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Provider 1639189863

NPI: 1639189863Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,347,556

Total Claims

239K

Beneficiaries

199K

1.2 claims/patient

Avg Cost/Claim

$56

Monthly Spending Trend

Yearly Spending

2018
$161K
-35%
2019
$104K
+1883%
2020
$2.1M
+7%
2021
$2.2M
+13%
2022
$2.5M
+16%
2023
$2.9M
+17%
2024
$3.4M

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.

99213Top 10%

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

$3.3M

42K claims · 24.4%

Your Cost: $78.50/claim|Median: $37.81
2.1× median
99214Top 25%

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

$2.0M

22K claims · 15.0%

Your Cost: $90.33/claim|Median: $53.41
1.7× median
93976Normal range

$919K

17K claims · 6.9%

Your Cost: $55.33/claim|Median: $42.06
1.3× median
76820Normal range

$771K

27K claims · 5.8%

Your Cost: $28.06/claim|Median: $31.79
0.9× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$577K

15K claims · 4.3%

Your Cost: $37.87/claim|Median: $58.55
0.6× median
59409Top 25%

Vaginal delivery only

$510K

592 claims · 3.8%

Your Cost: $862.16/claim|Median: $619.91
1.4× median
76818Normal range

$510K

11K claims · 3.8%

Your Cost: $44.46/claim|Median: $68.15
0.7× median
99204Top 25%

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

$351K

2,983 claims · 2.6%

Your Cost: $117.78/claim|Median: $84.03
1.4× median
76819Normal range

Fetal biophysical profile with non-stress test

$329K

8,778 claims · 2.5%

Your Cost: $37.43/claim|Median: $49.45
0.8× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$317K

3,477 claims · 2.4%

Your Cost: $91.22/claim|Median: $106.79
0.9× median
59025Normal range

Fetal non-stress test

$312K

12K claims · 2.3%

Your Cost: $25.48/claim|Median: $26.45
1.0× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$288K

4,870 claims · 2.2%

Your Cost: $59.14/claim|Median: $23.99
2.5× median
99218Top 25%

$271K

2,866 claims · 2.0%

Your Cost: $94.43/claim|Median: $51.50
1.8× median
99221Top 10%

Initial hospital care, straightforward/low

$229K

2,348 claims · 1.7%

Your Cost: $97.49/claim|Median: $39.96
2.4× median
59514Top 5%

Cesarean delivery only

$209K

206 claims · 1.6%

Your Cost: $1,016.41/claim|Median: $452.80
2.2× median
99215Normal range

Office/outpatient visit, high complexity

$209K

2,082 claims · 1.6%

Your Cost: $100.53/claim|Median: $74.09
1.4× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$196K

2,449 claims · 1.5%

Your Cost: $79.98/claim|Median: $35.30
2.3× median
99223Top 10%

Initial hospital care, per day, high complexity

$167K

1,221 claims · 1.3%

Your Cost: $137.12/claim|Median: $67.32
2.0× median
99203Top 25%

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

$165K

2,038 claims · 1.2%

Your Cost: $81.10/claim|Median: $57.85
1.4× median
58662Normal range

$158K

387 claims · 1.2%

Your Cost: $408.41/claim|Median: $457.94
0.9× median
99395Top 10%

Preventive medicine, established patient, age 18-39

$134K

1,149 claims · 1.0%

Your Cost: $117.04/claim|Median: $72.71
1.6× median
50949Normal range

$122K

206 claims · 0.9%

Your Cost: $592.32/claim|Median: $592.32
1.0× median
99219Top 10%

$122K

1,138 claims · 0.9%

Your Cost: $107.06/claim|Median: $63.35
1.7× median
76817Normal range

Ultrasound, pregnant uterus, transvaginal

$121K

3,748 claims · 0.9%

Your Cost: $32.24/claim|Median: $47.65
0.7× median
99238Top 10%

Hospital discharge day management, 30 minutes or less

$105K

1,611 claims · 0.8%

Your Cost: $65.41/claim|Median: $37.22
1.8× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$97K

709 claims · 0.7%

Your Cost: $136.64/claim|Median: $111.09
1.2× median
76813Normal range

Ultrasound for fetal nuchal translucency measurement

$77K

1,418 claims · 0.6%

Your Cost: $54.60/claim|Median: $70.87
0.8× median
H1003Normal range

$74K

7,290 claims · 0.6%

Your Cost: $10.17/claim|Median: $10.04
1.0× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$74K

1,936 claims · 0.6%

Your Cost: $38.24/claim|Median: $16.77
2.3× median
76815Normal range

Ultrasound, pregnant uterus, limited

$60K

2,237 claims · 0.4%

Your Cost: $26.63/claim|Median: $36.79
0.7× median
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