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Provider 1639104854

NPI: 1639104854Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,461,306

Total Claims

145K

Beneficiaries

126K

1.2 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+4%
2019
$1.7M
-6%
2020
$1.6M
+27%
2021
$2.0M
+6%
2022
$2.1M
+3%
2023
$2.2M
-36%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59409 (Vaginal delivery only)) accounts for 25% of total spending.

59409Normal range

Vaginal delivery only

$3.1M

4,182 claims · 25.2%

Your Cost: $751.77/claim|Median: $619.91
1.2× median
59514Top 25%

Cesarean delivery only

$1.9M

2,211 claims · 15.0%

Your Cost: $845.18/claim|Median: $452.80
1.9× median
59426Normal range

Antepartum care only, high risk, additional visits

$1.7M

2,543 claims · 13.6%

Your Cost: $665.64/claim|Median: $122.30
5.4× median
99213Normal range

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

$672K

19K claims · 5.4%

Your Cost: $34.49/claim|Median: $37.81
0.9× median
99214Normal range

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

$664K

13K claims · 5.3%

Your Cost: $52.99/claim|Median: $53.41
1.0× median
59425Top 10%

Antepartum care only, 4-6 visits

$618K

1,660 claims · 5.0%

Your Cost: $372.47/claim|Median: $63.63
5.9× median
59430Top 25%

$510K

3,339 claims · 4.1%

Your Cost: $152.83/claim|Median: $80.32
1.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$286K

11K claims · 2.3%

Your Cost: $26.83/claim|Median: $58.55
0.5× median
99204Normal range

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

$260K

3,477 claims · 2.1%

Your Cost: $74.88/claim|Median: $84.03
0.9× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$251K

4,684 claims · 2.0%

Your Cost: $53.62/claim|Median: $106.79
0.5× median
59025Normal range

Fetal non-stress test

$224K

13K claims · 1.8%

Your Cost: $17.66/claim|Median: $26.45
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$213K

2,701 claims · 1.7%

Your Cost: $78.96/claim|Median: $74.09
1.1× median
99395Normal range

Preventive medicine, established patient, age 18-39

$212K

3,483 claims · 1.7%

Your Cost: $60.76/claim|Median: $72.71
0.8× median
76819Normal range

Fetal biophysical profile with non-stress test

$144K

6,108 claims · 1.2%

Your Cost: $23.65/claim|Median: $49.45
0.5× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$144K

1,409 claims · 1.2%

Your Cost: $101.96/claim|Median: $111.09
0.9× median
99396Normal range

Preventive medicine, established patient, age 40-64

$133K

1,942 claims · 1.1%

Your Cost: $68.73/claim|Median: $76.06
0.9× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$132K

1,589 claims · 1.1%

Your Cost: $83.19/claim|Median: $121.58
0.7× median
76805Normal range

Ultrasound, pregnant uterus, complete, single fetus

$132K

4,653 claims · 1.1%

Your Cost: $28.28/claim|Median: $74.78
0.4× median
99203Normal range

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

$129K

2,800 claims · 1.0%

Your Cost: $46.22/claim|Median: $57.85
0.8× median
76815Normal range

Ultrasound, pregnant uterus, limited

$128K

7,093 claims · 1.0%

Your Cost: $18.06/claim|Median: $36.79
0.5× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$93K

2,230 claims · 0.7%

Your Cost: $41.49/claim|Median: $23.99
1.7× median
58300Normal range

$78K

2,728 claims · 0.6%

Your Cost: $28.56/claim|Median: $74.77
0.4× median
99212Normal range

Office/outpatient visit, low complexity

$75K

3,948 claims · 0.6%

Your Cost: $19.08/claim|Median: $25.06
0.8× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$66K

1,612 claims · 0.5%

Your Cost: $40.99/claim|Median: $37.22
1.1× median
76820Normal range

$61K

3,439 claims · 0.5%

Your Cost: $17.84/claim|Median: $31.79
0.6× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$61K

2,218 claims · 0.5%

Your Cost: $27.50/claim|Median: $58.16
0.5× median
99221Normal range

Initial hospital care, straightforward/low

$58K

1,096 claims · 0.5%

Your Cost: $53.03/claim|Median: $39.96
1.3× median
Q0091Normal range

$51K

6,091 claims · 0.4%

Your Cost: $8.40/claim|Median: $11.15
0.8× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$51K

743 claims · 0.4%

Your Cost: $68.44/claim|Median: $76.22
0.9× median
58301Normal range

$46K

1,275 claims · 0.4%

Your Cost: $35.89/claim|Median: $49.65
0.7× median
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