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Provider 1639160401

NPI: 1639160401Share
Active Billing Period:2018-01→2022-09(57 months)
Billing appears to have stoppedLast active: 2022-09

Total Paid

$12.0M

$12,043,390

Total Claims

142K

Beneficiaries

135K

1.1 claims/patient

Avg Cost/Claim

$85

Monthly Spending Trend

Yearly Spending

2018
$2.7M
-20%
2019
$2.1M
+23%
2020
$2.6M
+5%
2021
$2.8M
-32%
2022
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (59400 (Routine obstetric care, vaginal delivery, including postpartum)) accounts for 60% of total spending.

59400Top 5%

Routine obstetric care, vaginal delivery, including postpartum

$7.2M

2,644 claims · 59.6%

Your Cost: $2,715.52/claim|Median: $1,482.45
1.8× median
76816Top 25%

Ultrasound, pregnant uterus, follow-up

$576K

5,861 claims · 4.8%

Your Cost: $98.35/claim|Median: $58.55
1.7× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$382K

3,387 claims · 3.2%

Your Cost: $112.66/claim|Median: $58.16
1.9× median
99214Top 25%

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

$304K

3,933 claims · 2.5%

Your Cost: $77.29/claim|Median: $53.41
1.4× median
76818Top 25%

$296K

2,802 claims · 2.5%

Your Cost: $105.46/claim|Median: $68.15
1.5× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$280K

3,060 claims · 2.3%

Your Cost: $91.59/claim|Median: $72.71
1.3× median
99213Top 25%

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

$273K

4,501 claims · 2.3%

Your Cost: $60.62/claim|Median: $37.81
1.6× median
76805Top 10%

Ultrasound, pregnant uterus, complete, single fetus

$199K

1,472 claims · 1.7%

Your Cost: $135.23/claim|Median: $74.78
1.8× median
76819Top 25%

Fetal biophysical profile with non-stress test

$164K

2,057 claims · 1.4%

Your Cost: $79.80/claim|Median: $49.45
1.6× median
76817Top 25%

Ultrasound, pregnant uterus, transvaginal

$132K

1,533 claims · 1.1%

Your Cost: $86.35/claim|Median: $47.65
1.8× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$127K

3,737 claims · 1.1%

Your Cost: $33.97/claim|Median: $24.95
1.4× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$127K

3,747 claims · 1.1%

Your Cost: $33.86/claim|Median: $23.39
1.4× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$123K

1,496 claims · 1.0%

Your Cost: $82.20/claim|Median: $36.79
2.2× median
87801Top 25%

Infectious agent detection, amplified probe, multiple organisms

$122K

1,687 claims · 1.0%

Your Cost: $72.44/claim|Median: $38.79
1.9× median
76820Normal range

$118K

2,855 claims · 1.0%

Your Cost: $41.40/claim|Median: $31.79
1.3× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$73K

728 claims · 0.6%

Your Cost: $100.01/claim|Median: $76.06
1.3× median
76830Top 25%

Ultrasound, transvaginal

$69K

698 claims · 0.6%

Your Cost: $98.23/claim|Median: $57.47
1.7× median
87481Top 25%

$68K

1,669 claims · 0.6%

Your Cost: $40.87/claim|Median: $22.38
1.8× median
87624Top 25%

HPV detection, high-risk types, nucleic acid

$59K

1,730 claims · 0.5%

Your Cost: $33.96/claim|Median: $25.57
1.3× median
87661Top 25%

Trichomonas vaginalis detection, nucleic acid, amplified probe

$54K

1,598 claims · 0.4%

Your Cost: $33.74/claim|Median: $21.08
1.6× median
76856Top 25%

Ultrasound, pelvic, complete

$52K

490 claims · 0.4%

Your Cost: $105.18/claim|Median: $47.58
2.2× median
90715Top 5%

Tdap vaccine

$47K

1,146 claims · 0.4%

Your Cost: $41.10/claim|Median: $10.32
4.0× median
59409Top 1%

Vaginal delivery only

$47K

28 claims · 0.4%

Your Cost: $1,671.43/claim|Median: $619.91
2.7× median
82306Top 25%

Vitamin D, 25 hydroxy

$45K

1,600 claims · 0.4%

Your Cost: $28.40/claim|Median: $18.18
1.6× median
82607Top 25%

Cyanocobalamin (vitamin B-12)

$45K

3,025 claims · 0.4%

Your Cost: $14.74/claim|Median: $8.72
1.7× median
82746Top 25%

$44K

3,058 claims · 0.4%

Your Cost: $14.30/claim|Median: $6.83
2.1× median
86769Normal range

Antibody, SARS-CoV-2 (COVID-19)

$44K

1,283 claims · 0.4%

Your Cost: $33.95/claim|Median: $26.94
1.3× median
99212Normal range

Office/outpatient visit, low complexity

$40K

1,271 claims · 0.3%

Your Cost: $31.75/claim|Median: $25.06
1.3× median
82728Top 25%

Ferritin

$39K

2,984 claims · 0.3%

Your Cost: $13.13/claim|Median: $6.00
2.2× median
90471Top 5%

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

$39K

1,588 claims · 0.3%

Your Cost: $24.55/claim|Median: $9.80
2.5× median
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