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Provider 1578832242

NPI: 1578832242Share
Active Billing Period:2018-02→2024-12(83 months)

Total Paid

$16.5M

$16,474,518

Total Claims

228K

Beneficiaries

174K

1.3 claims/patient

Avg Cost/Claim

$72

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+76%
2019
$2.1M
-7%
2020
$1.9M
+67%
2021
$3.2M
-1%
2022
$3.2M
-18%
2023
$2.6M
-11%
2024
$2.3M

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 20% of total spending.

99213Top 25%

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

$3.3M

47K claims · 20.2%

Your Cost: $70.08/claim|Median: $37.81
1.9× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$1.9M

21K claims · 11.7%

Your Cost: $93.98/claim|Median: $58.55
1.6× median
76830Top 10%

Ultrasound, transvaginal

$1.7M

16K claims · 10.3%

Your Cost: $107.07/claim|Median: $57.47
1.9× median
76856Top 25%

Ultrasound, pelvic, complete

$1.5M

16K claims · 8.8%

Your Cost: $89.12/claim|Median: $47.58
1.9× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$1.1M

14K claims · 6.6%

Your Cost: $79.29/claim|Median: $47.65
1.7× median
58558Normal range

$1.1M

1,319 claims · 6.6%

Your Cost: $823.49/claim|Median: $942.89
0.9× median
76819Top 25%

Fetal biophysical profile with non-stress test

$854K

11K claims · 5.2%

Your Cost: $74.61/claim|Median: $49.45
1.5× median
93976Normal range

$601K

8,553 claims · 3.6%

Your Cost: $70.25/claim|Median: $42.06
1.7× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$597K

5,811 claims · 3.6%

Your Cost: $102.80/claim|Median: $72.71
1.4× median
76820Normal range

$478K

12K claims · 2.9%

Your Cost: $40.40/claim|Median: $31.79
1.3× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$433K

4,074 claims · 2.6%

Your Cost: $106.31/claim|Median: $76.06
1.4× median
99214Top 10%

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

$409K

3,954 claims · 2.5%

Your Cost: $103.39/claim|Median: $53.41
1.9× median
99385Top 25%

Preventive visit, new patient, 18-39 yr

$280K

2,556 claims · 1.7%

Your Cost: $109.64/claim|Median: $76.22
1.4× median
99203Top 25%

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

$243K

3,083 claims · 1.5%

Your Cost: $78.82/claim|Median: $57.85
1.4× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$242K

1,593 claims · 1.5%

Your Cost: $151.98/claim|Median: $85.65
1.8× median
59409Normal range

Vaginal delivery only

$228K

334 claims · 1.4%

Your Cost: $682.30/claim|Median: $619.91
1.1× median
59400Top 10%

Routine obstetric care, vaginal delivery, including postpartum

$183K

81 claims · 1.1%

Your Cost: $2,253.60/claim|Median: $1,482.45
1.5× median
76801Top 25%

Ultrasound, pregnant uterus, single fetus, first trimester

$176K

1,877 claims · 1.1%

Your Cost: $93.80/claim|Median: $58.16
1.6× median
99386Top 25%

Preventive visit, new patient, 40-64 yr

$150K

1,244 claims · 0.9%

Your Cost: $120.48/claim|Median: $87.82
1.4× median
57454Normal range

Colposcopy with cervical biopsy and endocervical curettage

$142K

1,081 claims · 0.9%

Your Cost: $131.14/claim|Median: $96.39
1.4× median
81025Normal range

Urine pregnancy test

$131K

24K claims · 0.8%

Your Cost: $5.37/claim|Median: $4.81
1.1× median
59514Top 25%

Cesarean delivery only

$117K

157 claims · 0.7%

Your Cost: $748.03/claim|Median: $452.80
1.7× median
76821Top 25%

$106K

1,279 claims · 0.6%

Your Cost: $82.82/claim|Median: $46.75
1.8× median
99204Top 25%

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

$73K

530 claims · 0.4%

Your Cost: $137.09/claim|Median: $84.03
1.6× median
59025Normal range

Fetal non-stress test

$62K

2,556 claims · 0.4%

Your Cost: $24.12/claim|Median: $26.45
0.9× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$55K

568 claims · 0.3%

Your Cost: $96.92/claim|Median: $70.87
1.4× median
81002Normal range

Urinalysis, non-automated without microscopy

$41K

16K claims · 0.2%

Your Cost: $2.54/claim|Median: $2.00
1.3× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$39K

524 claims · 0.2%

Your Cost: $74.62/claim|Median: $22.44
3.3× median
59510Top 10%

$32K

13 claims · 0.2%

Your Cost: $2,460.99/claim|Median: $1,543.20
1.6× median
99223Top 25%

Initial hospital care, per day, high complexity

$31K

280 claims · 0.2%

Your Cost: $110.94/claim|Median: $67.32
1.6× median
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