Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Provider 1639267214

NPI: 1639267214Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$8.2M

$8,190,012

Total Claims

93K

Beneficiaries

81K

1.2 claims/patient

Avg Cost/Claim

$88

Monthly Spending Trend

Yearly Spending

2018
$477K
-62%
2019
$180K
+328%
2020
$770K
+4%
2021
$799K
+27%
2022
$1.0M
+84%
2023
$1.9M
+65%
2024
$3.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (J7296 (Levonorgestrel intrauterine contraceptive system insertion)) accounts for 12% of total spending.

J7296Top 10%

Levonorgestrel intrauterine contraceptive system insertion

$1.0M

857 claims · 12.4%

Your Cost: $1,186.74/claim|Median: $860.31
1.4× median
99213Normal range

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

$971K

42K claims · 11.9%

Your Cost: $23.03/claim|Median: $37.81
0.6× median
58740Top 10%

$742K

1,139 claims · 9.1%

Your Cost: $651.18/claim|Median: $199.51
3.3× median
J7298Top 5%

$563K

478 claims · 6.9%

Your Cost: $1,177.21/claim|Median: $751.11
1.6× median
59425Normal range

Antepartum care only, 4-6 visits

$524K

9,832 claims · 6.4%

Your Cost: $53.26/claim|Median: $63.63
0.8× median
J7307Top 5%

Etonogestrel implant system, including implant and supplies

$468K

393 claims · 5.7%

Your Cost: $1,192.01/claim|Median: $786.43
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$464K

4,124 claims · 5.7%

Your Cost: $112.40/claim|Median: $74.09
1.5× median
76811Normal range

Ultrasound, pregnant uterus, detailed, single fetus

$395K

2,833 claims · 4.8%

Your Cost: $139.60/claim|Median: $106.79
1.3× median
58662Normal range

$394K

1,814 claims · 4.8%

Your Cost: $217.30/claim|Median: $457.94
0.5× median
99203Normal range

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

$249K

4,653 claims · 3.0%

Your Cost: $53.57/claim|Median: $57.85
0.9× median
58558Normal range

$231K

2,075 claims · 2.8%

Your Cost: $111.34/claim|Median: $942.89
0.1× median
76801Normal range

Ultrasound, pregnant uterus, single fetus, first trimester

$207K

2,982 claims · 2.5%

Your Cost: $69.49/claim|Median: $58.16
1.2× median
58300Top 25%

$205K

1,361 claims · 2.5%

Your Cost: $150.80/claim|Median: $74.77
2.0× median
59400Normal range

Routine obstetric care, vaginal delivery, including postpartum

$199K

158 claims · 2.4%

Your Cost: $1,257.88/claim|Median: $1,482.45
0.8× median
59409Normal range

Vaginal delivery only

$198K

391 claims · 2.4%

Your Cost: $507.33/claim|Median: $619.91
0.8× median
76830Normal range

Ultrasound, transvaginal

$118K

1,971 claims · 1.4%

Your Cost: $59.87/claim|Median: $57.47
1.0× median
87491Top 10%

Chlamydia detection, nucleic acid, amplified probe

$115K

1,969 claims · 1.4%

Your Cost: $58.21/claim|Median: $24.95
2.3× median
0500FTop 25%

$113K

1,700 claims · 1.4%

Your Cost: $66.65/claim|Median: $39.34
1.7× median
58563Top 25%

$111K

73 claims · 1.4%

Your Cost: $1,522.62/claim|Median: $991.85
1.5× median
59430Normal range

$88K

1,629 claims · 1.1%

Your Cost: $54.28/claim|Median: $80.32
0.7× median
76700Normal range

Ultrasound, abdominal, complete

$86K

1,119 claims · 1.1%

Your Cost: $77.09/claim|Median: $50.69
1.5× median
59514Normal range

Cesarean delivery only

$86K

177 claims · 1.0%

Your Cost: $485.33/claim|Median: $452.80
1.1× median
11981Normal range

$79K

386 claims · 1.0%

Your Cost: $205.03/claim|Median: $117.16
1.8× median
99385Normal range

Preventive visit, new patient, 18-39 yr

$77K

787 claims · 0.9%

Your Cost: $97.27/claim|Median: $76.22
1.3× median
99386Normal range

Preventive visit, new patient, 40-64 yr

$62K

610 claims · 0.8%

Your Cost: $102.13/claim|Median: $87.82
1.2× median
3351FTop 25%

$50K

904 claims · 0.6%

Your Cost: $55.67/claim|Median: $0.03
1855.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$46K

509 claims · 0.6%

Your Cost: $89.80/claim|Median: $72.71
1.2× median
99285Normal range

Emergency dept visit, high/urgent complexity

$45K

448 claims · 0.5%

Your Cost: $100.47/claim|Median: $85.65
1.2× median
59510Normal range

$41K

37 claims · 0.5%

Your Cost: $1,110.01/claim|Median: $1,543.20
0.7× median
Z1032Normal range

$31K

246 claims · 0.4%

Your Cost: $124.48/claim|Median: $147.33
0.8× median