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Provider 1568653780

NPI: 1568653780Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.5M

$15,519,247

Total Claims

224K

Beneficiaries

201K

1.1 claims/patient

Avg Cost/Claim

$69

Monthly Spending Trend

Yearly Spending

2018
$1.8M
+14%
2019
$2.1M
+7%
2020
$2.2M
+30%
2021
$2.9M
-8%
2022
$2.7M
-20%
2023
$2.1M
-21%
2024
$1.7M

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 13% of total spending.

99213Normal range

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

$2.1M

45K claims · 13.4%

Your Cost: $46.83/claim|Median: $37.81
1.2× median
59426Top 25%

Antepartum care only, high risk, additional visits

$1.8M

2,204 claims · 11.9%

Your Cost: $838.01/claim|Median: $122.30
6.9× median
99214Normal range

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

$1.5M

23K claims · 10.0%

Your Cost: $66.03/claim|Median: $53.41
1.2× median
59409Normal range

Vaginal delivery only

$1.4M

1,818 claims · 8.9%

Your Cost: $756.55/claim|Median: $619.91
1.2× median
76830Normal range

Ultrasound, transvaginal

$668K

9,560 claims · 4.3%

Your Cost: $69.82/claim|Median: $57.47
1.2× median
J7297Top 25%

$611K

793 claims · 3.9%

Your Cost: $770.80/claim|Median: $569.39
1.4× median
99395Normal range

Preventive medicine, established patient, age 18-39

$559K

6,885 claims · 3.6%

Your Cost: $81.23/claim|Median: $72.71
1.1× median
76856Normal range

Ultrasound, pelvic, complete

$485K

9,212 claims · 3.1%

Your Cost: $52.60/claim|Median: $47.58
1.1× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$477K

7,315 claims · 3.1%

Your Cost: $65.18/claim|Median: $58.55
1.1× median
58558Normal range

$462K

1,035 claims · 3.0%

Your Cost: $445.96/claim|Median: $942.89
0.5× median
59430Top 10%

$434K

2,184 claims · 2.8%

Your Cost: $198.62/claim|Median: $80.32
2.5× median
76818Normal range

$382K

5,543 claims · 2.5%

Your Cost: $68.85/claim|Median: $68.15
1.0× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$332K

3,254 claims · 2.1%

Your Cost: $102.17/claim|Median: $106.79
1.0× median
J9202Normal range

$325K

851 claims · 2.1%

Your Cost: $381.52/claim|Median: $483.75
0.8× median
J1050Top 25%

Injection, medroxyprogesterone acetate, one milligram

$324K

4,195 claims · 2.1%

Your Cost: $77.14/claim|Median: $41.92
1.8× median
59400Top 25%

Routine obstetric care, vaginal delivery, including postpartum

$305K

153 claims · 2.0%

Your Cost: $1,996.61/claim|Median: $1,482.45
1.3× median
99203Normal range

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

$279K

4,516 claims · 1.8%

Your Cost: $61.82/claim|Median: $57.85
1.1× median
99396Normal range

Preventive medicine, established patient, age 40-64

$253K

2,811 claims · 1.6%

Your Cost: $89.96/claim|Median: $76.06
1.2× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$244K

4,429 claims · 1.6%

Your Cost: $55.04/claim|Median: $47.65
1.2× median
99215Normal range

Office/outpatient visit, high complexity

$236K

2,643 claims · 1.5%

Your Cost: $89.18/claim|Median: $74.09
1.2× median
59514Top 10%

Cesarean delivery only

$211K

247 claims · 1.4%

Your Cost: $855.22/claim|Median: $452.80
1.9× median
99212Normal range

Office/outpatient visit, low complexity

$192K

7,129 claims · 1.2%

Your Cost: $26.98/claim|Median: $25.06
1.1× median
99204Normal range

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

$187K

1,979 claims · 1.2%

Your Cost: $94.44/claim|Median: $84.03
1.1× median
76820Normal range

$174K

6,446 claims · 1.1%

Your Cost: $26.98/claim|Median: $31.79
0.8× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$142K

1,442 claims · 0.9%

Your Cost: $98.75/claim|Median: $76.22
1.3× median
59025Normal range

Fetal non-stress test

$130K

4,601 claims · 0.8%

Your Cost: $28.21/claim|Median: $26.45
1.1× median
58662Normal range

$124K

505 claims · 0.8%

Your Cost: $246.26/claim|Median: $457.94
0.5× median
50715Top 1%

$117K

178 claims · 0.8%

Your Cost: $660.08/claim|Median: $400.78
1.6× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$116K

1,647 claims · 0.7%

Your Cost: $70.17/claim|Median: $58.16
1.2× median
59425Top 5%

Antepartum care only, 4-6 visits

$115K

254 claims · 0.7%

Your Cost: $454.53/claim|Median: $63.63
7.1× median
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