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Provider 1639166382

NPI: 1639166382Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.0M

$9,006,089

Total Claims

99K

Beneficiaries

77K

1.3 claims/patient

Avg Cost/Claim

$91

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+5%
2019
$1.8M
-4%
2020
$1.7M
-37%
2021
$1.1M
-6%
2022
$997K
+4%
2023
$1.0M
-24%
2024
$783K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (76816 (Ultrasound, pregnant uterus, follow-up)) accounts for 25% of total spending.

76816Top 25%

Ultrasound, pregnant uterus, follow-up

$2.3M

23K claims · 25.4%

Your Cost: $100.86/claim|Median: $58.55
1.7× median
76818Top 25%

$1.9M

17K claims · 20.9%

Your Cost: $109.40/claim|Median: $68.15
1.6× median
76811Top 25%

Ultrasound, pregnant uterus, detailed, single fetus

$928K

5,484 claims · 10.3%

Your Cost: $169.23/claim|Median: $106.79
1.6× median
76817Top 10%

Ultrasound, pregnant uterus, transvaginal

$762K

8,606 claims · 8.5%

Your Cost: $88.55/claim|Median: $47.65
1.9× median
76825Top 25%

$662K

3,148 claims · 7.3%

Your Cost: $210.26/claim|Median: $103.74
2.0× median
76820Normal range

$580K

15K claims · 6.4%

Your Cost: $37.67/claim|Median: $31.79
1.2× median
76819Top 25%

Fetal biophysical profile with non-stress test

$504K

6,216 claims · 5.6%

Your Cost: $81.10/claim|Median: $49.45
1.6× median
76801Top 10%

Ultrasound, pregnant uterus, single fetus, first trimester

$430K

3,766 claims · 4.8%

Your Cost: $114.20/claim|Median: $58.16
2.0× median
76813Top 25%

Ultrasound for fetal nuchal translucency measurement

$376K

3,494 claims · 4.2%

Your Cost: $107.67/claim|Median: $70.87
1.5× median
76815Top 10%

Ultrasound, pregnant uterus, limited

$319K

4,039 claims · 3.5%

Your Cost: $78.88/claim|Median: $36.79
2.1× median
76827Top 25%

$186K

3,140 claims · 2.1%

Your Cost: $59.24/claim|Median: $39.58
1.5× median
99213Top 25%

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

$48K

683 claims · 0.5%

Your Cost: $70.01/claim|Median: $37.81
1.9× median
99203Top 25%

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

$32K

349 claims · 0.4%

Your Cost: $93.11/claim|Median: $57.85
1.6× median
36415Normal range

Collection of venous blood by venipuncture

$5K

4,999 claims · 0.1%

Your Cost: $0.94/claim|Median: $1.57
0.6× median
93325Normal range

$2K

115 claims · 0.0%

Your Cost: $15.40/claim|Median: $14.61
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$2K

36 claims · 0.0%

Your Cost: $42.45/claim|Median: $25.06
1.7× median
99214Top 25%

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

$1K

14 claims · 0.0%

Your Cost: $87.32/claim|Median: $53.41
1.6× median
99211Top 25%

Office/outpatient visit, minimal complexity

$286

12 claims · 0.0%

Your Cost: $23.80/claim|Median: $12.93
1.8× median
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