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OBSTETRIX MEDICAL GROUP OF TEXAS BILLING, INC.

Obstetrics & Gynecology, Maternal & Fetal Medicine·RICHARDSON, TX·NPI: 1568486264Share
Active Billing Period:2020-01→2024-12(60 months)

Total Paid

$25.7M

$25,711,065

Total Claims

376K

Beneficiaries

295K

1.3 claims/patient

Avg Cost/Claim

$68

Monthly Spending Trend

Yearly Spending

2020
$1.1M
+411%
2021
$5.7M
+13%
2022
$6.4M
+5%
2023
$6.7M
-15%
2024
$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 40 distinct procedure codes. The top code (76816 (Ultrasound, pregnant uterus, follow-up)) accounts for 30% of total spending.

76816Top 25%

Ultrasound, pregnant uterus, follow-up

$7.6M

96K claims · 29.7%

Your Cost: $79.89/claim|Median: $58.55
1.4× median
76819Normal range

Fetal biophysical profile with non-stress test

$5.4M

85K claims · 21.2%

Your Cost: $64.30/claim|Median: $49.45
1.3× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$4.2M

33K claims · 16.2%

Your Cost: $126.06/claim|Median: $106.79
1.2× median
76818Normal range

$1.2M

16K claims · 4.7%

Your Cost: $74.15/claim|Median: $68.15
1.1× median
99214Normal range

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

$1.2M

26K claims · 4.6%

Your Cost: $46.02/claim|Median: $53.41
0.9× median
76820Normal range

$1.2M

35K claims · 4.5%

Your Cost: $32.94/claim|Median: $31.79
1.0× median
76815Top 25%

Ultrasound, pregnant uterus, limited

$1.0M

17K claims · 4.1%

Your Cost: $61.82/claim|Median: $36.79
1.7× median
76805Top 25%

Ultrasound, pregnant uterus, complete, single fetus

$965K

9,607 claims · 3.8%

Your Cost: $100.46/claim|Median: $74.78
1.3× median
99213Normal range

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

$557K

18K claims · 2.2%

Your Cost: $31.65/claim|Median: $37.81
0.8× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$443K

6,378 claims · 1.7%

Your Cost: $69.52/claim|Median: $47.65
1.5× median
99204Normal range

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

$299K

3,732 claims · 1.2%

Your Cost: $80.04/claim|Median: $84.03
1.0× median
76821Normal range

$286K

4,339 claims · 1.1%

Your Cost: $65.81/claim|Median: $46.75
1.4× median
99203Normal range

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

$189K

3,626 claims · 0.7%

Your Cost: $52.04/claim|Median: $57.85
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$154K

1,428 claims · 0.6%

Your Cost: $108.10/claim|Median: $121.58
0.9× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$153K

3,875 claims · 0.6%

Your Cost: $39.49/claim|Median: $23.99
1.6× median
99212Normal range

Office/outpatient visit, low complexity

$151K

7,521 claims · 0.6%

Your Cost: $20.11/claim|Median: $25.06
0.8× median
99243Normal range

Office or other outpatient consultation, low complexity

$148K

2,074 claims · 0.6%

Your Cost: $71.34/claim|Median: $82.43
0.9× median
99242Normal range

Office consultation, low complexity

$86K

1,614 claims · 0.3%

Your Cost: $53.54/claim|Median: $57.97
0.9× median
59514Top 25%

Cesarean delivery only

$80K

121 claims · 0.3%

Your Cost: $657.76/claim|Median: $452.80
1.5× median
99215Normal range

Office/outpatient visit, high complexity

$78K

1,075 claims · 0.3%

Your Cost: $72.52/claim|Median: $74.09
1.0× median
76825Top 25%

$53K

259 claims · 0.2%

Your Cost: $205.59/claim|Median: $103.74
2.0× median
99231Top 25%

Subsequent hospital care, per day, low complexity

$48K

1,631 claims · 0.2%

Your Cost: $29.33/claim|Median: $16.77
1.7× median
99202Normal range

Office/outpatient visit, new patient, low complexity

$38K

1,027 claims · 0.1%

Your Cost: $36.79/claim|Median: $40.11
0.9× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$31K

308 claims · 0.1%

Your Cost: $100.44/claim|Median: $111.09
0.9× median
59430Normal range

$22K

267 claims · 0.1%

Your Cost: $83.57/claim|Median: $80.32
1.0× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$21K

250 claims · 0.1%

Your Cost: $83.64/claim|Median: $58.16
1.4× median
99241Normal range

Office consultation, straightforward

$12K

306 claims · 0.0%

Your Cost: $39.25/claim|Median: $36.49
1.1× median
76827Top 25%

$11K

199 claims · 0.0%

Your Cost: $57.74/claim|Median: $39.58
1.5× median
99211Normal range

Office/outpatient visit, minimal complexity

$6K

509 claims · 0.0%

Your Cost: $12.67/claim|Median: $12.93
1.0× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$5K

55 claims · 0.0%

Your Cost: $86.36/claim|Median: $70.87
1.2× median
93325Normal range

$4K

227 claims · 0.0%

Your Cost: $17.53/claim|Median: $14.61
1.2× median
59025Normal range

Fetal non-stress test

$4K

197 claims · 0.0%

Your Cost: $20.19/claim|Median: $26.45
0.8× median
99253Top 25%

$2K

30 claims · 0.0%

Your Cost: $82.58/claim|Median: $55.16
1.5× median
99252Top 25%

$2K

26 claims · 0.0%

Your Cost: $60.07/claim|Median: $38.63
1.6× median
99254Normal range

$1K

13 claims · 0.0%

Your Cost: $113.07/claim|Median: $81.43
1.4× median
90471Normal range

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

$105

16 claims · 0.0%

Your Cost: $6.59/claim|Median: $9.80
0.7× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$95

18 claims · 0.0%

Your Cost: $5.29/claim|Median: $9.56
0.6× median
G8510Normal range

$87

17 claims · 0.0%

Your Cost: $5.13/claim|Median: $1.96
2.6× median
82962Normal range

Blood glucose test by monitoring device

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.40
99024Normal range

$0

29 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.15

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