $10.51/claim|Median: $9.56
1.1× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$53K

406 claims · 0.5%

Your Cost: $129.48/claim|Median: $87.82
1.5× median
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