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Provider 1578969465

NPI: 1578969465Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.2M

$11,216,281

Total Claims

677K

Beneficiaries

502K

1.3 claims/patient

Avg Cost/Claim

$17

Monthly Spending Trend

Yearly Spending

2018
$11K
+255%
2019
$38K
+1136%
2020
$466K
+463%
2021
$2.6M
+21%
2022
$3.2M
-5%
2023
$3.0M
-37%
2024
$1.9M

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

87K claims · 23.9%

Your Cost: $30.77/claim|Median: $37.81
0.8× median
99214Normal range

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

$2.2M

56K claims · 19.5%

Your Cost: $38.85/claim|Median: $53.41
0.7× median
59409Normal range

Vaginal delivery only

$1.2M

2,159 claims · 10.4%

Your Cost: $538.16/claim|Median: $619.91
0.9× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$303K

3,265 claims · 2.7%

Your Cost: $92.69/claim|Median: $74.78
1.2× median
59430Normal range

$248K

3,213 claims · 2.2%

Your Cost: $77.32/claim|Median: $80.32
1.0× median
95004Top 25%

Percutaneous allergy skin tests, each

$233K

858 claims · 2.1%

Your Cost: $271.26/claim|Median: $134.97
2.0× median
99395Normal range

Preventive medicine, established patient, age 18-39

$223K

3,461 claims · 2.0%

Your Cost: $64.57/claim|Median: $72.71
0.9× median
87491Normal range

Chlamydia detection, nucleic acid, amplified probe

$204K

8,090 claims · 1.8%

Your Cost: $25.22/claim|Median: $24.95
1.0× median
59514Normal range

Cesarean delivery only

$198K

320 claims · 1.8%

Your Cost: $620.12/claim|Median: $452.80
1.4× median
99204Normal range

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

$197K

3,074 claims · 1.8%

Your Cost: $64.22/claim|Median: $84.03
0.8× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$195K

8,037 claims · 1.7%

Your Cost: $24.23/claim|Median: $23.39
1.0× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$190K

1,050 claims · 1.7%

Your Cost: $181.08/claim|Median: $144.04
1.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$179K

3,453 claims · 1.6%

Your Cost: $51.97/claim|Median: $36.79
1.4× median
87661Normal range

Trichomonas vaginalis detection, nucleic acid, amplified probe

$146K

6,327 claims · 1.3%

Your Cost: $23.07/claim|Median: $21.08
1.1× median
99350Normal range

$143K

4,126 claims · 1.3%

Your Cost: $34.78/claim|Median: $35.62
1.0× median
96372Top 25%

Therapeutic injection, subcutaneous/intramuscular

$139K

8,542 claims · 1.2%

Your Cost: $16.29/claim|Median: $9.56
1.7× median
J0717Normal range

$132K

115 claims · 1.2%

Your Cost: $1,144.80/claim|Median: $1,144.80
1.0× median
99091Top 5%

$129K

756 claims · 1.1%

Your Cost: $170.00/claim|Median: $22.29
7.6× median
81002Normal range

Urinalysis, non-automated without microscopy

$125K

49K claims · 1.1%

Your Cost: $2.58/claim|Median: $2.00
1.3× median
99215Normal range

Office/outpatient visit, high complexity

$113K

1,895 claims · 1.0%

Your Cost: $59.51/claim|Median: $74.09
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$97K

1,103 claims · 0.9%

Your Cost: $88.37/claim|Median: $80.15
1.1× median
99393Normal range

Preventive medicine, established patient, age 5-11

$87K

1,044 claims · 0.8%

Your Cost: $83.55/claim|Median: $74.82
1.1× median
99203Normal range

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

$86K

1,778 claims · 0.8%

Your Cost: $48.49/claim|Median: $57.85
0.8× median
99392Normal range

Preventive medicine, established patient, age 1-4

$74K

938 claims · 0.7%

Your Cost: $78.82/claim|Median: $75.18
1.0× median
76830Normal range

Ultrasound, transvaginal

$73K

897 claims · 0.7%

Your Cost: $81.45/claim|Median: $57.47
1.4× median
99310Normal range

$71K

7,689 claims · 0.6%

Your Cost: $9.24/claim|Median: $21.82
0.4× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$69K

140 claims · 0.6%

Your Cost: $495.25/claim|Median: $1,587.53
0.3× median
95813Top 25%

$66K

253 claims · 0.6%

Your Cost: $262.24/claim|Median: $121.48
2.2× median
76819Normal range

Fetal biophysical profile with non-stress test

$63K

1,115 claims · 0.6%

Your Cost: $56.33/claim|Median: $49.45
1.1× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$56K

690 claims · 0.5%

Your Cost: $81.24/claim|Median: $58.16
1.4× median
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